Can You Get Pregnant from Intercourse Without Ejaculation?

Q: Can You Get Pregnant from Intercourse Without Ejaculation?

Hello, the questioner： There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. <br>It is best to use emergency contraception as a remedy, but its effectiveness is not 100%, with a failure rate of abo

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 intercourse for a few thrusts.
Could I 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 during intercourse, 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 necessary to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2023/05/29

More Info

The question of whether you can get pregnant from intercourse without ejaculation is a common concern, and the answer is nuanced. While the most straightforward way to conceive is through ejaculation inside the vagina, it is still possible to become pregnant even if ejaculation does not occur. This is primarily due to the presence of pre-ejaculatory fluid, often referred to as "pre-cum."
Pre-ejaculatory fluid is produced by the Cowper's glands and can be released before ejaculation. This fluid may contain sperm, although typically in much lower concentrations than ejaculate. If a male has sperm present in his urethra from a previous ejaculation, it is possible for some of these sperm to be present in the pre-ejaculatory fluid. Therefore, even if your boyfriend did not ejaculate during intercourse, there is still a risk of pregnancy if pre-ejaculatory fluid comes into contact with the vaginal canal.

In your specific situation, you mentioned that you had intercourse without a condom, and while your boyfriend did not ejaculate, the risk of pregnancy still exists due to the reasons outlined above. Given that you have irregular ovulation patterns, as indicated by your doctor, it is essential to consider that you may be more fertile during certain times of your cycle, particularly around ovulation. If you had intercourse close to your ovulation window, the chances of conception could be higher.

If you are concerned about the possibility of pregnancy, it may be prudent to take a home pregnancy test if your next period is late. Additionally, if you are actively trying to avoid pregnancy, consider discussing contraceptive options with your healthcare provider. There are various methods available, including hormonal birth control, barrier methods, and long-acting reversible contraceptives (LARCs), which can help prevent unintended pregnancies.

In summary, while the likelihood of pregnancy from intercourse without ejaculation is lower than with ejaculation, it is not zero. The presence of sperm in pre-ejaculatory fluid can lead to conception, especially if it coincides with your fertile window. If you have further concerns or questions about your reproductive health, it is always best to consult with a healthcare professional who can provide personalized advice based on your medical history and current situation.

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