Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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Probability of Pregnancy


Hello doctor, I apologize for the interruption.
Recently, I had unprotected intercourse with my girlfriend, and we are certain about the possibility of in vitro fertilization.
Her menstrual tracking app indicates that ovulation is expected in two days.
What is the likelihood of pregnancy in this situation? Should she take emergency contraception? Thank you for taking the time to respond.

Mr. Yang, 10~19 year old female. Ask Date: 2021/09/07

Dr. Huang Zifei reply Obstetrics and Gynecology


Dear Mr.
Yang,
Coitus interruptus is not an effective method of contraception.
It is recommended to take emergency contraception.
Emergency contraceptive pills should be taken within 72 hours after sexual intercourse, and the sooner they are taken, the better the contraceptive effect.
If your period is delayed by more than a week, please remember to take a pregnancy test.
If you have any other questions, please consult a gynecologist.
Dr.
Huang Zifei
Department of Obstetrics and Gynecology
Nantou Hospital

Reply Date: 2021/09/07

More Info


When it comes to understanding the chances of pregnancy after unprotected intercourse, especially during the ovulation period, it is essential to consider several factors that influence fertility.
Firstly, the timing of intercourse in relation to ovulation is crucial. Ovulation typically occurs about 14 days before the start of a woman's next menstrual period. If your girlfriend's app indicates that she is in her ovulation window, the likelihood of pregnancy is significantly higher. Sperm can survive in the female reproductive tract for up to five days, so if intercourse occurs in the days leading up to ovulation, there is a good chance that sperm will be present when the egg is released.

Given that you mentioned the intercourse occurred two days before her predicted ovulation, the chances of conception are indeed elevated. Studies suggest that the probability of becoming pregnant from unprotected intercourse during the fertile window can range from 15% to 30% per cycle, depending on various factors such as age, overall health, and reproductive history.

Regarding emergency contraception (commonly referred to as the "morning-after pill"), it is generally recommended if unprotected intercourse occurs and there is a concern about unintended pregnancy. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but some types can be effective up to five days later. If you are considering this option, it is advisable to consult a healthcare provider or a pharmacist for guidance on the best choice based on the timing of the intercourse and your girlfriend's health profile.

It is also important to note that while emergency contraception can reduce the risk of pregnancy, it is not 100% effective. Therefore, if your girlfriend misses her next period or experiences unusual symptoms, it would be prudent for her to take a pregnancy test or consult a healthcare provider for further evaluation.

In summary, given that the intercourse occurred two days before ovulation, there is a significant chance of pregnancy. If there are concerns about unintended pregnancy, considering emergency contraception is a wise choice. Always remember that regular contraceptive methods are more effective for preventing unintended pregnancies in the long term. If you and your girlfriend are sexually active, discussing and choosing a reliable form of contraception together can help manage reproductive health effectively.

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