Can You Get Pregnant from Intercourse Without Ejaculation? - Obstetrics and Gynecology

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Will this result in pregnancy?


I previously saw a doctor who mentioned that my ovaries are slightly enlarged and that I ovulate infrequently.
My last menstrual period started on May 12 and ended on May 18.
Today (May 28), I was with my boyfriend, and although we did not use a condom, he did not ejaculate; we only had penetration for a few dozen thrusts.
Is there a chance I could become pregnant from this?

Ting, 10~19 year old female. Ask Date: 2023/05/29

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm.
It is best to use emergency contraception as a remedy, but its effectiveness is not 100%, with a failure rate of about 3%.
If your period is more than a week late, it is still important to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2023/05/29

More Info


The question of whether one can get pregnant from intercourse without ejaculation is a common concern, and it is essential to understand the biological mechanisms involved. While it may seem that the absence of ejaculation would eliminate the risk of pregnancy, the reality is a bit more complex.

During sexual arousal, the male body can release pre-ejaculatory fluid, often referred to as "pre-cum." This fluid is produced by the Cowper's glands and serves several purposes, including lubricating the urethra and neutralizing acidity. Importantly, pre-ejaculatory fluid can contain sperm, albeit in smaller quantities than ejaculate. Therefore, even if ejaculation does not occur, there is still a potential risk of pregnancy if this fluid comes into contact with the vaginal canal.

In your specific situation, since you mentioned that your boyfriend did not ejaculate but engaged in intercourse without a condom, there is still a possibility of pregnancy due to the presence of pre-ejaculatory fluid. The likelihood of pregnancy in such scenarios is generally lower than with full ejaculation, but it is not zero. Factors such as the timing of your menstrual cycle, particularly your ovulation period, can significantly influence the chances of conception. If you are nearing ovulation, the risk of pregnancy increases.

Given that you have irregular ovulation patterns, as indicated by your doctor, it may be challenging to predict your fertile window accurately. Irregular cycles can lead to unexpected ovulation, which can further complicate the situation. If you are concerned about the possibility of pregnancy, it would be wise to consider taking a home pregnancy test if your next menstrual period is late. Additionally, if you are actively trying to avoid pregnancy, it is advisable to use reliable contraception methods consistently, even if ejaculation does not occur.

In summary, while the risk of pregnancy without ejaculation is lower, it is not entirely absent due to the potential presence of sperm in pre-ejaculatory fluid. If you have concerns about your reproductive health or family planning, consulting with a healthcare provider can provide personalized advice and options tailored to your situation. They can help you understand your menstrual cycle better, discuss contraceptive methods, and address any other reproductive health questions you may have.

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Hello, doctor: I have a question... I had sexual intercourse with my boyfriend recently, but he did not wear a condom and he refrained from ejaculating. What is the likelihood of me getting pregnant?


Dr. Zhuang Zhijian reply Obstetrics and Gynecology
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