Pregnancy Chances After Protected Intercourse: Key Insights - Obstetrics and Gynecology

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Hello Dr.
Tsao, I would like to ask about an incident with my girlfriend.
We had protected intercourse on April 2, and I withdrew before ejaculation, which occurred inside the condom.
My girlfriend got her period on April 3.
However, in the 2-3 days leading up to her next expected period on April 29, she experienced nausea and bloating.
As of May 2, her period has not arrived, and she is still experiencing nausea.
What is the likelihood of her being pregnant?

J, 30~39 year old female. Ask Date: 2023/05/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it seems that you are not pregnant; observation is sufficient.
Wishing you good health.

Reply Date: 2023/05/02

More Info


When it comes to understanding pregnancy chances after protected intercourse, there are several factors to consider, especially in the context of your situation. You mentioned that you had protected intercourse with your girlfriend on April 2nd, and she experienced her menstrual period on April 3rd. This is a crucial detail, as it indicates that she was not pregnant at that time.
The menstrual cycle typically lasts about 28 days, but it can vary from person to person. If your girlfriend's cycle is regular, and she had her period on April 3rd, it is likely that she was not pregnant from the intercourse on April 2nd. The fact that she had her period suggests that the uterine lining was shed, which is a sign that pregnancy did not occur.

However, you mentioned that she started experiencing symptoms such as nausea, bloating, and dry heaving a few days before her expected period on April 29th. These symptoms can be indicative of early pregnancy, but they can also be attributed to other factors such as stress, hormonal changes, or even gastrointestinal issues. It is important to note that early pregnancy symptoms can sometimes mimic premenstrual symptoms, making it difficult to determine if she is pregnant based solely on these signs.

Since her period was expected around April 29th and it is now May 2nd with no menstruation, it is reasonable to consider the possibility of pregnancy. However, the likelihood of pregnancy occurring from the intercourse on April 2nd is low, especially since she had a normal period shortly after. If she is experiencing persistent symptoms and her period is delayed, the best course of action would be to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy, and they can provide a reliable indication of whether or not she is pregnant.

In terms of timing, home pregnancy tests are most accurate when taken after a missed period. Since her period is already late, it would be advisable to take the test now for the most reliable result. If the test is positive, it would be a good idea for her to schedule an appointment with a healthcare provider for further evaluation and confirmation.

Additionally, if she continues to experience nausea and other symptoms regardless of the pregnancy test result, it may be worth consulting a healthcare professional to rule out any other underlying conditions.

In summary, while the chances of pregnancy from the intercourse on April 2nd are low due to the subsequent menstrual period, the delayed period and symptoms warrant a pregnancy test. It is essential to approach this situation with a clear understanding of the menstrual cycle and the factors that can influence it. Regular communication with a healthcare provider can also provide reassurance and guidance in navigating these concerns.

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