Can Oral Sex Before Menstruation Lead to Pregnancy? Expert Insights - Obstetrics and Gynecology

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Probability of Pregnancy


Hello doctor, I would like to ask if there is a possibility of getting pregnant after performing oral sex on my boyfriend seven days before my period, and then kissing him before performing oral sex again.
Should I take emergency contraception? Thank you, doctor.

Nìmíng, 20~29 year old female. Ask Date: 2022/08/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be worried about pregnancy.
Wishing you good health.

Reply Date: 2022/08/10

More Info


Oral sex, in itself, does not lead to pregnancy. Pregnancy occurs when sperm fertilizes an egg, which typically happens through vaginal intercourse. However, there are some important considerations to keep in mind regarding your question about the potential for pregnancy after engaging in oral sex before menstruation.

When you perform oral sex on your partner, the sperm is deposited in your mouth, not in the vagina. For pregnancy to occur, sperm must enter the vaginal canal and travel through the cervix into the uterus, where it can meet an egg. Therefore, if you only engaged in oral sex, the likelihood of becoming pregnant is virtually nonexistent.

However, if there was any transfer of sperm from your mouth to your vagina—such as through kissing or touching your genital area after oral sex—there is a very minimal risk of pregnancy. This is because sperm can survive for a short time outside the body, but the chances of viable sperm making it from your mouth to your vagina and leading to fertilization are extremely low.

Regarding your question about whether you need to take emergency contraception (commonly referred to as the "morning-after pill"), it is generally not necessary if the only sexual activity was oral sex. Emergency contraception is typically recommended in cases where there has been unprotected vaginal intercourse or if a contraceptive method has failed (e.g., a broken condom).

It's also important to consider the timing of your menstrual cycle. If you are seven days away from your expected period, you are likely in the luteal phase of your cycle, which is typically a less fertile time. Ovulation usually occurs about 14 days before your period, and the egg is viable for fertilization for about 12-24 hours after ovulation. Sperm can survive in the female reproductive tract for up to five days, but the chances of conception decrease significantly as you approach your period.

In summary, based on the information provided, engaging in oral sex before menstruation does not pose a significant risk of pregnancy. If you have concerns about your sexual health or contraception, it is always best to consult with a healthcare provider who can offer personalized advice based on your specific situation. They can provide guidance on contraceptive options and help address any other questions or concerns you may have regarding sexual health.

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