Risk of Pregnancy After Improper Condom Use During Ovulation

The condom was not properly worn during the ovulation period?

The first day of your last menstrual period was June 5, and yesterday, June 17, was around your ovulation period.
Your boyfriend's condom slipped, leaving only the tip covered.
You noticed this shortly after and took the emergency contraceptive pill, Ella, the next morning.
What is the likelihood of becoming pregnant in this situation? (I am concerned about the presence of sperm in pre-ejaculate fluid.)

Guaguaguā, 10~19 year old female. Ask Date: 2022/06/18

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the probability should be very low.
Wishing you good health.

Reply Date: 2022/06/18

More Info

When it comes to the risk of pregnancy after improper condom use during ovulation, it's essential to understand the timing of ovulation and the effectiveness of emergency contraception like Ella (ulipristal acetate). Based on your menstrual cycle, if your last period started on June 5 and you ovulated around June 17, the timing of your unprotected intercourse is indeed critical.

During ovulation, the chances of becoming pregnant are significantly higher because an egg is released and is available for fertilization. If the condom slipped and did not provide adequate protection, there is a possibility that sperm could have been deposited in the vaginal canal, increasing the risk of pregnancy.
You took Ella the morning after the incident, which is a proactive step. Ella is most effective when taken as soon as possible after unprotected intercourse and can reduce the risk of pregnancy by delaying ovulation. It is effective up to 120 hours (5 days) after unprotected sex, but its efficacy decreases the longer you wait. The sooner you take it, the better the chances of preventing ovulation and thus preventing pregnancy.

Regarding your concern about pre-ejaculate fluid (pre-cum), it can contain sperm, although the concentration is typically lower than in ejaculate. However, if the condom failed and there was any exposure to pre-ejaculate, there is still a risk of pregnancy.
In terms of the likelihood of pregnancy after taking Ella, studies suggest that it is about 85% effective when taken within the recommended time frame. However, it is not 100% guaranteed. Factors such as your body weight, the timing of your cycle, and how soon you took the pill after the incident can all influence its effectiveness.

If you experience any symptoms of pregnancy, such as a missed period, nausea, or breast tenderness, it would be advisable to take a pregnancy test about two weeks after the incident or consult with your healthcare provider for further guidance.
In summary, while there is a risk of pregnancy due to the condom mishap during ovulation, taking Ella significantly reduces that risk. It’s crucial to monitor your body for any signs of pregnancy and to consult with a healthcare professional if you have concerns or questions about your reproductive health. Additionally, consider discussing long-term contraceptive options with your healthcare provider to prevent similar situations in the future.

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