Can I get pregnant?
Doctor, I’m sorry to ask: if I had intercourse with my boyfriend on the last day of my period, and he wore two condoms and practiced withdrawal, is there still a chance of pregnancy? If we consistently use condoms and withdrawal every time, is there still a risk of pregnancy? Will taking birth control pills affect future fertility?
oo, 30~39 year old female. Ask Date: 2021/09/15
Dr. Cai Yonglong reply Obstetrics and Gynecology
1.
This method is unlikely to result in pregnancy (extremely unlikely).
2.
Taking birth control pills suppresses ovulation; it is recommended to use them for 5-6 months, then stop for 1-2 months to allow the ovaries to recover.
Reply Date: 2021/09/15
More Info
Using two condoms at once, also known as "double bagging," is not recommended as it can actually increase the risk of condom failure. The friction between the two condoms can cause them to break, leading to a higher chance of pregnancy and sexually transmitted infections (STIs). The withdrawal method, or pulling out before ejaculation, is also not a foolproof method of contraception. Pre-ejaculate fluid can contain sperm, which means that even if your boyfriend withdraws before ejaculation, there is still a risk of pregnancy.
In your situation, if you consistently use both condoms and the withdrawal method, the risk of pregnancy is significantly reduced, but it is not eliminated entirely. The effectiveness of condoms is about 98% with perfect use, but with typical use, the effectiveness drops to around 85%. The withdrawal method has a typical effectiveness of about 78%. Therefore, combining these methods can lower the risk of pregnancy, but it does not guarantee that you won't conceive.
Regarding the use of birth control pills, they are designed to prevent ovulation and can be very effective when taken correctly. Many women use them for years without any issues when it comes to future fertility. Research indicates that birth control pills do not have a long-term negative impact on a woman's ability to conceive after stopping them. In fact, many women find that their menstrual cycles return to normal shortly after discontinuing the pill, and they can conceive soon after.
If you are concerned about the possibility of pregnancy or the effectiveness of your current contraceptive methods, it may be beneficial to consult with a healthcare provider. They can provide personalized advice based on your health history and needs. Additionally, if you are considering starting or stopping birth control pills, a healthcare provider can help you understand the best options for your situation.
For further reading, consider looking into resources from reputable health organizations such as the American College of Obstetricians and Gynecologists (ACOG) or the Centers for Disease Control and Prevention (CDC). These organizations provide comprehensive information on contraceptive methods, their effectiveness, and how they can impact future fertility.
In summary, while using two condoms and the withdrawal method can reduce the risk of pregnancy, it is not foolproof. If you are looking for reliable contraception, consider discussing other options with a healthcare provider, such as hormonal birth control, IUDs, or other long-acting reversible contraceptives (LARCs) that may suit your lifestyle and health needs better.
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