Risks and Concerns After First Sexual Experience

My girlfriend gave me her first time?

Hello, doctor.
Currently, this girl is 17 years old.
We had sexual intercourse on October 15th.
At the beginning of the process, I was not wearing a condom; during the first attempt, I did not fully penetrate, only the glans.
The same happened during the second attempt.
It was only during the third attempt that I fully penetrated and made some thrusting movements.
I used a considerable amount of lubricant, but after less than 10 thrusts, I pulled out quickly to put on a condom.
I did not feel anything leaking out.
I would like to know if using lubricant on the glans while wearing a condom poses any risks.

Additionally, my girlfriend is unsure about her menstrual cycle; she only knows that she usually menstruates around the middle of the month.
On the day we had intercourse, I was inside her with the condom for about 10 minutes.
When I pulled out to check, I noticed blood on the condom, which I thought was due to the first time, so we continued.
After finishing, I saw white foam on the inner thigh of the girl, and I am curious about whose it is—could it be mine? After ejaculation, I quickly pulled out without retention, cleaned the outside of the condom, and checked for leaks by pushing with my hand, but there were none.

Currently, her period has not arrived yet, and I would like to ask the doctor how much longer I should wait, as I feel a bit anxious.
Usually, doesn't it come early? Or is it common for the first time to be delayed? She also mentioned that she might feel pain or the urge to use the restroom before her period...
So, I would appreciate it if you could clarify this for me.
After we finished, she felt a bit bloated, but now she has no signs of her period coming.
Is it possible that she is pregnant?

Kong Xiansheng, 10~19 year old female. Ask Date: 2022/10/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy should be low.
You can take a pregnancy test 12 days after intercourse to check.
If the result is negative, you can feel reassured.
Wishing you good health.

Reply Date: 2022/10/20

More Info

After your first sexual experience, it's completely normal to have concerns and questions about potential risks, especially regarding sexually transmitted infections (STIs) and pregnancy. Let's break down the situation and address your concerns.

1. Risk of STIs: You mentioned that during the initial phases of intercourse, you did not use a condom. This is a significant factor when considering the risk of STIs, including HIV. The risk of transmission increases with unprotected contact, especially if there is any exchange of bodily fluids. However, the risk of contracting HIV or other STIs from a single encounter can vary based on several factors, including the health status of both partners. If your partner is unaware of her STI status, it is advisable to get tested together after a suitable waiting period, typically around three months for HIV, as this is the window period for accurate testing.

2. Use of Lubrication: Applying lubricant on the penis while wearing a condom is generally safe and can enhance comfort during intercourse. However, if you used a lubricant that is not compatible with latex condoms (like oil-based lubricants), it could compromise the integrity of the condom, increasing the risk of breakage. Water-based or silicone-based lubricants are recommended for use with condoms.

3. Menstrual Cycle and Pregnancy Concerns: You mentioned that your partner is unsure about her menstrual cycle but typically has her period around mid-month. If you had unprotected intercourse, there is a possibility of pregnancy, especially if it occurred during her fertile window. The presence of blood on the condom could indicate that she experienced some vaginal bleeding, which is common during first-time intercourse due to potential tearing of the hymen. The white foam you observed could be a mix of vaginal secretions and semen, which is also typical after ejaculation.

4. Delayed Menstruation: It's not uncommon for a woman's menstrual cycle to be irregular, especially after her first sexual experience, due to stress, hormonal changes, or other factors. If her period is late, it could be due to a variety of reasons, including anxiety about the sexual encounter. If she is concerned about a potential pregnancy, it would be wise for her to take a home pregnancy test if her period is delayed by a week or more.

5. Emotional and Psychological Impact: It’s important to acknowledge the emotional aspect of your first sexual experience. Feelings of anxiety and uncertainty are common. Open communication with your partner about both of your feelings and concerns can help alleviate some of the stress.
6. Next Steps: Given the circumstances, it would be prudent for both you and your partner to schedule a visit to a healthcare provider for STI testing and to discuss any concerns about potential pregnancy. This will provide peace of mind and ensure that both of you are informed about your sexual health.

In summary, while your concerns are valid, many factors influence the risks associated with your experience. Open communication, testing, and education about safe sex practices will be key in navigating this new chapter in your life. Remember, it’s always better to be informed and proactive about your sexual health.

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