Having unprotected sexual intercourse one day after ovulation and using withdrawal (pulling out) as a method of contraception can still result in pregnancy. While the chances are lower compared to having intercourse during the fertile window, sperm can survive in the female reproductive tract for several days. If ovulation has occurred, there is still a possibility of fertilization. Therefore, it is possible to become pregnant even with the withdrawal method?
Hello, doctor.
My ovulation day was on January 5th, and I had unprotected intercourse on January 6th.
The system indicates that this falls within the fertile window for conception.
However, it was only the tip that was inserted, and I withdrew early, performing ejaculation outside.
Is it possible that there are a small number of sperm in the pre-ejaculate fluid? Could this lead to pregnancy? My menstrual cycle is approximately 28 days.
Thank you for your help.
Ch, 20~29 year old female. Ask Date: 2023/01/06
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant.
If you are still concerned, you can take emergency contraception.
Wishing you good health.
Reply Date: 2023/01/06
More Info
The withdrawal method, also known as coitus interruptus, is a form of contraception where the male partner withdraws the penis from the vagina before ejaculation to prevent sperm from entering the female reproductive tract. While this method may seem straightforward, it carries a significant risk of unintended pregnancy, especially when not practiced perfectly.
In your case, you mentioned that ovulation occurred on January 5th, and you had unprotected intercourse on January 6th, the day after ovulation. This timing is crucial because the ovum (egg) is viable for fertilization for about 12 to 24 hours after ovulation. If sperm are present in the female reproductive tract during this window, there is a possibility of fertilization.
Regarding your concern about pre-ejaculate fluid (also known as pre-cum), it is important to note that this fluid can indeed contain sperm. Studies have shown that pre-ejaculate can carry sperm from a previous ejaculation, which means that even if ejaculation occurs outside the vagina, there is still a risk of pregnancy. The concentration of sperm in pre-ejaculate is generally lower than in ejaculate, but it is not zero. Therefore, if any sperm were present in the pre-ejaculate, there is a possibility of pregnancy, especially given the timing of your intercourse relative to ovulation.
Given your menstrual cycle is approximately 28 days, ovulation typically occurs around day 14 of your cycle. However, variations can occur, and factors such as stress, illness, and hormonal changes can affect ovulation timing. If you ovulated on January 5th, having intercourse on January 6th places sperm in the reproductive tract during a time when fertilization could occur.
If you are concerned about the possibility of pregnancy, you may want to consider taking a home pregnancy test if your period is late. These tests are generally accurate when taken after a missed period. Additionally, if you are actively trying to avoid pregnancy, it may be beneficial to explore more reliable contraceptive methods, such as hormonal birth control, condoms, or intrauterine devices (IUDs), which can provide more effective protection against unintended pregnancies.
In summary, while the withdrawal method can reduce the risk of pregnancy, it is not foolproof, particularly when considering the presence of sperm in pre-ejaculate and the timing of intercourse relative to ovulation. If you have further concerns or questions about your reproductive health, consulting with a healthcare provider can provide personalized guidance and support.
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