Concerns About Condom Slippage: Is There a Pregnancy Risk?

Condom stuck?

Hello Doctor, thank you for taking the time to read my message.
Here’s the situation: today, I had a spontaneous sexual encounter with my boyfriend.
We used a condom throughout the entire act, and there was no reversal of the condom.
However, when my boyfriend changed positions, the condom slipped off and fell outside the vagina.
I immediately noticed it and pulled the condom out without continuing any thrusting.
Afterward, I filled the condom with water, and there were no holes or leaks.
Doctor, is there a risk of pregnancy in this situation?

Niming, 20~29 year old female. Ask Date: 2023/05/29

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the failure rate of correctly using condoms is still about 5%.
It is recommended that if your period is one week late, you should take a urine test to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/05/29

More Info

When it comes to concerns about condom slippage and the potential risk of pregnancy, it's important to understand a few key points regarding how condoms work and the circumstances surrounding their use.

Condoms are a highly effective form of contraception when used correctly. They act as a barrier to prevent sperm from entering the vagina and reaching an egg, thus reducing the risk of pregnancy. However, issues can arise if the condom slips off or breaks during intercourse. In your situation, you mentioned that the condom slipped out of the vagina but was promptly removed, and you also confirmed that it did not have any holes or leaks when tested with water. This is a crucial detail.

The risk of pregnancy primarily depends on whether any sperm was deposited in the vagina before the condom slipped off. Since you indicated that the condom was removed immediately and that there was no further penetration after the slippage, the likelihood of sperm entering the vagina is significantly reduced. If there was no ejaculation inside the vagina, the risk of pregnancy is minimal.

However, it’s also essential to consider the timing of your menstrual cycle. If you are in a fertile window (typically around ovulation, which occurs about 14 days before your next expected period), the risk of pregnancy can be higher if any sperm were present. Sperm can live inside the female reproductive tract for up to five days, so if ovulation occurs shortly after the incident, there is a potential risk.

In addition to the risk of pregnancy, it's also important to consider sexually transmitted infections (STIs). While condoms are effective in reducing the risk of STIs, any slippage or breakage can increase the risk of transmission if one partner is infected.
If you are concerned about the possibility of pregnancy, you may want to consider emergency contraception (EC), which can be taken within 72 to 120 hours after unprotected intercourse to help prevent pregnancy. EC is most effective the sooner it is taken after the incident.

In summary, based on the details you provided, the risk of pregnancy appears to be low, especially since the condom was removed promptly and tested for leaks. However, if you have any lingering concerns or if your menstrual cycle is irregular, it may be wise to consult with a healthcare provider for personalized advice and to discuss the option of emergency contraception if you feel it is necessary. Always remember that open communication with your partner about contraception and sexual health is vital for both of your peace of mind.

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