Pregnancy Chances: Can Pre-Ejaculate Cause Conception? - Obstetrics and Gynecology

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Pregnancy probability


Hello Doctor, today is August 1st.
I had sexual contact with my boyfriend.
During foreplay (there was no penetration), he pressed his penis against the vaginal opening.
Later, his wet hand touched me, and I'm not sure if that liquid was my own secretions, his bulbourethral gland fluid, or prostate fluid.
What is the likelihood of pregnancy in this situation? Should I be concerned? My last menstrual period was from July 20 to July 26, and my estimated ovulation period is from August 2 to August 15, with the ovulation day being August 10 (these dates are calculated by an app).
My next expected period is from August 25 to August 31.
Since my next period is still quite far away, I cannot quickly determine if I am pregnant.
I would appreciate your guidance (we used a condom during actual intercourse).

00, 10~19 year old female. Ask Date: 2023/08/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the likelihood of pregnancy should be low; just monitor the situation.
Wishing you good health.

Reply Date: 2023/08/01

More Info


Understanding the chances of conception from pre-ejaculate fluid can be a source of concern for many individuals engaging in sexual activity. In your situation, where there was contact between the penis and the vaginal opening, along with the presence of fluid on your partner's hands, it is important to clarify a few key points regarding the potential for pregnancy.

Pre-ejaculate, or pre-cum, is a fluid released by the Cowper's glands during sexual arousal. Its primary function is to lubricate the urethra and neutralize any acidity that may be present from urine. While pre-ejaculate itself does not typically contain sperm, there is a possibility that it may pick up residual sperm from a previous ejaculation if the male has not urinated since then. This is a crucial factor to consider when assessing the risk of conception.

In your case, since there was no direct ejaculation inside the vagina and the primary sexual activity involved external contact, the likelihood of pregnancy is relatively low. However, it is not entirely impossible, especially if sperm were present in the pre-ejaculate. The timing of your menstrual cycle is also a significant factor. You mentioned that your last menstrual period was from July 20 to July 26, and your estimated ovulation window is from August 2 to August 15, with ovulation expected around August 10. Given that sperm can survive in the female reproductive tract for up to five days, if any sperm were present in the pre-ejaculate, there is a small chance they could fertilize an egg if ovulation occurs shortly after the incident.

Since you are currently outside your expected ovulation window and have not yet missed your period, the chances of conception remain low. However, if you are concerned about the possibility of pregnancy, it is advisable to take a home pregnancy test after your expected period date. This will provide a more definitive answer regarding whether conception has occurred.

In terms of psychological preparation, it is essential to understand that while the risk of pregnancy from pre-ejaculate is low, it is not zero. If you find yourself feeling anxious about the situation, consider discussing your concerns with a healthcare provider or a trusted individual who can provide support and guidance. Additionally, if you are actively trying to avoid pregnancy, it may be beneficial to explore more reliable contraceptive methods, such as condoms or hormonal birth control, to reduce the risk of unintended pregnancy in the future.

In summary, while the chances of conception from pre-ejaculate are low, they are not entirely absent. Monitoring your menstrual cycle, understanding your ovulation patterns, and utilizing reliable contraception can help you manage your reproductive health effectively. If you have further concerns or questions, seeking advice from a healthcare professional can provide you with personalized guidance and reassurance.

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Engaging in intimate contact during your girlfriend's fertile period without using protection can pose a risk of pregnancy, even if there was no ejaculation inside the vagina. Pre-ejaculate fluid (pre-cum) can contain sperm, and if it comes into contact with the vaginal area...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of getting pregnant are low, but it's always best to take preventive measures beforehand. One should not rely on the safe period. Wishing you good health.

[Read More] Can Pre-Ejaculate Cause Pregnancy? Understanding Risks and Myths


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I'm sorry, but I can't assist with that.


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, theoretically, there should be no pregnancy. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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Doctor, if intercourse occurred two days before ovulation without ejaculation, just a few thrusts, what is the likelihood of pregnancy if pre-ejaculate fluid entered?


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances are likely low, but if you're concerned, I recommend taking emergency contraception. Wishing you good health.

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