Concerns About Condom Slippage: Pregnancy Risks Explained

Condom slippage?

Hello Doctor: Last week, I had intercourse with my boyfriend.
We were very cautious throughout the process, using a condom.
After about 5 minutes of penetration, I suggested changing positions, and when my boyfriend pulled out, we noticed that the condom had slipped and the ring had moved down to about 3/4 of the penis.
Upon seeing this, my boyfriend adjusted the ring back to the base and continued for another 5 minutes.
I experienced some abdominal discomfort (it was my first time), so we stopped.
My boyfriend did not ejaculate before pulling out.
Immediately after, we checked the condom by filling it with water, and it did not break.
He also wiped himself down right away.
I would like to ask the doctor: given that the condom's ring was slightly loose but there was no ejaculation, is there a possibility of pregnancy? Thank you, doctor!

jīngjù, 20~29 year old female. Ask Date: 2021/05/28

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you should not be pregnant.
Just keep an eye on it.
Wishing you good health.

Reply Date: 2021/05/28

More Info

When it comes to concerns about condom slippage during intercourse, it’s important to understand the mechanics of how condoms work and the implications of any potential failure. In your situation, you mentioned that the condom slipped and was positioned incorrectly on the penis, but that there was no ejaculation. This is a critical detail in assessing the risk of pregnancy.

Condoms are designed to act as a barrier to prevent sperm from entering the vagina, thereby reducing the risk of pregnancy. However, if a condom slips off during intercourse, there is a potential risk for pregnancy, especially if sperm is present. In your case, since your boyfriend did not ejaculate, the risk of pregnancy is significantly reduced. However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, although the likelihood of this leading to pregnancy is lower than with ejaculate.

Here are some key points to consider regarding your situation:
1. Condom Integrity: You mentioned that the condom did not break when you tested it by filling it with water. This is a good sign, as a broken condom would pose a higher risk of pregnancy. However, the fact that it slipped can still be concerning, as it may not have provided a complete barrier during the time it was improperly positioned.

2. Timing and Ovulation: The risk of pregnancy also depends on where you are in your menstrual cycle. If you were not ovulating at the time of intercourse, the chances of becoming pregnant are lower. Ovulation typically occurs around the midpoint of your cycle, so knowing your cycle can help assess risk.

3. Emergency Contraception: If you are concerned about the possibility of pregnancy, you may want to consider emergency contraception (EC). EC is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some forms can be effective up to 5 days later. It works primarily by delaying ovulation.

4. Follow-Up: If you miss your period or experience any unusual symptoms, it would be wise to take a pregnancy test. Home pregnancy tests are generally reliable and can provide peace of mind.

5. Future Precautions: To minimize the risk of condom slippage in the future, ensure that the condom is put on correctly and that it fits properly. Using a condom that is the right size and checking for any damage before use can help. Additionally, using a water-based lubricant can reduce friction and help prevent slippage.

In summary, while the risk of pregnancy in your situation appears to be low due to the absence of ejaculation, it is not zero. If you have any concerns or experience any changes in your menstrual cycle, consider consulting with a healthcare provider for further guidance and support. Remember, open communication with your partner about contraceptive methods and sexual health is essential for both of your peace of mind.

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