Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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What is the likelihood of becoming pregnant?


The last menstrual period was from August 13 to August 18.
On August 25, there was unprotected intercourse with my boyfriend, but he did not ejaculate.
He had ejaculated the day before after masturbation, but prior to the sexual activity the next day, he urinated and cleaned his penis.
What is the likelihood of pregnancy in this situation?

Miss Huang, 20~29 year old female. Ask Date: 2021/08/28

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to take emergency contraception as a precaution.
Wishing you good health.

Reply Date: 2021/08/28

More Info


When it comes to understanding the chances of pregnancy after unprotected intercourse, several factors come into play. In your case, the timeline of your menstrual cycle and the nature of the sexual activity are crucial in assessing the risk of pregnancy.

Firstly, let's consider your menstrual cycle. You mentioned that your last menstrual period (LMP) was from August 13 to August 18. If we assume you have a regular cycle, ovulation typically occurs around 14 days before your next period. For a standard 28-day cycle, ovulation would likely occur around day 14, which would be approximately August 27. However, since you indicated that your cycle may vary, it’s important to note that ovulation can occur anywhere from about day 11 to day 16 of your cycle, depending on the length of your cycle.

Now, regarding the sexual encounter on August 25, this date falls just a couple of days before the estimated ovulation period. Although your boyfriend did not ejaculate inside you, it is important to consider the presence of pre-ejaculate fluid (pre-cum). This fluid can contain sperm, and even if he urinated and cleaned himself before intercourse, it is still possible for some sperm to remain in the urethra. Therefore, there is a chance, albeit reduced, that sperm could be present during the subsequent sexual activity.

In terms of pregnancy chances, if ovulation occurred around the time of your sexual encounter, there is a possibility of conception. Sperm can survive in the female reproductive tract for up to five days, so if ovulation occurred shortly after your sexual activity, there is a chance that sperm could fertilize an egg.

To summarize, while the likelihood of pregnancy is lower due to the lack of ejaculation inside, the timing of your cycle and the possibility of sperm in pre-ejaculate fluid means that there is still a risk of pregnancy. If you are concerned about the possibility of being pregnant, it is advisable to take a home pregnancy test if your period is late or if you experience any early signs of pregnancy, such as nausea, breast tenderness, or fatigue.

In addition, if you are sexually active and wish to avoid unintended pregnancies in the future, consider discussing contraceptive options with your healthcare provider. There are various methods available, including hormonal birth control, barrier methods, and long-acting reversible contraceptives (LARCs), which can help you manage your reproductive health effectively.

In conclusion, while the chances of pregnancy in your specific situation may not be extremely high, they are not zero. Monitoring your menstrual cycle and being aware of your body’s signals can help you make informed decisions regarding your reproductive health. If you have further concerns or questions, consulting with a healthcare professional can provide personalized guidance based on your individual circumstances.

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Hello, the chances of pregnancy should be low. Wishing you good health.

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