Can Wearing a Condom Inside Out Lead to Pregnancy? Risks

Is it possible to get pregnant if a condom is put on inside out or reversed?

My girlfriend's last menstrual period started on February 4th.
We had sexual intercourse on February 25th.
At first, the condom was put on incorrectly, and I'm not sure if it came into contact with pre-ejaculate fluid.
After that, I corrected it and continued using it, but my girlfriend had already licked the tip of the condom before inserting it into her vagina.
My girlfriend's cycle is about 30 days, but today is already the 31st day, and her period hasn't arrived yet.
She also mentioned that she has been feeling hungrier than usual and has been eating significantly more, and she feels that her abdomen is slightly swollen.
Doctor, is increased hunger one of the signs of pregnancy? Also, what is the likelihood of pregnancy based on the information provided? Thank you, doctor.

K, 20~29 year old female. Ask Date: 2023/03/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the failure rate of contraception using condoms throughout the entire intercourse is over 5%.
Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a determination.
It is recommended that if your period is more than a week late, you should still check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2023/03/06

More Info

When it comes to the question of whether wearing a condom inside out can lead to pregnancy, it's important to understand the mechanics of condom use and the factors that contribute to pregnancy risk.

Firstly, condoms are designed to be a barrier method of contraception, preventing sperm from entering the vagina and fertilizing an egg. When a condom is worn inside out, there is a risk that pre-ejaculate fluid (pre-cum) or sperm could come into contact with the vaginal canal, especially if the condom was not flipped before use. Pre-ejaculate fluid can contain sperm, albeit in smaller quantities than ejaculate, and can potentially lead to pregnancy if it comes into contact with the vagina.

In your case, you mentioned that the condom was initially put on inside out and then flipped to the correct side. If there was any contact with pre-ejaculate fluid before the condom was flipped, there is a possibility, albeit small, that sperm could have been transferred to the vaginal area. Additionally, the fact that your girlfriend licked the tip of the condom before insertion could also introduce some risk, depending on whether any sperm was present.

Regarding your girlfriend's menstrual cycle, if her cycle is typically around 30 days and she is now 31 days late, it is indeed a good idea for her to take a pregnancy test. Symptoms such as increased hunger and a slight abdominal protrusion can be associated with early pregnancy, but they are not definitive indicators. Increased appetite can be influenced by many factors, including hormonal changes, stress, or other health conditions.

To summarize, while the risk of pregnancy from wearing a condom inside out is not as high as with improper use of other contraceptive methods, it is not zero. If there was any exposure to pre-ejaculate fluid, there is a possibility of pregnancy. The best course of action now is for your girlfriend to take a home pregnancy test for confirmation. If the test is positive, or if she has any concerns about her health or symptoms, she should consult with a healthcare provider for further evaluation and guidance.

In conclusion, while the situation you described does carry some risk of pregnancy, it is essential to rely on a pregnancy test for a definitive answer. If you and your girlfriend are concerned about pregnancy or contraception in the future, consider discussing more reliable contraceptive methods with a healthcare professional.

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