Pregnancy Risks and Fertility Signs After Intercourse

Prostatic fluid

The last menstrual period was on February 3rd, with a regular cycle of about 27 days.
Sexual intercourse occurred on February 14th (which is presumed to be a fertile period).
The first sexual encounter involved dry humping without a condom, and there was no contact with the glans.
During the second encounter, there was also dry humping without a condom, and contact with the glans likely occurred, which may have involved pre-ejaculatory fluid.
I would like to know the likelihood of pregnancy in this situation.
For the remaining days, condoms were used, and prior to the second encounter, the male partner had taken a shower.
Does taking a shower suddenly affect sperm quality? If pre-ejaculatory fluid does contain sperm, what is the typical concentration? Additionally, as of February 18th, my cervical mucus has not yet appeared in an egg white consistency; is this normal? How long after the appearance of egg white cervical mucus does ovulation typically occur?

u, 10~19 year old female. Ask Date: 2022/02/19

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear U,
1.
The situation you described still presents a possibility of pregnancy.
Although the sperm count in pre-ejaculate fluid is not high (it's challenging to provide an exact number, as some studies have encountered difficulties in collecting pre-ejaculate fluid, such as it drying up during the process), some individuals do have sperm in their pre-ejaculate while others do not.
The conclusion drawn is that contact with pre-ejaculate fluid can still result in pregnancy, so it is advisable to use condoms.
2.
Sperm do not thrive in high-temperature environments, but the volume released in a single ejaculation is in the millions, so there is still a chance of overcoming obstacles to achieve pregnancy.
3.
Using egg white cervical mucus to predict ovulation is not accurate; it is recommended to use ovulation test strips for home ovulation detection.
4.
For contraception, I recommend using preemptive contraceptive pills or an intrauterine device (IUD), along with condoms, to significantly increase the effectiveness of preventing pregnancy.
If you have any further questions, please consult with a physician in obstetrics and gynecology.
Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2022/02/19

More Info

Understanding pregnancy risks and fertility signs after intercourse involves several factors, including the timing of ovulation, the nature of the sexual activity, and the presence of viable sperm. Based on your description, let's break down the components of your question.

1. Timing of Intercourse: You mentioned that your last menstrual period started on February 3rd, and you had unprotected intercourse on February 14th. Given that you have a regular menstrual cycle of about 27 days, ovulation likely occurred around February 16th, which is typically two weeks after the start of your last period. Engaging in sexual activity just before ovulation can increase the chances of pregnancy, as sperm can survive in the female reproductive tract for up to five days.

2. Nature of Sexual Activity: You indicated that during the first sexual encounter, there was no penetration, and during the second encounter, there was some contact with the glans (tip of the penis) and potential exposure to pre-ejaculatory fluid (pre-cum). While pre-ejaculatory fluid can contain sperm, the concentration is generally lower than in ejaculate. However, it is still possible for pregnancy to occur if viable sperm are present in the pre-cum, especially if there was any prior ejaculation or if the male partner had not urinated since the last ejaculation.

3. Impact of Bathing on Sperm Quality: The act of bathing before sexual activity is unlikely to significantly affect sperm quality. Sperm are produced in the testes and are generally well-protected from external factors once they are in the male reproductive system. However, excessive heat (like hot baths or saunas) can temporarily affect sperm production, but this is not typically a concern for a single instance of bathing.

4. Cervical Mucus and Ovulation: You mentioned that your cervical mucus has not yet appeared in an egg-white consistency, which is often associated with ovulation. This type of mucus is typically observed in the days leading up to ovulation, serving to facilitate sperm movement through the cervix. The absence of this type of mucus could indicate that you have not yet ovulated, or it may simply be that your body is producing different types of cervical mucus at this time. Ovulation can vary from cycle to cycle, and it is not uncommon for some cycles to have less pronounced changes in cervical mucus.

5. Pregnancy Probability: Given the circumstances you described, the probability of pregnancy is present but may not be very high, especially if the first encounter did not involve penetration. The second encounter, where there was contact with pre-ejaculatory fluid, does pose a risk, but the overall likelihood would depend on the timing of ovulation and the presence of viable sperm.

In conclusion, while there is a possibility of pregnancy from the activities you described, it is essential to monitor your body for signs of ovulation and any potential pregnancy symptoms. If your period is late or you experience any unusual symptoms, consider taking a home pregnancy test for confirmation. If you have further concerns about your reproductive health or fertility, consulting a healthcare provider would be beneficial for personalized advice and guidance.

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