the Risks of Pre-Ejaculate in Sexual Health

Prostatic fluid refers to the fluid produced by the prostate gland?

On December 7th, around 2 PM, my boyfriend had already released pre-ejaculate fluid.
After he touched his own genitals, he inserted his fingers 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 December 10th, at 10 AM, I took emergency contraception (approximately 67 hours later).
My menstrual cycle has been slightly irregular: September 10-14, October 8-13, November 18-23.
The app indicates that my ovulation period was on December 2nd.
Thank you.

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

Dr. Cao Guotao reply Obstetrics and Gynecology

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

Reply Date: 2021/12/11

More Info

Understanding the risks associated with pre-ejaculate fluid and sexual health is crucial for anyone engaging in sexual activity. Pre-ejaculate, or pre-cum, is a fluid released by the male during sexual arousal before ejaculation. While it is primarily meant to lubricate the urethra and neutralize acidity, it can also contain sperm, which raises concerns about unintended pregnancies and sexually transmitted infections (STIs).

Risks of Pre-Ejaculate
1. Pregnancy Risk: Although the concentration of sperm in pre-ejaculate is generally lower than in ejaculate, it is still possible for sperm to be present. If a male has recently ejaculated and has sperm remaining in the urethra, pre-ejaculate can carry these sperm into the vagina during sexual activity. This means that even without ejaculation, there is a risk of pregnancy if the pre-ejaculate comes into contact with the vaginal canal.

2. STI Transmission: Pre-ejaculate can also carry sexually transmitted infections. If either partner is infected with an STI, engaging in sexual activities that involve pre-ejaculate can lead to transmission. This is particularly concerning for infections such as chlamydia, gonorrhea, and HIV.

Your Situation
In your case, you mentioned that your boyfriend had pre-ejaculate and then touched himself before inserting his fingers into your vagina. This action could potentially introduce sperm into your vaginal canal, albeit the risk is lower compared to direct ejaculation. Additionally, the fact that you engaged in mutual rubbing without any ejaculation still poses a risk, albeit minimal, for pregnancy and STIs.

You also mentioned that you took emergency contraception (the "morning-after pill") approximately 67 hours after the encounter. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, and it can significantly reduce the risk of pregnancy if taken within the recommended time frame. However, it is not 100% effective, and its efficacy decreases the longer you wait to take it.

Menstrual Cycle Considerations
Your menstrual cycle appears to be somewhat irregular, which can complicate the understanding of your fertile window. You noted that your app predicted your ovulation around December 2nd, which means that the days following that could be less fertile, but this is not a guarantee. Sperm can live inside the female reproductive tract for up to five days, so if you had unprotected contact near your ovulation window, there could still be a risk of pregnancy.

Recommendations
1. Consult a Healthcare Provider: If you have concerns about potential pregnancy or STIs, it is advisable to consult a healthcare provider. They can provide you with appropriate testing and guidance based on your specific situation.

2. Regular STI Testing: If you are sexually active, especially with multiple partners or if your partner has had other sexual partners, regular STI testing is recommended. This helps ensure both your health and that of your partner.

3. Consider Long-term Contraception: If you are concerned about the risks of unintended pregnancy, consider discussing long-term contraceptive options with your healthcare provider. Methods such as hormonal birth control, IUDs, or implants can provide more reliable protection than relying on withdrawal or pre-ejaculate management.

4. Education on Safe Practices: Understanding the risks associated with different sexual practices can help you make informed decisions. Using condoms consistently and correctly can significantly reduce the risk of both pregnancy and STIs.

In conclusion, while pre-ejaculate does carry risks, being informed and taking proactive steps can help you manage those risks effectively. Always prioritize open communication with your partner and consult healthcare professionals for personalized advice.

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Dr. Lü Lizheng reply Obstetrics and Gynecology
The prostate fluid contains sperm, so there is still a possibility of pregnancy. Sincerely, Dr. Li-Cheng Lu, Taoyuan Hospital.

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Hello, the chances of getting pregnant are low, but it's always best to take preventive measures beforehand. One should not rely on the safe period. Wishing you good health.

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Hello, it is possible that it is pre-ejaculate fluid. If you have taken emergency contraception, you should not be at risk of pregnancy. Wishing you good health.