Can Pre-Ejaculate Fluid Lead to Pregnancy? the Risks

Prostatic fluid and pregnancy?

On November 7th, around 2 to 3 PM, my boyfriend had already released pre-ejaculate fluid.
After touching his own genitals, he inserted his finger into my vagina.
Additionally, while I was not wearing underwear and he was, we engaged in mutual rubbing (during which there was no ejaculation).
On the morning of the 10th at 10 AM, I took emergency contraception (approximately 67 hours later).
My menstrual cycle has been somewhat irregular: September 9-10, September 14, October 8-13, and November 18-23.
The app indicates ovulation on November 2nd.
Could you please tell me if there is a chance of pregnancy? How high is the likelihood? Thank you.

Cui, 10~19 year old female. Ask Date: 2021/12/11

Dr. Lin Xinwang reply Obstetrics and Gynecology

Hello, if there is a concern about pregnancy, it is recommended to take a pregnancy test or see a doctor at least 14 days after the incident for more reliable results.

Reply Date: 2021/12/11

More Info

Pre-ejaculate fluid, commonly known as pre-cum, can indeed pose a risk for pregnancy, although the likelihood is generally lower compared to ejaculation. Pre-ejaculate is a fluid released by the Cowper's glands during sexual arousal, and it serves to lubricate the urethra and neutralize acidity. Importantly, this fluid can contain sperm, especially if there has been a recent ejaculation, as sperm can remain in the urethra and be expelled with the pre-ejaculate.

In your situation, where your boyfriend had pre-ejaculate fluid on his hands after touching his genitals and then inserted his fingers into your vagina, there is a potential risk of sperm being transferred. While the chances of pregnancy from this scenario are lower than from direct ejaculation, it is not impossible. The risk is further influenced by your menstrual cycle and ovulation timing.
You mentioned that your ovulation was predicted to occur around November 2nd, and considering that sperm can live inside the female reproductive tract for up to five days, the timing of your sexual activity could align with your fertile window. If you had sexual contact close to your ovulation date, the chances of pregnancy increase.

Taking emergency contraception (the "morning-after pill") within 72 hours of unprotected intercourse can significantly reduce the risk of pregnancy. Since you took the emergency contraceptive pill approximately 67 hours after the incident, you have taken a proactive step to prevent pregnancy. Emergency contraceptives work primarily by delaying ovulation, and they are most effective when taken as soon as possible after unprotected intercourse.

It's also important to note that your menstrual cycle's irregularity can complicate predictions about ovulation and fertility. Irregular cycles can make it more challenging to determine when you are most fertile, which can increase anxiety about potential pregnancy.

In conclusion, while there is a risk of pregnancy from pre-ejaculate fluid, the likelihood is generally lower compared to direct ejaculation. Given your actions in taking emergency contraception, you have taken a significant step to mitigate that risk. If you have concerns about potential pregnancy or your menstrual cycle, it would be advisable to consult with a healthcare provider for further guidance and support. They can provide personalized advice based on your health history and current situation.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. If you're still concerned, you might consider taking emergency contraception. Wishing you good health.

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