When to Take a Pregnancy Test After Unprotected Sex? - Obstetrics and Gynecology

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When can it be detected?


On January 22, I had unprotected intercourse with my boyfriend, followed by protected intercourse.
On the night of January 27, we had protected sex, and on January 28, we had unprotected intercourse.
My last menstrual period started on January 12, and my cycle is typically 28 days.
Using an online app, I estimated my ovulation date to be January 26 (though I'm not sure if that's accurate).
I would like to know the earliest I can take a pregnancy test to confirm if I am pregnant and what my chances of pregnancy are.
Recently, I've been experiencing breast tenderness and occasional nausea; could this be psychological?

Q, 20~29 year old female. Ask Date: 2021/01/30

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss Q: Your last menstrual period started on January 12, and with an average cycle of about 28 days, your estimated ovulation date would be around January 26.
If you are using a urine pregnancy test, it is generally recommended to wait about one or two days after your missed period to get accurate results, so I suggest you take the test on February 12.
Early pregnancy symptoms can sometimes appear a few days before a missed period, but your current symptoms may largely be due to psychological factors.

Reply Date: 2021/01/30

More Info


When it comes to determining the right time to take a pregnancy test after unprotected sex, it is essential to understand the timing of ovulation, fertilization, and the hormonal changes that occur in the body following conception. Based on your situation, you had unprotected sex on January 22 and January 28, with your last menstrual period starting on January 12. Given that you have a regular 28-day cycle, your estimated ovulation day would indeed be around January 26.

The earliest time to take a home pregnancy test is typically around the time of your expected period, which, in your case, would be around February 9. However, for the most accurate results, it is recommended to wait at least 14 days after potential conception, as this allows enough time for the hormone human chorionic gonadotropin (hCG) to build up in your system if you are pregnant. Since you had unprotected sex on January 28, waiting until February 11 or 12 would provide a more reliable result.

Regarding the likelihood of pregnancy, if you had unprotected sex during your fertile window (which includes the days leading up to and including ovulation), there is a possibility of becoming pregnant. The chances increase significantly if ejaculation occurs inside the vagina, as sperm can survive in the female reproductive tract for several days, waiting for an egg to fertilize.

As for the symptoms you are experiencing, such as breast tenderness and occasional nausea, these can indeed be early signs of pregnancy. However, they can also be attributed to premenstrual syndrome (PMS) or even psychological factors, especially if you are feeling anxious about the possibility of being pregnant. It is not uncommon for individuals to experience physical symptoms that are influenced by their mental state.

If you decide to take a pregnancy test, ensure that you use the first morning urine for the most accurate results, as it contains the highest concentration of hCG. If the test is negative and your period does not arrive within a week of when it was expected, you should consider taking another test or consulting with a healthcare provider for further evaluation.

In summary, the best time to take a pregnancy test after unprotected sex is about two weeks after the potential conception date, or around the time your period is due. If you have any doubts or continue to experience unusual symptoms, it is always a good idea to consult with a healthcare professional for personalized advice and support.

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