Could I Be Pregnant? Symptoms and Condom Effectiveness - Obstetrics and Gynecology

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Is it possible to be pregnant?


Hello Doctor, my menstrual period in September was from September 1 to September 8.
I had sexual intercourse on September 10, 11, and 25, all with condoms, and they did not break.
I also had intercourse on October 1 and 2, again with condoms that did not break.
My period started from October 3 to October 9.
On October 11, I noticed some blood in my discharge after using the restroom, but it stopped afterward.
During those days, I also experienced some itching in my intimate area.
I went for a consultation and was diagnosed with bacterial vaginosis.
I would like to ask if the presence of blood is normal in this situation.
Even though I used condoms throughout, I am still worried that it could be implantation bleeding.
Additionally, I would like to inquire about the effectiveness rate of condoms for contraception, as I have seen varying statistics online.

Yi, 20~29 year old female. Ask Date: 2022/10/14

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, your period started on October 3rd, so you should not be pregnant.
For now, just monitor your situation.
Wishing you good health.

Reply Date: 2022/10/14

More Info


When it comes to the possibility of pregnancy, understanding the symptoms and the effectiveness of contraception methods, such as condoms, is crucial. Based on your description, it seems you have been using condoms consistently during sexual intercourse, which is a reliable method of contraception when used correctly. The effectiveness of condoms is generally reported to be around 98% when used perfectly, meaning that only about 2 out of 100 women will become pregnant in a year of using condoms as their only form of birth control. However, typical use, which accounts for human error, brings this effectiveness down to about 85%. This means that while condoms are a highly effective form of birth control, there is still a small chance of pregnancy.

Regarding your symptoms, the presence of a small amount of blood in your discharge could be concerning, especially since you mentioned experiencing itching and being diagnosed with bacterial vaginosis. It is essential to differentiate between normal physiological changes and potential signs of pregnancy or other health issues. Implantation bleeding, which can occur when a fertilized egg attaches to the uterine lining, is typically light and short-lived. However, given that you have been using condoms correctly, the likelihood of this being implantation bleeding is low.

The itching you are experiencing could be related to the bacterial vaginosis diagnosis. This condition is caused by an imbalance of bacteria in the vagina and can lead to symptoms such as unusual discharge, odor, and irritation. It is important to follow your healthcare provider's recommendations for treatment, as untreated bacterial vaginosis can lead to further complications, including an increased risk of sexually transmitted infections (STIs) and complications during pregnancy if you were to become pregnant.

If you are concerned about the possibility of pregnancy, the best course of action is to take a home pregnancy test. These tests are most accurate when taken after a missed period. If your period is late or if you continue to experience unusual symptoms, consult your healthcare provider for further evaluation. They may recommend a blood test for pregnancy, which is more sensitive than a urine test and can provide definitive results.

In summary, while the use of condoms significantly reduces the risk of pregnancy, no method is 100% effective. The symptoms you are experiencing, including the slight bleeding and itching, should be discussed with your healthcare provider, who can provide a thorough evaluation and appropriate treatment. If you have any further concerns or if your symptoms persist, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and addressing these issues promptly can help ensure your well-being.

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