Can You Get Pregnant from Precum and Foreplay? Expert Insights - Obstetrics and Gynecology

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Is pregnancy possible?


Hello, doctor.
My boyfriend and I had sexual intercourse at the end of November (we used a condom and withdrew before ejaculation), and it was not during my ovulation period.
However, during my fertile window, we engaged in mutual touching (there was no penetration, but my hand accidentally touched sperm and then came into contact with the area around my vagina).
Is there a possibility of pregnancy from this? My period should have arrived in the last couple of days, but I haven't experienced any premenstrual symptoms yet! Last month, my period was from November 12 to November 19 (it started three days after taking medication to induce menstruation).
Can taking medication to induce menstruation cause my next period to be delayed? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2022/12/21

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wait another week, and if your period still hasn't arrived, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2022/12/21

More Info


When it comes to the possibility of getting pregnant from precum and foreplay, it's important to understand the mechanics of conception and the factors that influence it. Precum, or pre-ejaculatory fluid, is produced by the Cowper's glands and can contain sperm, although typically in much lower concentrations than ejaculate. The risk of pregnancy from precum is generally considered to be lower than from full ejaculation, but it is not zero.

In your situation, you mentioned that you engaged in sexual activity with a condom and that ejaculation occurred outside of the vagina. This significantly reduces the likelihood of pregnancy, especially since you were not in your ovulation period. However, you also noted that there was some contact between your partner's hands, which may have had sperm on them, and your vaginal area. While the chances of sperm transferring in this manner are low, it is still a potential risk.

Regarding your menstrual cycle, you mentioned that you took medication to induce menstruation last month. Medications like Provera can affect your menstrual cycle, and it is not uncommon for the next period to be delayed or altered after taking such medications. The hormonal changes induced by these medications can lead to variations in cycle timing, which may explain the absence of premenstrual symptoms and the delay in your expected period.

If you are concerned about the possibility of pregnancy, the most reliable way to determine if you are pregnant is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg implants in the uterus. It is advisable to wait until at least the first day of your missed period for the most accurate results.

In summary, while the risk of pregnancy from precum and foreplay is low, it is not impossible, especially with any potential sperm transfer. The use of condoms significantly lowers this risk, and the hormonal effects of medications like Provera can lead to changes in your menstrual cycle. If you have further concerns or if your period does not arrive soon, consider consulting with a healthcare provider for personalized advice and to discuss your options moving forward.

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Dr. Huang Jianzhong reply Obstetrics and Gynecology
No, this will not result in pregnancy.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the probability should be low. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy are low, but it is always best to take preventive measures beforehand. Do not rely on the safe period. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.

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If my boyfriend ejaculated after masturbating and then later touched me, could I get pregnant from that?


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of becoming pregnant are low, but it is always best to take preventive measures beforehand. Do not rely on the safe period. If your period is overdue by more than a week, it is advisable to see a gynecologist. Wishing you good health.

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