Could Intercourse During Menstruation Affect Pregnancy Chances? - Obstetrics and Gynecology

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Is there a connection between ejaculation inside and a missed period?


I started my period on May 23, which was a day late.
During this time, the flow and color of the blood were normal.
However, after having unprotected intercourse on May 25, the color of the blood became darker, and the flow decreased.
By today, the 26th, there is no blood on the pad at all.
Could I be pregnant, or is this just irregular bleeding?

Niming, 10~19 year old female. Ask Date: 2021/04/26

Dr. Chen Zhiyu reply Obstetrics and Gynecology


Regarding your concerns, the response is as follows: Based on the description, it seems that intimate relations occurred while you were still on your menstrual period.
If this is the case, the likelihood of pregnancy is low.
However, there is a concern that what appears to be menstruation could actually be abnormal bleeding, leading to a misjudgment.
It is advisable to monitor for any delays in your menstrual cycle and to take a pregnancy test if necessary.
Thank you for your inquiry, and I wish you health and happiness.

Reply Date: 2021/04/26

More Info


Intercourse during menstruation can raise questions about the chances of pregnancy, especially when there are changes in menstrual flow and color. To address your concerns, let's break down the situation and provide some clarity based on medical knowledge.

Firstly, it’s important to understand the menstrual cycle. A typical cycle lasts about 28 days, but it can vary from person to person. Ovulation usually occurs around the midpoint of the cycle, approximately 14 days before the next period begins. Sperm can survive in the female reproductive tract for up to five days, which means that if you have intercourse close to ovulation, there is a possibility of becoming pregnant.

In your case, you mentioned that your period started on May 23 and that you had intercourse on May 25. If your menstrual cycle is regular and you typically ovulate around day 14, then the likelihood of becoming pregnant from intercourse during your period is relatively low. However, if you have a shorter cycle or if you ovulate earlier, there is a slight chance that sperm could still be present when ovulation occurs, leading to a potential pregnancy.

The changes you observed in your menstrual flow—specifically, the darkening of blood color and a decrease in volume—could be attributed to several factors. Menstrual blood can vary in color and consistency, and it is not uncommon for the flow to change throughout the duration of your period. Darker blood often indicates older blood that has taken longer to exit the uterus, which is typically nothing to worry about. However, if your period has stopped abruptly and you are concerned about the possibility of pregnancy, it would be wise to take a home pregnancy test for confirmation.

If the test is negative and your period does not return, it could indicate a hormonal imbalance or other underlying issues that may require further evaluation by a healthcare provider. Stress, changes in weight, and other factors can also affect your menstrual cycle, leading to irregularities.

In summary, while the chances of becoming pregnant from intercourse during menstruation are generally low, it is not impossible, especially if your cycle is irregular. If you have concerns about your menstrual health or potential pregnancy, consulting with a healthcare professional is recommended. They can provide personalized advice and conduct any necessary tests to ensure your reproductive health is in good standing.

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