Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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Inquire about the probability of pregnancy?


Hello, doctor.
I would like to ask you about the probability of pregnancy.
On March 16, two days after my girlfriend's period ended, we had intercourse.
I did not withdraw immediately after ejaculation, and after pulling out, I noticed that the condom had slipped off.
I quickly removed the condom, and since there was no semen leakage, we did not take emergency contraception.
My girlfriend has irregular menstrual cycles, and yesterday she experienced premenstrual syndrome (PMS).
Since PMS symptoms can resemble signs of pregnancy, I would like to ask the doctor how high the probability of pregnancy is in this situation.

Mr. Huang, 20~29 year old female. Ask Date: 2023/04/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wishing you good health.

Reply Date: 2023/04/12

More Info


When it comes to understanding the chances of pregnancy following unprotected intercourse, several factors come into play, including the timing of the menstrual cycle, the presence of ovulation, and the effectiveness of contraceptive methods used, if any. In your case, you mentioned having intercourse two days after your girlfriend's period ended, which is typically considered a low-risk time for conception, as ovulation usually occurs around the midpoint of the menstrual cycle.

However, it is essential to note that menstrual cycles can vary significantly among individuals, and some women may have irregular cycles. If your girlfriend has a history of irregular periods, it can be challenging to predict her ovulation accurately. Sperm can survive in the female reproductive tract for up to five days, which means that if she ovulates shortly after your intercourse, there is still a possibility of pregnancy.

You also mentioned that the condom slipped off during intercourse but that you did not notice any semen leakage. While this reduces the likelihood of sperm entering the vagina, it does not eliminate the risk entirely. If there was any pre-ejaculate fluid (pre-cum), it could potentially contain sperm, although the concentration is generally lower than in ejaculate.

Regarding the symptoms of premenstrual syndrome (PMS) that your girlfriend is experiencing, it is important to understand that these symptoms can overlap with early signs of pregnancy, such as breast tenderness, mood swings, and bloating. However, PMS symptoms typically occur in the days leading up to menstruation, while early pregnancy symptoms may appear shortly after conception.

To assess the likelihood of pregnancy, it would be advisable for your girlfriend to take a home pregnancy test if her period is late or if she experiences any unusual symptoms. Home pregnancy tests are generally reliable and can detect pregnancy hormones (hCG) in urine as early as a few days after a missed period. If the test is positive, it is recommended to consult a healthcare provider for further evaluation and prenatal care.

In summary, while the chances of pregnancy after unprotected intercourse two days post-menstruation are generally lower, they are not zero, especially considering the irregularity of your girlfriend's menstrual cycle. If there are concerns about potential pregnancy, taking a home pregnancy test after a missed period would be the most effective way to determine if she is pregnant. Additionally, if you are both sexually active, considering more reliable contraceptive methods in the future could help prevent unintended pregnancies and provide peace of mind.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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

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

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