Unprotected Intercourse Without Ejaculation: Pregnancy Risks and Delayed Periods

Unprotected intercourse without ejaculation inside?

Doctor, I need your help.
It's a bit urgent.
My boyfriend and I had unprotected intercourse on January 26.
He did not ejaculate inside me, but after he finished, he did not clean himself and we had intercourse again without a condom.
My period has not arrived yet; it was last from December 19 to December 23.
Recently, I have been eating ice, and I'm not sure if that could be the reason for my delayed period.
I would like to ask: 1) Is there a high chance of pregnancy in this situation? 2) Does a delayed period indicate pregnancy, or could it just be due to eating ice?

Lai Xiaojie, 20~29 year old female. Ask Date: 2023/01/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if your menstrual cycle is every 30 days, January 26 would be considered a safe period.
However, if your periods are irregular, it is advisable to take emergency contraception just in case.
Wishing you good health.

Reply Date: 2023/01/27

More Info

When it comes to unprotected intercourse, even without ejaculation, there are still risks of pregnancy. The situation you described, where there was penetration without a condom and the male partner did not clean himself after ejaculation, can lead to the transfer of pre-ejaculatory fluid, which may contain sperm. Therefore, there is a possibility of pregnancy occurring even if ejaculation did not happen inside the vagina.

1. Pregnancy Risk: The risk of pregnancy from unprotected intercourse is significant, even if the male partner does not ejaculate inside the vagina. Pre-ejaculatory fluid, often referred to as "pre-cum," can contain viable sperm. Studies have shown that sperm can be present in this fluid, and while the concentration is typically lower than in ejaculate, it is still enough to potentially lead to pregnancy. If you had unprotected intercourse on January 26 and your menstrual cycle is irregular or delayed, it is advisable to take a home pregnancy test if your period does not arrive soon.

2. Delayed Period: A delayed period can be caused by various factors, including stress, hormonal imbalances, changes in weight, and even dietary changes, such as consuming ice or cold foods. While eating ice is unlikely to directly cause a delay in your menstrual cycle, stress or anxiety about the possibility of pregnancy can also affect your cycle. It is essential to consider that while a missed period can be an early sign of pregnancy, it is not definitive proof. Other factors, such as changes in lifestyle or health, can also contribute to menstrual irregularities.

If your period does not arrive within a week or two, it would be wise to take a home pregnancy test for a more definitive answer. If the test is positive, or if you continue to experience irregularities in your menstrual cycle, it is advisable to consult with a healthcare professional for further evaluation and guidance.

In summary, while there is a risk of pregnancy from unprotected intercourse without ejaculation, a delayed period can result from various factors, including stress and lifestyle changes. If you have concerns about your menstrual cycle or potential pregnancy, seeking medical advice is always a good step to ensure your health and well-being.

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