Can She Get Pregnant? Risks and Contraceptive Options

Can I get pregnant?

Hello doctor, my girlfriend got her period on March 9.
On March 20, I masturbated in the morning and ejaculated.
Later that evening, I went to the bathroom about four times.
I had sexual intercourse with my girlfriend, starting in the missionary position for about 30 seconds without ejaculation.
After that, I withdrew and used a condom throughout the entire act.
Is there a chance of pregnancy? Does she need to take emergency contraception? If she wants to start taking regular birth control pills, when should she begin? Thank you for your help, doctor.

Le, 20~29 year old female. Ask Date: 2022/03/21

Dr. Cai Yonglong reply Obstetrics and Gynecology

It cannot be guaranteed that you are not pregnant, as it is the ovulation period.
Please take the emergency contraceptive pill.
Birth control pills should be started on the 5th day of your menstrual cycle.

Reply Date: 2022/03/21

More Info

When it comes to understanding the risks of pregnancy and contraceptive options, it's essential to consider several factors, including the timing of intercourse, the effectiveness of contraceptive methods, and the overall reproductive health of both partners.

In your situation, you mentioned that your girlfriend had her menstrual period on March 9, and you engaged in sexual activity on March 20. Given that menstrual cycles can vary, ovulation typically occurs about 14 days before the next period starts. If your girlfriend has a regular cycle, she may have been in her fertile window around that time, which could increase the chances of pregnancy. However, since you used a condom and did not ejaculate inside her, the risk of pregnancy is significantly reduced.

Condoms are a reliable form of contraception when used correctly, as they not only prevent sperm from entering the vagina but also protect against sexually transmitted infections (STIs). The fact that you also practiced withdrawal (pulling out) further decreases the likelihood of pregnancy. However, it's important to note that pre-ejaculate fluid can contain sperm, which is why using a condom throughout the entire sexual encounter is recommended.

Regarding the use of emergency contraception (the "morning-after pill"), it is typically advised to take it as soon as possible after unprotected intercourse or contraceptive failure. Since you used a condom and did not ejaculate inside, the need for emergency contraception may not be necessary. However, if there is any doubt or concern about the effectiveness of the condom (e.g., if it broke or slipped), taking emergency contraception within 72 to 120 hours after the encounter can be a prudent choice.

If you and your girlfriend are considering starting a regular contraceptive method, such as birth control pills, it is generally recommended to begin taking them at least one week before engaging in unprotected intercourse for optimal effectiveness. Most birth control pills are taken daily, and starting them at the beginning of a menstrual cycle can help regulate periods and provide reliable contraception. It's essential for your girlfriend to consult with a healthcare provider to discuss the best options for her, as there are various types of birth control pills, and a healthcare professional can help determine which one is most suitable based on her health history and lifestyle.

In summary, while the risk of pregnancy in your described scenario seems low due to the use of condoms and the timing of intercourse, it's always wise to be cautious and informed about contraceptive options. If there are any uncertainties or if your girlfriend experiences any unusual symptoms, it would be beneficial for her to take a pregnancy test or consult with a healthcare provider for further guidance. Open communication between partners about contraception and reproductive health is crucial for making informed decisions and ensuring both partners feel comfortable and secure.

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