Am I Pregnant? Risks After Unprotected Intercourse

Are you pregnant?

Hello doctor, on August 23, I had intercourse with my girlfriend.
The male partner used a condom, but I was overly worried and took the emergency contraceptive pill, Anliting, five minutes later.
My girlfriend got her period.
Is there still a chance of pregnancy? Today is September 22, and my girlfriend has watery discharge and is experiencing lower abdominal pain.
She only has pain in the lower abdomen and no other symptoms.
What should we be aware of? Thank you.

husu, 10~19 year old female. Ask Date: 2022/09/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if you are unsure whether your bleeding is a true menstrual period or if you are concerned that your symptoms may indicate pregnancy, it is advisable to consult a physician for ultrasound, urine, and blood tests to confirm whether you are pregnant.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2022/09/22

More Info

When it comes to understanding the risks of pregnancy after unprotected intercourse, it's important to consider several factors, including the timing of intercourse, the use of contraception, and the menstrual cycle. In your case, you mentioned that you had intercourse on August 23rd while using a condom, and you took an emergency contraceptive pill (Plan B) shortly after. You also noted that your girlfriend's menstrual period arrived afterward, which is a significant indicator regarding the likelihood of pregnancy.

The emergency contraceptive pill you took is designed to prevent ovulation or fertilization if taken within a certain time frame after unprotected intercourse. If your girlfriend's period came as expected after taking the emergency contraceptive, it is a strong indication that she is not pregnant. Menstrual bleeding typically occurs about two weeks after ovulation, and if the emergency contraceptive was effective, it would have prevented ovulation from occurring.

Regarding the symptoms you described—watery discharge and lower abdominal pain—these could be related to several factors. It's common for women to experience changes in their menstrual cycle after taking emergency contraception, which can include altered discharge and cramping. These symptoms may also indicate that her body is adjusting to hormonal changes or could be related to other benign conditions, such as ovulation or premenstrual syndrome (PMS).

However, if the abdominal pain is severe or persistent, or if there are any other concerning symptoms (such as unusual bleeding, fever, or significant changes in discharge), it would be wise to seek medical attention. A healthcare provider can perform a thorough evaluation to rule out any potential issues, such as an infection or an ectopic pregnancy, especially if there is any doubt about the effectiveness of the contraception used.

In summary, based on the information provided, it seems unlikely that your girlfriend is pregnant, especially since her period arrived after taking the emergency contraceptive. However, if there are any lingering concerns or symptoms, it would be best for her to consult with a healthcare professional for further evaluation and peace of mind. Regular check-ups and open communication with a healthcare provider can help address any questions or concerns regarding reproductive health and contraception.

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