Concerns About Condom Slippage: Pregnancy Risk and Emergency Contraception

Condom slippage?

Hello, during intercourse, I noticed that the condom slipped off, but my boyfriend had not ejaculated, and we immediately withdrew.
There was a very small amount of fluid left inside the condom.
Since I am close to my ovulation period, I am concerned about the possibility of pregnancy.
However, I recently took emergency contraception due to a condom breakage, so I would prefer not to take it again.
I would like to know how high the chances of pregnancy are in this situation and whether it is necessary to take emergency contraception.

Liang Xiaojie, 20~29 year old female. Ask Date: 2022/03/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances are likely low, but if possible, it is still advisable to take emergency contraception just in case.
Wishing you good health.

Reply Date: 2022/03/25

More Info

When it comes to concerns about condom slippage during intercourse, especially when close to ovulation, it’s understandable to feel anxious about the possibility of pregnancy. In your situation, since the condom slipped off but your boyfriend had not ejaculated, the risk of pregnancy is significantly reduced. However, it’s important to consider a few factors.

Firstly, the presence of pre-ejaculate fluid (pre-cum) can contain sperm, although the quantity is typically much lower than in ejaculate. If there was any sperm present in the pre-ejaculate, there is a potential risk of pregnancy, especially since you mentioned being close to your ovulation period. Ovulation is the time when a woman is most fertile, and sperm can survive in the female reproductive tract for up to five days, which adds to the concern.

Given that you have previously taken emergency contraception (EC) due to a condom failure, it’s understandable that you may want to avoid taking it again unless absolutely necessary. The effectiveness of emergency contraception, such as Plan B (levonorgestrel) or Ella (ulipristal acetate), is highest when taken as soon as possible after unprotected intercourse. If you are within the recommended time frame for taking EC (typically within 72 hours for Plan B and up to 120 hours for Ella), it may be worth considering, especially since you are near ovulation.

However, if you feel that the risk of pregnancy is low and you are uncomfortable with the idea of taking emergency contraception again, you might choose to monitor your body for any signs of pregnancy over the next few weeks. Common early signs of pregnancy can include missed periods, nausea, breast tenderness, and fatigue. If your period is late or you experience any unusual symptoms, taking a home pregnancy test would be advisable.

In summary, while the risk of pregnancy from the situation you described is not negligible, it is relatively low given that ejaculation did not occur. If you are concerned and within the time frame for emergency contraception, it may be a good idea to take it to alleviate your worries. Always consult with a healthcare provider for personalized advice based on your specific circumstances and health history. They can provide guidance on the best course of action and discuss any potential side effects or considerations regarding the use of emergency contraception.
Additionally, for future sexual encounters, consider discussing with your partner the importance of ensuring that condoms are used correctly and consistently to minimize the risk of slippage or breakage. Exploring other forms of contraception or backup methods may also provide peace of mind and help you feel more secure during intimate moments.

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