Concerns About Pregnancy Risk After Unprotected Intercourse: Expert Advice - Obstetrics and Gynecology

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Hello, doctor?


Hello Doctor, my last menstrual period started on June 25 and lasted about 7 days.
On July 9, I had external genital contact with my boyfriend (without a condom), but there was no penetration or ejaculation.
However, July 9 seems to be around my ovulation period, and I am very worried about the possibility of pregnancy (I am still a virgin).
What is the likelihood of becoming pregnant? I purchased emergency contraception (Ella) and took it within 8 hours.
So far, I haven't experienced any significant side effects, but I do feel a bit uncomfortable and uneasy (not sure if it's due to anxiety).
Additionally, I would like to know if taking emergency contraception for the first time will have any long-term effects.
My menstrual cycle is usually quite regular, and I am afraid this might cause my cycle to become irregular or disrupted.
(Please provide your insights, thank you.)

cindy, 30~39 year old female. Ask Date: 2023/07/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Emergency contraceptive pills can sometimes cause irregular menstruation, so just monitor your situation.
Wishing you good health.

Reply Date: 2023/07/09

More Info


When it comes to concerns about pregnancy risk after unprotected intercourse, especially during a time that may coincide with ovulation, it’s important to understand the factors at play and the options available for prevention and management.
In your case, you mentioned that your last menstrual period started on June 25, and you had unprotected intercourse on July 9, which you believe was around your ovulation period. The timing of ovulation is crucial because it is during this time that the chances of conception are highest. Sperm can survive in the female reproductive tract for up to five days, so if you ovulated shortly after the intercourse, there is a possibility of becoming pregnant.

The likelihood of pregnancy from the scenario you described—external genital contact without penetration or ejaculation—is generally low, but it is not zero. Pre-ejaculate fluid (pre-cum) can contain sperm, and if it comes into contact with the vaginal area, it could potentially lead to pregnancy. However, since you took emergency contraception (Plan B, known as Anliting in your case) within eight hours, this significantly reduces the risk of pregnancy. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but they can be taken up to five days after.

Regarding your concerns about side effects from taking the emergency contraceptive pill, it is common to experience some mild side effects such as nausea, fatigue, headache, or changes in your menstrual cycle. The "feeling of discomfort" you mentioned could indeed be related to anxiety, as stress can manifest physically. It’s also worth noting that hormonal fluctuations caused by the emergency contraceptive can lead to changes in your next menstrual cycle, including timing and flow, but this is usually temporary.

As for the long-term effects of taking emergency contraception, research indicates that using emergency contraceptive pills does not have lasting impacts on fertility or menstrual regularity. However, frequent use of emergency contraception is not recommended as a primary method of birth control. It is designed for occasional use in emergencies, and relying on it regularly can lead to menstrual irregularities and may not be as effective as regular contraceptive methods.

If you are concerned about your menstrual cycle becoming irregular or experiencing any significant side effects, it is advisable to consult with a healthcare provider. They can provide personalized advice and discuss more reliable contraceptive options that suit your lifestyle and health needs.

In summary, while the risk of pregnancy from your described situation is low, taking emergency contraception was a prudent step. Monitor your body for any significant changes, and if you have ongoing concerns or experience unusual symptoms, seek medical advice. Regular check-ups and discussions about contraception can help you manage your reproductive health effectively.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you are wondering about pregnancy, it's best to take preventive measures at all times. You cannot rely on the safe period. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.

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Hello, the probability is likely low, but it is advisable to use contraception at all times for safety. Wishing you good health.

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