Can You Get Pregnant If a Condom Breaks Without Ejaculation?

The condom was used, but there was no ejaculation?

Your girlfriend had her menstrual period from August 1 to August 13, and her cycle typically lasts around 32 days, but it has been irregular over the past couple of months, extending to 36 days.
They had intercourse on January 19, during which the condom broke, but there was no ejaculation.
They changed to a new condom and continued to have intercourse.
Concerned about pre-ejaculate fluid leading to pregnancy, she took emergency contraception within 24 hours.
As of February 13, she still has not gotten her period.
What is the likelihood of pregnancy in this situation? Thank you for your response, doctor.

Zhuojí de chángjǐnglù, 10~19 year old female. Ask Date: 2022/02/13

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear Anxious Giraffe,
Based on the information you provided, your expected menstrual date was February 13.
I usually recommend waiting another week until February 20.
If your period still hasn't arrived by then, you should take a pregnancy test.
The emergency contraceptive pill is not 100% effective.
I hope your girlfriend's period arrives soon.
If you have any other questions, please consult a gynecologist.
Dr.
Huang Tzu-Fei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2022/02/13

More Info

When it comes to the possibility of pregnancy after a condom breaks, even without ejaculation, there are several factors to consider. First, it's important to understand that while condoms are an effective form of contraception, they are not infallible. A break in the condom can lead to exposure to pre-ejaculatory fluid, which may contain sperm. Although the risk of pregnancy is lower if there was no ejaculation, it is not zero.

In your case, since you had intercourse on January 19 and the condom broke, you took emergency contraception (the "morning-after pill") within 24 hours. This is a crucial step in reducing the risk of pregnancy after unprotected intercourse. Emergency contraceptive pills (ECPs) are most effective when taken as soon as possible after the incident, ideally within 72 hours, but some types can be effective up to 5 days later. The sooner you take it, the better the chances of preventing ovulation and thus pregnancy.

Regarding your menstrual cycle, you mentioned that your periods have been irregular recently, with a typical cycle of around 32 days extending to 36 days. This irregularity can sometimes be caused by stress, hormonal changes, or other factors, which can also affect the timing of ovulation. If you had intercourse on January 19, it is important to note that ovulation typically occurs about 14 days before the start of your next period. If your cycle is longer, ovulation may have occurred later, which can complicate the situation.

Now, considering that you have not had your period by February 13, it is advisable to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. If the test is positive, it would indicate that pregnancy has occurred. If it is negative and you still do not get your period, you may want to consult a healthcare provider for further evaluation.

In summary, while the risk of pregnancy after a condom break without ejaculation is lower, it is still present, especially if pre-ejaculatory fluid was involved. Taking emergency contraception was a wise decision, and the irregularity of your menstrual cycle adds another layer of complexity. The best course of action now is to take a pregnancy test and consult with a healthcare provider if you have any concerns or if your period does not arrive soon. Remember that maintaining open communication with your partner about contraception and sexual health is essential for both of you.

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