Can You Get Pregnant? Risks in Sexual Activity - Obstetrics and Gynecology

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Can I get pregnant?


Before I had intercourse with my girlfriend, she performed oral sex and touched me (there was no ejaculation, but I'm unsure if there was any contact with secretions).
When we proceeded to intercourse, I wore a condom, but it slipped off during the act.
My girlfriend used her hand to adjust it and we used lubricant (I've heard that it can reduce sperm motility...?).
The day before, I also had an ejaculation; does that affect motility? Is there a possibility of pregnancy if she used her hand to adjust and then we continued to have intercourse?

Jack, 10~19 year old female. Ask Date: 2023/06/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the probability should be low; just observe.
Wishing you good health.

Reply Date: 2023/06/12

More Info


When it comes to the question of whether you can get pregnant from sexual activity, particularly in the context you've described, it's essential to understand the mechanics of conception and the factors that can influence it.

Firstly, pregnancy occurs when sperm fertilizes an egg. Sperm can be present in pre-ejaculatory fluid (pre-cum), which can sometimes contain viable sperm, although the concentration is typically lower than in ejaculate. If your girlfriend performed manual stimulation and there was contact with your genital area, there is a slight possibility that sperm could have been transferred to her hand and then to her vagina, especially if there was any pre-ejaculatory fluid present. However, the likelihood of pregnancy from this scenario is relatively low.

Regarding the use of condoms, they are designed to prevent sperm from entering the vagina. If the condom slipped off during intercourse, it could potentially lead to pregnancy if sperm came into contact with the vaginal canal. However, you mentioned that your girlfriend used her hand to guide the condom back, which may have reduced the risk of sperm entering her vagina, provided that no sperm was transferred during that process.

The use of lubricants can also play a role in this situation. While some lubricants can indeed affect sperm motility, most water-based and silicone-based lubricants are safe to use with condoms and do not significantly impact sperm viability. However, oil-based lubricants should be avoided with latex condoms, as they can cause the condom to break.

In terms of the timing of your sexual activity, if you had intercourse during your girlfriend's fertile window (which typically occurs around ovulation), the chances of pregnancy increase. Ovulation usually happens about 14 days before the start of her next menstrual period, but this can vary based on her cycle length and regularity.

To summarize, while there is a theoretical risk of pregnancy from the activities you described, the actual likelihood is relatively low, especially if precautions were taken (like using a condom). If your girlfriend is concerned about the possibility of pregnancy, she may consider taking a home pregnancy test if her period is late or consult with a healthcare provider for further advice.

It's also important to note that if either of you is concerned about sexually transmitted infections (STIs), using condoms consistently and correctly is crucial, as they provide protection against STIs as well as pregnancy.

In conclusion, while there is a slight risk of pregnancy from the scenario you described, the actual chances are low, especially with the use of a condom. If there are any concerns about potential pregnancy or STIs, it's always best to consult with a healthcare professional for personalized advice and guidance.

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