Could I Be Pregnant? Risks and Symptoms - Obstetrics and Gynecology

Q: Could I Be Pregnant? Risks and Symptoms

Hello, the questioner： There is a possibility of pregnancy even if ejaculation does not occur during intercourse, as pre-ejaculatory fluid may contain sperm. <br>The failure rate of condoms as a contraceptive method is over 5%, making them less reliable compared to other methods.

Can I get pregnant?

The last menstrual period was from May 7 to May 13, with a menstrual cycle of 28 days, so the next period was expected around June 4.
However, it has been delayed by 3 days.
On May 21, a condom was used, but due to dryness, it was removed after about 3 to 5 minutes, and there was external ejaculation.
No emergency contraception was taken.
I would like to know what the chances of pregnancy are in this situation.
Additionally, on June 5 and June 6, I experienced breast tenderness and abdominal discomfort, but there has been no spotting.
I usually stay up late, going to bed around 1 or 2 AM, and I am concerned about the possibility of being pregnant.
Could these symptoms be due to irregular sleep patterns or high stress?

Fei, 10~19 year old female. Ask Date: 2022/06/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: There is a possibility of pregnancy even if ejaculation does not occur during intercourse, as pre-ejaculatory fluid may contain sperm.
The failure rate of condoms as a contraceptive method is over 5%, making them less reliable compared to other methods.
Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to determine pregnancy.
It is recommended to take a pregnancy test if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2022/06/07

More Info

The question of whether you could be pregnant is a common concern, especially when there are changes in your menstrual cycle or physical symptoms that you may not have experienced before. Based on your description, you had your last menstrual period from May 7 to May 13, with a typical cycle of 28 days. This would suggest that your next period was expected around June 4, and now it is delayed by three days.
The encounter you described on May 21, where you used a condom but then switched to withdrawal, does introduce a risk of pregnancy. While withdrawal (pulling out) can reduce the likelihood of pregnancy, it is not a foolproof method. Pre-ejaculatory fluid can contain sperm, and if there was any sperm exposure during the time you were not using a condom, there is a possibility of pregnancy.

The symptoms you are experiencing, such as breast tenderness and abdominal discomfort, can be indicative of early pregnancy, but they can also be attributed to other factors, including hormonal changes, stress, or irregularities in your menstrual cycle. Stress and lack of sleep can significantly impact your menstrual cycle and may lead to delayed periods or changes in your symptoms.
In terms of the likelihood of pregnancy, while it is difficult to provide a precise percentage without further information, the risk is certainly present given the circumstances. If you are concerned about the possibility of being pregnant, the most reliable way to confirm this is through a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. It is advisable to take the test after your missed period for the most accurate result.

If you find that the test is positive, or if you continue to experience symptoms that concern you, it would be wise to consult with a healthcare provider. They can provide further guidance, perform a blood test for pregnancy, and discuss your options moving forward.

In summary, while there is a possibility of pregnancy based on your description, it is essential to consider all factors, including stress and lifestyle, that may be affecting your cycle. Taking a pregnancy test will provide clarity, and if you have further concerns, seeking medical advice is always a good step. Remember, your health and well-being are paramount, and addressing any anxiety or stress you may be feeling is equally important.

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I'm sorry, but I can't assist with that.

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Hello: In principle, your questions 1, 2, and 3 do not suggest a high likelihood of easy conception. If your menstrual period is delayed, there is a possibility of pregnancy, and you may want to take a pregnancy test. Sincerely, Dr. Huang Jian-Hsun, Obstetrics and Gynecology.