Common Pregnancy Questions: Myths and Facts Explained - Obstetrics and Gynecology

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I have some questions related to pregnancy?


Q1: Is it true that pregnancy cannot be detected externally within the first 12 weeks? If not, at what week can it be detected?
Q2: If oral sex is performed, does the acidic environment of the vagina become ineffective?
Q3: Generally, how much sperm is needed for conception? (I've read that if the sperm is too diluted, it won't lead to pregnancy.) I'm just curious and have no issues.

Xie xie yi shi, 20~29 year old female. Ask Date: 2022/01/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, pregnancy is usually noticeable around five months.
Oral sex does not affect the condition of the vagina.
Theoretically, as long as there are sperm present, there is a chance of conception.
Wishing you good health.

Reply Date: 2022/01/05

More Info


When it comes to common pregnancy questions, there are many myths and facts that can create confusion for expectant parents. Let’s address your questions one by one, providing clarity based on medical knowledge.

Q1: Is it true that you cannot tell if someone is pregnant in the first 12 weeks? If not, when can it be noticeable?
It is a common belief that pregnancy cannot be detected externally until after the first trimester, but this is not entirely accurate. While many women do not show noticeable physical changes until around 12 weeks, some may begin to show signs earlier, especially if they have a smaller frame or are carrying multiples. The most significant changes typically occur around 12-16 weeks, when the uterus expands beyond the pelvic cavity, leading to a visible baby bump. However, early signs of pregnancy, such as breast tenderness, nausea, and fatigue, can be present even before physical changes are noticeable.

Q2: Does oral sex affect the vaginal environment and its acidity?
The vaginal environment is naturally acidic, which helps to maintain a healthy balance of bacteria and prevent infections. Engaging in oral sex does not significantly alter this acidity. However, it is important to note that introducing foreign substances or bacteria from the mouth can potentially lead to infections. If a woman is pregnant, maintaining a healthy vaginal environment is crucial, as hormonal changes can affect the pH balance. Therefore, while oral sex itself does not negate the vaginal acidity, practicing good hygiene and being aware of any discomfort or unusual symptoms is essential.

Q3: What is the minimum sperm count necessary for conception?
The question of sperm count is indeed significant when discussing fertility. Generally, a sperm count of 15 million sperm per milliliter of semen is considered the lower threshold for normal fertility. However, it is not just the quantity that matters; the quality of the sperm, including motility (the ability to move) and morphology (shape), also plays a crucial role in conception. While lower sperm counts can make conception more challenging, it is still possible to conceive with lower counts, especially if the sperm are healthy and motile.
In summary, while there are many myths surrounding pregnancy and conception, understanding the facts can help alleviate concerns. It is always advisable for individuals to consult with healthcare professionals regarding any questions or concerns about their reproductive health. Regular check-ups and open communication with a healthcare provider can provide personalized guidance and support throughout the pregnancy journey.
Additionally, it is essential to maintain a healthy lifestyle, including a balanced diet, regular exercise, and avoiding harmful substances, as these factors can significantly impact both fertility and pregnancy outcomes. If you or someone you know has further questions or concerns, seeking advice from a qualified healthcare provider is the best course of action.

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