Pregnancy Risks: Can You Get Pregnant After Unprotected Intercourse?

Probability of Pregnancy

Hello doctor, on June 12th in the afternoon, I was grinding with my boyfriend while wearing a condom (without any contact with the vagina).
Later, he ejaculated, and I'm not sure if the condom broke or if any semen came into contact.
The next morning, I took the emergency contraceptive pill.
That day was 18 days after my menstrual period ended, and I'm not sure if it was around ovulation time, but I did notice an increase in clear discharge during those days.
What is the likelihood of pregnancy in this situation? (I apologize if this is a duplicate submission as I was unable to send it earlier.)

Weee, 10~19 year old female. Ask Date: 2022/06/13

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you should not be pregnant.
Wishing you good health.

Reply Date: 2022/06/13

More Info

When it comes to understanding the risks of pregnancy after unprotected intercourse, it's essential to consider several factors, including the timing of the menstrual cycle, the nature of the sexual activity, and the use of emergency contraception.

In your case, you mentioned that you had sexual activity on June 12, where a condom was used, but there was a concern that it may have broken. You also took emergency contraception the following morning. The timing of your menstrual cycle is crucial here. If your period ended just before this encounter, and you are aware of your cycle being around 28-31 days, you might have been approaching your ovulation period, which typically occurs about 14 days before your next expected period.
The presence of clear, stretchy discharge can indicate that you are in your fertile window, as this type of cervical mucus is often associated with ovulation. If ovulation occurs, the risk of pregnancy increases significantly if sperm is present. However, since you took emergency contraception (the morning-after pill) shortly after the potential exposure, this significantly reduces the likelihood of pregnancy. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but they can be effective up to 5 days after.

Regarding your concern about the possibility of pregnancy, while there is always a risk when engaging in sexual activity without a reliable contraceptive method, the combination of using a condom (even with the uncertainty of a break) and taking emergency contraception greatly lowers the chances of becoming pregnant.
If you are still anxious about the possibility of pregnancy, it is advisable to wait until your next expected period. If your period is late by a week or more, you should take a home pregnancy test for confirmation. These tests are quite accurate and can provide peace of mind.

In summary, while there is always a risk of pregnancy with any sexual activity, your proactive measures—using a condom and taking emergency contraception—have significantly reduced that risk. If you have further concerns or experience any unusual symptoms, consulting with a healthcare provider is always a good step to ensure your reproductive health is monitored and managed appropriately.
Additionally, it’s important to consider regular contraceptive methods if you are sexually active and wish to prevent pregnancy in the future. Options include hormonal birth control pills, IUDs, implants, or other barrier methods, which can provide more reliable protection than relying solely on condoms or emergency contraception.

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