Can I Get Pregnant? Risks and Birth Control Options - Obstetrics and Gynecology

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Can I get pregnant?


Hello Doctor, my period this month was from October 10 to 17, and last month it was from September 12 to 17.
On October 23, I had unprotected intercourse with my boyfriend, but he pulled out before ejaculation.
There was no internal ejaculation and no external ejaculation either.
Is it likely that I could become pregnant? He is also hesitant about me taking birth control pills because the last time I took them was on August 24, and he believes that taking them continuously could harm my health.
If I start taking birth control pills now, will it affect my body? Please advise, thank you.

Wo, 10~19 year old female. Ask Date: 2020/10/23

Dr. Huang Yuande reply Obstetrics and Gynecology


In principle, there is a possibility of unintended pregnancy if condoms are not used consistently, as a small amount of sperm may be released before ejaculation.
Generally, modern contraceptive pills are quite safe and can be taken if pregnancy is not desired.

Reply Date: 2020/10/23

More Info


When considering the possibility of pregnancy, it is essential to understand the various factors that can influence conception, as well as the implications of birth control methods. Based on your situation, it seems you have had unprotected intercourse during your fertile window, which raises the question of whether you could become pregnant.

Firstly, the menstrual cycle plays a crucial role in determining fertility. The average menstrual cycle lasts about 28 days, but it can vary from person to person. Ovulation typically occurs around 14 days before the start of your next period. Given that your last menstrual period started on September 12 and ended on September 17, and you had intercourse on October 23, it is possible that you were in your fertile window, which could increase the chances of conception. However, since your partner did not ejaculate inside you and there was no withdrawal method used, the likelihood of pregnancy is reduced, but not eliminated entirely. Pre-ejaculate fluid can contain sperm, so there is still a risk, albeit lower than with full ejaculation.

Regarding birth control options, you mentioned your partner's concerns about the long-term use of hormonal contraceptives, such as birth control pills. It is true that some individuals may have concerns about the side effects of hormonal contraceptives, including potential weight gain, mood changes, and other health risks. However, many women use birth control pills safely and effectively for years without significant issues. It is important to consult with a healthcare provider to discuss your specific health history and any potential risks associated with hormonal contraceptives.

If you are considering starting birth control pills now, it is generally safe to do so, but it is advisable to begin them as soon as possible to maximize their effectiveness in preventing pregnancy. Most birth control pills require a few weeks to become fully effective, so if you are concerned about an immediate risk of pregnancy, you might want to consider using a backup method, such as condoms, until the pills take effect.

Additionally, if you are looking for non-hormonal birth control options, there are alternatives such as copper IUDs, condoms, or fertility awareness methods. Each method has its own advantages and disadvantages, and the choice largely depends on your lifestyle, health considerations, and personal preferences.

In summary, while there is a possibility of pregnancy given the timing of your intercourse, the risk is lower due to the withdrawal method used. If you are concerned about the potential for pregnancy, it may be wise to take a pregnancy test if your period is late. Regarding birth control, it is essential to have an open discussion with your healthcare provider about the best options for you, considering both your health and your partner's concerns. Remember, effective communication with your partner about contraception and family planning is vital for making informed decisions together.

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