Pregnancy Risks After Unprotected Sex During Ovulation - Obstetrics and Gynecology

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Unprotected sexual intercourse during ovulation and taking emergency contraception?


Hello, doctor.
My menstrual cycle is not very regular.
This month, my period has not arrived yet.
I had intercourse during what I believed to be my ovulation period based on cervical mucus, which was egg white-like until around the 11th and 12th.
On the 13th, I noticed some white discharge and had intercourse in the early morning.
On the 14th, there seemed to be no discharge, and I also had early morning intercourse.
I took the morning-after pill on the 15th, and now it has been a week with no side effects, except that yesterday I started to feel some breast tenderness and mild abdominal pain.
I'm unsure if this is due to anxiety or if my period is about to start.
My period last month was at the end of the month.
What is the likelihood of pregnancy in this situation?

Ww, 10~19 year old female. Ask Date: 2021/01/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low; monitoring is sufficient.
Wishing you good health.

Reply Date: 2021/01/22

More Info


When it comes to understanding pregnancy risks after unprotected sex, especially during ovulation, several factors need to be considered. Based on your description, it seems you are trying to assess the likelihood of pregnancy after engaging in unprotected sexual intercourse during your ovulation period, which is a critical time for conception.

Firstly, it's important to understand the ovulation cycle. Ovulation typically occurs about 14 days before the start of your next menstrual period. If your menstrual cycle is irregular, pinpointing the exact day of ovulation can be challenging. The presence of egg-white cervical mucus, which you described, is a good indicator of ovulation, as it creates a conducive environment for sperm to travel to the egg.

In your case, you mentioned having sexual intercourse on the 13th and 14th, which aligns with your ovulation period. Sperm can live inside the female reproductive tract for up to five days, so if you ovulated shortly after these encounters, there is a possibility of conception. The fact that you took emergency contraception (the "morning-after pill") on the 15th is also significant. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but it can be effective up to 120 hours (5 days) after.

Regarding the symptoms you are experiencing, such as breast tenderness and abdominal pain, these can be attributed to several factors. They may be side effects of the emergency contraception you took, as hormonal fluctuations can lead to such symptoms. Alternatively, they could indicate that your menstrual cycle is about to start, especially since you mentioned that your last period was at the end of the previous month. Stress and anxiety about the possibility of pregnancy can also manifest physically, leading to symptoms like breast tenderness and abdominal discomfort.

As for the likelihood of pregnancy, if you took the emergency contraception within the recommended time frame, it significantly reduces the chances of pregnancy. However, no method of contraception is 100% effective, so there is still a small risk. If your period does not arrive within a week or so of when you expect it, it would be advisable to take a pregnancy test for confirmation.

In conclusion, while there is a possibility of pregnancy given the timing of your sexual activity relative to ovulation, the use of emergency contraception greatly reduces that risk. If you continue to experience symptoms or have concerns about your menstrual cycle, it would be wise to consult with a healthcare provider for further evaluation and guidance. They can provide personalized advice based on your health history and current situation. Remember, understanding your body and its cycles can help you make informed decisions about your reproductive health.

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