Risk of Pregnancy During Menstruation: Condom Slippage Concerns - Obstetrics and Gynecology

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If a condom slips off during sexual intercourse while menstruating?


Hello, Dr.
Tsao.
I would like to ask you a question.
Today is the third day of my menstrual period, and while having sexual intercourse with my boyfriend, his penis partially withdrew, but the condom remained partially inside my vagina (with the open end facing outward).
My boyfriend did not ejaculate, but I am unsure if there was any pre-ejaculate fluid.
What is the likelihood of pregnancy in this situation?

Amy, 20~29 year old female. Ask Date: 2023/02/17

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2023/02/17

More Info


When it comes to the risk of pregnancy during menstruation, particularly in the scenario you've described, it's important to understand a few key points about the menstrual cycle, the nature of sperm, and the effectiveness of condoms.

Firstly, while it is generally considered less likely to conceive during menstruation, it is not impossible. Sperm can live inside the female reproductive tract for up to five days. If you have a shorter menstrual cycle (for example, 21 days), ovulation could occur shortly after your period ends. If you have unprotected intercourse during your period, and sperm are still viable when you ovulate, there is a possibility of pregnancy.

In your specific situation, since the condom slipped and was partially outside the vagina, the risk of pregnancy largely depends on whether any sperm were present in the pre-ejaculate fluid (also known as pre-cum). While the likelihood of pregnancy from pre-ejaculate is lower than from ejaculate, it is still a possibility. The pre-ejaculate can contain sperm, especially if the male has recently ejaculated and has not urinated since, as some sperm may remain in the urethra.

Given that your boyfriend did not ejaculate, the risk of pregnancy is reduced, but not eliminated. The fact that the condom was partially outside the vagina adds another layer of concern, as it may not have provided full protection against sperm entering the vaginal canal.

To summarize, while the chances of becoming pregnant during menstruation are generally lower, they are not zero, especially with the circumstances you've described. If you are concerned about the possibility of pregnancy, consider taking a home pregnancy test if your next period is late, or consult with a healthcare provider for further advice.

In terms of contraceptive methods, it's crucial to ensure that condoms are used correctly to maximize their effectiveness. This includes checking for proper fit and ensuring that the condom is not damaged or slipping during intercourse. Additionally, if you are looking for more reliable contraception, you might want to discuss other options with your healthcare provider, such as hormonal birth control, which can provide more consistent protection against unintended pregnancy.

Lastly, if you find yourself frequently concerned about the risk of pregnancy during sexual activity, it may be beneficial to have an open conversation with your partner about contraception and to explore options that both of you are comfortable with. Communication is key to ensuring that both partners feel secure and informed about their sexual health choices.

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