Can You Get Pregnant After Safe Sex? the Risks - Obstetrics and Gynecology

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Can I get pregnant?


I had sexual intercourse with my girlfriend yesterday, and we used a condom throughout the entire act.
Afterward, I checked the condom by filling it with water, and it did not break.
However, I stayed inside for about a minute after ejaculation, and I suspect some semen may have leaked out.
I would like to ask the doctor if there is a possibility of pregnancy in this situation, and how likely it is.

Ai Ai, 10~19 year old female. Ask Date: 2020/10/25

Dr. Wu Xianghui reply Obstetrics and Gynecology


For pregnancy concerns, please perform a home pregnancy test or consult a specialist in obstetrics and gynecology for evaluation four weeks after sexual intercourse.

Reply Date: 2020/10/25

More Info


When it comes to the question of whether you can get pregnant after engaging in safe sex, particularly when using a condom, it's essential to understand the mechanics of condom use and the associated risks. Based on your description, you used a condom throughout the sexual encounter and checked it afterward to ensure it did not break. This is a crucial step in ensuring safe sex practices.

Condoms are designed to be a reliable form of contraception when used correctly. The typical failure rate for condoms is about 2% with perfect use, meaning that if 100 couples use condoms perfectly for a year, about 2 will experience an unintended pregnancy. However, with typical use, which accounts for human error, the failure rate can rise to about 18%. This means that while condoms are effective, they are not infallible.

In your case, since you confirmed that the condom did not break and you were careful during the sexual act, the risk of pregnancy is significantly reduced. However, you mentioned that there was a concern about potential exposure to semen after ejaculation, particularly if there was any leakage. If the condom was intact and properly used, the likelihood of sperm escaping is minimal.
It's also important to note that sperm can only lead to pregnancy if it comes into contact with the vaginal canal. If the condom was in place and intact, and you did not remove it until after ejaculation, the risk of pregnancy remains low. The act of staying inside for an additional minute after ejaculation does not inherently increase the risk of pregnancy, especially if the condom was secure.

If you are still concerned about the possibility of pregnancy, there are a few steps you can take. First, monitor for any signs of pregnancy, such as a missed period. If your girlfriend's period is late, it would be wise for her to take a home pregnancy test for confirmation. These tests are quite accurate when taken after a missed period.

Additionally, if you are looking for further reassurance, consider consulting with a healthcare provider. They can provide more personalized advice and discuss other contraceptive methods that may be used in conjunction with condoms for added protection, such as hormonal birth control.

In summary, based on the information provided, the risk of pregnancy after using a condom correctly is quite low. However, if there are any lingering concerns, monitoring for signs of pregnancy and consulting with a healthcare professional can provide peace of mind. Remember, communication with your partner about contraception and sexual health is also crucial in ensuring both of you feel secure and informed.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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At the beginning, we used condoms, but after a long time without reaching climax, we took it off and went for a final push (about 2 to 3 minutes). When ejaculation was about to occur, I pulled out immediately. Is there a chance of getting pregnant?


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, there is still a chance. You cannot rely on the safe period; it is better to take preventive measures for contraception before engaging in sexual activity. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the probability should be low, but you might consider taking emergency contraception just in case. Wishing you good health.

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