Can You Get Pregnant Through Underwear? Risks and Concerns - Obstetrics and Gynecology

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Can you get pregnant through underwear?


My girlfriend's menstrual period started on December 7 and ended on December 14.
On December 22, we had sexual intercourse while she was wearing underwear, and I ejaculated outside, not on her underwear.
I also stimulated her clitoris with my hand, which I had washed thoroughly beforehand.
Afterward, she experienced some light bleeding that lasted about 2-3 days and then stopped.
This month (January 7), her period has not arrived, and it has been 7 days since it was due.
Should we consider the bleeding from December 22 as part of her menstrual cycle, or is there anything we should be concerned about?

Yanji, 20~29 year old female. Ask Date: 2023/01/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
If you are still concerned, you can take a pregnancy test.
If your period does not arrive in another week, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2023/01/15

More Info


When it comes to the question of whether you can get pregnant through underwear, it’s essential to understand the mechanics of conception and the various factors involved. Pregnancy occurs when sperm fertilizes an egg, which typically happens during unprotected vaginal intercourse. In your case, you mentioned that ejaculation occurred outside of the underwear, and you also took precautions by washing your hands before engaging in any sexual activity.
To clarify, sperm needs to enter the vaginal canal to potentially fertilize an egg. If ejaculation occurs outside of the vagina, the chances of pregnancy are significantly reduced. However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, and if this fluid comes into contact with the vaginal area, there is a slight risk of pregnancy.
In your situation, the timeline is also crucial. Your girlfriend's last menstrual period started on December 7 and ended on December 14. If we consider a typical menstrual cycle, ovulation usually occurs about 14 days before the next period is expected. If her cycle is regular and approximately 28 days long, she would likely ovulate around December 21. The sexual encounter on December 22 would have been very close to her ovulation window, which increases the risk of pregnancy, even if ejaculation did not occur inside the vagina.

Regarding the bleeding that occurred after your encounter, it’s important to differentiate between menstrual bleeding and other types of bleeding. The light bleeding you described lasting 2-3 days could be implantation bleeding, which occurs when a fertilized egg attaches to the uterine lining. However, it could also be a result of other factors, such as hormonal fluctuations or stress.

Now, concerning the missed period in January, it’s not uncommon for menstrual cycles to be irregular, especially if there are changes in stress levels, health, or other factors. If your girlfriend's period was expected on January 7 and has not arrived, it would be advisable for her to take a home pregnancy test for confirmation. These tests are generally reliable and can provide results as early as the first day of a missed period.

If the test is positive, it would be wise for her to schedule an appointment with a healthcare provider for further evaluation and prenatal care. If the test is negative and her period still does not arrive, she should consult with a healthcare professional to explore other potential causes for the missed period.

In summary, while the risk of pregnancy through underwear is low, it is not entirely impossible due to the presence of sperm in pre-ejaculate fluid. Given the timing of your encounter relative to her ovulation, it is prudent to take a pregnancy test if her period is late. Regardless of the outcome, maintaining open communication with your partner and seeking medical advice when necessary is essential for both of your peace of mind and health.

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