Condom Slipped Inside During Intercourse: What Are the Pregnancy Risks?

The condom slipped off inside, but ejaculation has not occurred?

Hello, doctor.
My boyfriend and I had sexual intercourse on February 19, during which the condom slipped inside me.
It wasn't too deep, and there was no ejaculation.
We also checked the condom and confirmed it didn't break.
My last menstrual period was from January 30 to February 5, lasting about seven days.
My previous menstrual periods were from September 1 to September 7, September 29 to October 5, October 31 to November 6, November 29 to December 5, and January 1 to January 7, with cycles of 30, 28, 32, 29, 33, and 29 days respectively.
Around February 10 to February 13, I noticed clear, watery discharge, which I believe was ovulation discharge.
There was a little left on February 14, but then it stopped.
My period tracking app indicates that today is the last day with a moderate chance of pregnancy.
I would like to know what the likelihood of pregnancy is in this situation.

Y, 20~29 year old female. Ask Date: 2023/02/19

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to take emergency contraceptive pills just in case; they are effective within 48 hours.
Wishing you good health.

Reply Date: 2023/02/19

More Info

When it comes to the risk of pregnancy after a condom slips inside during intercourse, several factors need to be considered. First and foremost, it's important to note that if the condom did not break and there was no ejaculation inside the vagina, the likelihood of pregnancy is significantly reduced. However, there are still some nuances to consider.

1. Pre-ejaculate Fluid: Even if ejaculation did not occur, pre-ejaculate fluid (pre-cum) can contain sperm. While the concentration of sperm in pre-ejaculate is generally lower than in ejaculate, it is still possible for pregnancy to occur if viable sperm are present in that fluid.
2. Timing in the Menstrual Cycle: Your menstrual cycle plays a crucial role in determining the risk of pregnancy. Based on the information provided, your last menstrual period was from January 30 to February 5, and you noted signs of ovulation around February 10 to 13. If you had intercourse on February 19, this would be after your estimated ovulation window, which typically occurs about 14 days before the start of your next period. If you have a regular cycle, the chances of pregnancy decrease significantly after ovulation, as the egg is viable for about 12 to 24 hours post-ovulation.

3. Cycle Regularity: Your menstrual cycle appears to be relatively regular, with variations between 28 to 33 days. This regularity can help predict ovulation more accurately, which is essential in assessing pregnancy risk. If your cycle is consistent, the likelihood of being fertile on February 19 would be lower, given that ovulation likely occurred earlier in the month.

4. Contraceptive Efficacy: Condoms are a reliable form of contraception when used correctly. They not only prevent sperm from entering the vagina but also protect against sexually transmitted infections. The fact that the condom did not break is a positive factor in reducing the risk of pregnancy.

5. Next Steps: If you are concerned about the possibility of pregnancy, consider taking a home pregnancy test if your period is late. These tests are generally accurate and can provide peace of mind. Additionally, if you experience any unusual symptoms or have concerns about your reproductive health, consulting with a healthcare provider is advisable.

In summary, while there is a slight risk of pregnancy due to the potential presence of sperm in pre-ejaculate fluid, the timing of your menstrual cycle and the fact that the condom did not break significantly reduce that risk. If you have further concerns or experience any changes in your menstrual cycle, it would be wise to consult with a healthcare professional for personalized advice and guidance.

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