What to Do If a Condom Breaks During Intercourse?

What to do if a condom breaks?

Hello Doctor, on January 25th, I had intercourse with my girlfriend while wearing a condom the entire time.
Halfway through, both of us felt dry, so I pulled out (the condom did not break at this point).
We engaged in some foreplay to help her become wet again before I re-entered.
However, after only a few thrusts, I pulled out and discovered that the condom had broken, and my glans was also very dry.
What is the likelihood of pregnancy in this situation? (Her last menstrual period was from December 8 to December 12, and then from January 11 to January 18).
P.S.
Happy New Year, Doctor!

Chi, 20~29 year old female. Ask Date: 2023/01/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, there is still a chance.
It is recommended to take emergency contraception.
Wishing you good health.

Reply Date: 2023/01/25

More Info

If a condom breaks during intercourse, it can understandably cause concern regarding the possibility of pregnancy and sexually transmitted infections (STIs). In your case, since the condom broke after you had already withdrawn and then reinserted, there are several factors to consider regarding the likelihood of pregnancy.

Firstly, the timing of your partner's menstrual cycle is crucial. You mentioned that her last period started on December 8 and ended around December 12, with another cycle occurring from January 11 to January 18. If we assume a typical 28-day cycle, ovulation would likely occur around January 25, which is approximately when the condom broke. Sperm can survive in the female reproductive tract for up to five days, so if ovulation occurred shortly after the condom broke, there is a possibility of pregnancy.

Given that you and your partner noticed dryness, it is also important to consider that lack of lubrication can increase the risk of condom breakage. It is advisable to use water-based or silicone-based lubricants to reduce friction and the likelihood of the condom tearing.

In terms of immediate steps to take after a condom break, here are some recommendations:
1. Emergency Contraception: If you are concerned about the risk of pregnancy, consider emergency contraception (EC). EC pills, such as Plan B or Ella, can be taken within a certain time frame after unprotected intercourse to reduce the risk of pregnancy. Plan B is most effective when taken within 72 hours, while Ella can be taken up to 120 hours after intercourse. The sooner you take it, the more effective it will be.

2. STI Testing: If you or your partner have any concerns about STIs, it is advisable to get tested. Condoms are effective in reducing the risk of STIs, but they are not 100% effective. If there is a risk of exposure, testing is a prudent step.

3. Monitor for Symptoms: If your partner experiences any unusual symptoms, such as missed periods, nausea, or breast tenderness, she should take a pregnancy test. Home pregnancy tests are generally reliable and can be taken after a missed period for the most accurate results.

4. Consult a Healthcare Provider: If you have further concerns or questions, it may be beneficial to consult a healthcare provider. They can provide personalized advice based on your specific situation and help you understand your options.

In conclusion, while the likelihood of pregnancy may be higher given the timing of the condom break relative to ovulation, taking emergency contraception can significantly reduce that risk. Additionally, ensuring proper lubrication in the future can help prevent condom breakage. Always prioritize open communication with your partner about contraception and sexual health to make informed decisions together.

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