Can You Get Pregnant If a Condom Was Worn Inside Out?

If the condom was put on inside out but you took medication, is there still a risk of pregnancy?

On June 10, I had sexual intercourse with my boyfriend and realized that the condom was inside out.
I immediately removed it and put it back on.
My boyfriend only penetrated with the tip of his penis, and there was no ejaculation throughout the process.
I took emergency contraception within 72 hours (approximately 54 hours later).
I would like to ask the doctor if the chances of pregnancy are high.
My period has been absent for a month now, and I am feeling very anxious.
Thank you, doctor.

Ms. Chen, 10~19 year old female. Ask Date: 2023/06/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the effectiveness of using condoms throughout intercourse and emergency contraceptive pills is not 100%.
It is recommended to consult a physician to check for pregnancy or other reasons.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2023/06/26

More Info

When it comes to the question of whether you can get pregnant if a condom was worn inside out, there are several factors to consider. First, let's clarify what it means for a condom to be worn inside out. If a condom is put on inside out, it means that the side that is supposed to be on the outside (the lubricated side) is facing the vagina, while the inside (the unlubricated side) is facing outward. This can potentially lead to a higher risk of breakage or slippage, as the lubrication may not be effective in preventing friction.

In your case, you mentioned that the condom was worn inside out but was immediately removed and replaced correctly before any ejaculation occurred. This is a crucial detail because the primary risk of pregnancy arises from the presence of sperm. Since your boyfriend did not ejaculate during the intercourse, the likelihood of sperm being present in the vagina is significantly reduced. However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, although the amount is typically much lower than in ejaculate.

You also mentioned that you took emergency contraception (EC) within 72 hours of the incident. Emergency contraception is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. When taken correctly, EC is highly effective, especially when taken within the first 24 hours. The effectiveness decreases the longer you wait, but taking it within 54 hours, as you did, still provides a good chance of preventing pregnancy.

Now, regarding your missed period, there are several potential explanations. Stress and anxiety can affect your menstrual cycle, leading to a delayed period. Additionally, hormonal fluctuations, changes in weight, or other health factors can also contribute to irregularities in your cycle. It is also possible that the emergency contraception you took could have caused a temporary disruption in your menstrual cycle, leading to a delayed period.

Given these factors, while the risk of pregnancy in your situation appears to be low, it is not entirely absent. If your period does not arrive soon, it would be advisable to take a home pregnancy test for confirmation. These tests are generally reliable and can provide you with peace of mind. If the test is positive or if you continue to have concerns, it would be best to consult with a healthcare provider for further evaluation and guidance.

In summary, while the chances of pregnancy in your situation seem low due to the lack of ejaculation and the timely use of emergency contraception, it is essential to monitor your menstrual cycle and take a pregnancy test if your period does not come. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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