Can You Get Pregnant After Pelvic Inflammation Post-Sex?

Can pelvic inflammatory disease (PID) after sexual intercourse lead to pregnancy?

Hello, doctor! On August 30, I had sexual intercourse with my boyfriend, and we used a condom throughout the act.
Afterward, I checked and confirmed that there were no tears.
About 3 to 4 days later, I experienced unusual pain in my lower abdomen and went to the hospital, where I was diagnosed with uterine inflammation that requires treatment.
During the treatment, I also noticed abnormal pressure pain in my chest.
A pregnancy test came back negative, and my blood test for beta-hCG showed a result of 0.687.
I have been using the Mirena IUD for contraception, but I actually inserted it on August 30, just before the sexual intercourse.
I would like to ask the doctor if the chances of me being pregnant are extremely low.
Thank you for your response!

Shi Tongxue, 20~29 year old female. Ask Date: 2021/09/20

Dr. Cao Guotao reply Obstetrics and Gynecology

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

Reply Date: 2021/09/20

More Info

In response to your question regarding the possibility of getting pregnant after experiencing pelvic inflammation post-sex, it is important to consider several factors related to your situation.

Firstly, the use of condoms during intercourse significantly reduces the risk of pregnancy, provided that the condom did not break or slip off during the act. Since you mentioned that you checked for any damage and found none, this is a positive indication that the likelihood of pregnancy from that encounter is low. Additionally, the insertion of an intrauterine device (IUD) like the Mirena (舞悠避孕環) provides effective contraception, and if it was placed correctly before the sexual encounter, it further decreases the chances of conception.

Regarding the pelvic inflammation you experienced, it is essential to understand that pelvic inflammatory disease (PID) can occur due to various reasons, including sexually transmitted infections (STIs) or other bacterial infections. PID itself does not directly prevent pregnancy, but it can lead to complications such as scarring of the fallopian tubes, which may affect fertility in the long term. However, if you are currently undergoing treatment for the inflammation and your healthcare provider has indicated that your condition is being managed, it is likely that your fertility is not immediately compromised.

The fact that your blood test for beta-hCG (human chorionic gonadotropin) returned a value of 0.687 indicates that you are not pregnant at this time. This hormone is produced during pregnancy, and a value below 5 mIU/mL is generally considered negative for pregnancy. Therefore, based on your current test results and the contraceptive measures you have taken, the chances of being pregnant are indeed very low.

It is also worth noting that if you continue to experience unusual symptoms, such as persistent abdominal pain or discomfort, it is crucial to follow up with your healthcare provider. They can assess your condition further and provide appropriate treatment if necessary.
In summary, given the use of condoms, the presence of an IUD, and the negative pregnancy test results, the likelihood of becoming pregnant after experiencing pelvic inflammation post-sex is minimal. However, it is always advisable to maintain open communication with your healthcare provider regarding any concerns about your reproductive health, especially after experiencing pelvic inflammation. They can offer personalized advice and support based on your specific circumstances.

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