Do I Need Emergency Contraception After Close Contact?

Do I need to take emergency contraception?

The last menstrual period was from November 3 to November 10, with a stable cycle of approximately 29 days.
Yesterday (November 15) was the ovulation period.
In the morning, there was a mucus-like discharge from the genital area.
In the afternoon, there was intimate contact with my boyfriend (without penetration).
I am a virgin and have never engaged in penetrative sexual intercourse; we have always used a condom for external stimulation.
Yesterday, when my boyfriend ejaculated, he removed the condom, and the semen landed on my back (I was in a prone position at the time).
He mentioned seeing a drop (clear) flowing towards the anus (there was also an excited fluid secreted from my genital area at that time).
I took a shower within five minutes, but I am unsure if that drop of semen came into contact with my genital area.
About two hours later, there was again a mucus-like discharge.
What is the likelihood of pregnancy in this situation? Is there a need to take emergency contraception? (If it can be avoided, I would prefer not to take it.)

R, 20~29 year old female. Ask Date: 2020/11/16

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you should avoid taking emergency contraceptive pills.
Wishing you good health.

Reply Date: 2020/11/16

More Info

In your situation, it’s understandable to be concerned about the possibility of pregnancy after close contact with your boyfriend, especially given the timing in relation to your menstrual cycle. Based on the details you provided, let’s break down the factors involved.

1. Timing in Relation to Your Cycle: You mentioned that your last menstrual period was from November 3 to November 10, and that your cycle is typically around 29 days. This means that your ovulation likely occurred around November 15, which is considered your fertile window. Engaging in intimate contact during this time does increase the risk of pregnancy, especially if there is any possibility of sperm coming into contact with your vaginal area.

2. Nature of the Contact: You indicated that there was no penetrative intercourse, and that your boyfriend was wearing a condom during the intimate contact. However, you also mentioned that he removed the condom before ejaculation, and there was a concern about a drop of semen potentially coming into contact with your genital area. While the risk of pregnancy from this scenario is lower than if there had been penetrative intercourse, it is not zero. Sperm can be present in pre-ejaculate fluid, and if any semen did come into contact with your vulva, there is a possibility of sperm traveling into the vaginal canal.

3. Emergency Contraception (EC): Emergency contraception is most effective when taken as soon as possible after unprotected intercourse. The sooner you take it, the better the chances of preventing pregnancy. Given that you are within the timeframe of your ovulation, if you are concerned about the possibility of sperm exposure, it may be prudent to consider taking emergency contraception. EC is safe and can be taken even if you are unsure about the risk of pregnancy; it acts as a precautionary measure.

4. Signs of Ovulation: The presence of clear, stretchy cervical mucus (similar to egg whites) is a sign of ovulation, which you described as "nasal mucus-like discharge." This type of discharge is typical during your fertile window and indicates that your body is preparing for potential conception.

5. Next Steps: If you decide to take emergency contraception, it is available over-the-counter at pharmacies without a prescription in many places. It’s important to follow the instructions on the package. If you have any doubts or concerns about your health or the effectiveness of EC, consulting with a healthcare provider is always a good idea.

6. Monitoring Your Cycle: After this incident, keep track of your menstrual cycle and any changes in your body. If your period is late or you experience unusual symptoms, consider taking a pregnancy test or consulting a healthcare professional.

In summary, while the risk of pregnancy from your described scenario may be lower than with penetrative intercourse, it is not negligible. If you are concerned, taking emergency contraception can provide peace of mind. Always prioritize open communication with your partner about contraception and sexual health to reduce anxiety and ensure mutual understanding.

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