Ovulation Pain and Pregnancy Risk After Intercourse

After ovulation pain, if fingers are inserted and may contain prostate fluid, what is the likelihood of pregnancy after taking emergency contraception?

Hello Dr.
Tsao, I experienced ovulation pain around 10:30 PM yesterday.
The next day at 1 PM, my boyfriend rubbed his glans against the vaginal opening after having some pre-ejaculate fluid.
He then inserted his finger about 3 to 5 centimeters inside.
Later, around 7 PM, I took the emergency contraceptive pill (Levonorgestrel).
What is the likelihood of becoming pregnant in this situation? Thank you very much!

Ms. Tseng, 20~29 year old female. Ask Date: 2022/03/10

Dr. Cao Guotao reply Obstetrics and Gynecology

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

Reply Date: 2022/03/10

More Info

Understanding ovulation pain and the associated risks of pregnancy after intercourse can be quite complex, especially when considering the timing of events and the methods of contraception used.
Ovulation pain, also known as mittelschmerz, occurs when an ovary releases an egg. This pain can vary in intensity and duration, typically occurring mid-cycle, around 14 days before the next menstrual period. It is often characterized by a sharp or cramping sensation on one side of the lower abdomen. The presence of ovulation pain indicates that you are in your fertile window, which is the time when you are most likely to conceive if you engage in unprotected intercourse.

In your case, you mentioned experiencing ovulation pain around 10:30 PM and then engaging in sexual activity the following day. The fact that your boyfriend's penis came into contact with the vaginal opening and that he used his fingers to penetrate slightly does raise questions about the potential for sperm to enter the vagina. While the risk of pregnancy from such actions is lower than from full intercourse, it is not zero. Sperm can be present in pre-ejaculatory fluid, and if any sperm were to be present, there is a possibility of them reaching the egg, especially during your fertile period.

You also took a morning-after pill (Levonorgestrel) approximately seven hours after the encounter. Levonorgestrel is a type of emergency contraception that is most effective when taken as soon as possible after unprotected intercourse. It works primarily by preventing ovulation, inhibiting fertilization, or preventing a fertilized egg from implanting in the uterus. The effectiveness of Levonorgestrel decreases the longer you wait to take it after unprotected intercourse, but it can still significantly reduce the risk of pregnancy if taken within 72 hours.

Given that you took the emergency contraceptive pill within a reasonable timeframe, the likelihood of pregnancy is considerably reduced. However, it is important to note that no contraceptive method is 100% effective, and there is still a small chance of pregnancy.
In terms of your menstrual cycle, if you do not get your period within three weeks after taking the emergency contraceptive, it is advisable to take a pregnancy test to confirm whether or not you are pregnant. Additionally, if you experience any unusual symptoms or have concerns, consulting with a healthcare provider is always a good idea.

In summary, while the combination of ovulation pain, the timing of your sexual activity, and the use of emergency contraception all play significant roles in determining your risk of pregnancy, the steps you took to prevent pregnancy have likely reduced that risk. Always remember that understanding your body and its cycles can help you make informed decisions about your reproductive health. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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