Pregnancy Risks After Unprotected Intercourse: A Guide - Obstetrics and Gynecology

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Unprotected sexual intercourse?


Hello doctor, I would like to ask about the likelihood of pregnancy based on the following information.
My last menstrual period was from July 18 to July 24, and I had unprotected intercourse on July 27.
My period was due on August 22 but was a few days late.
I took a pregnancy test on August 21, which was negative.
(My cycle is 35 days long, and my menstrual period lasts for 7 days.) Thank you for your help.

Niming, 20~29 year old female. Ask Date: 2023/08/24

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Just wait and see.
Wishing you good health.

Reply Date: 2023/08/24

More Info


Understanding the risks of pregnancy after unprotected intercourse is crucial for anyone who is sexually active. Based on the information you provided, let's break down the situation step by step.

Your menstrual cycle is 35 days long, and you mentioned that your last period started on July 18 and lasted until July 24. This means that your next expected period would be around August 22. Since you had unprotected intercourse on July 27, this timing is important to consider in relation to your ovulation cycle.

Typically, ovulation occurs about 14 days before the start of your next period. For a 35-day cycle, ovulation would likely occur around day 21 of your cycle, which would be approximately August 7. Since you had unprotected intercourse on July 27, this was before your estimated ovulation date. Sperm can survive in the female reproductive tract for up to five days, so there is a possibility that sperm from the July 27 encounter could still be viable when you ovulate on August 7.

Now, regarding your pregnancy test on August 21, which returned a negative result: it is important to note that home pregnancy tests are most accurate when taken after a missed period. Since your cycle is longer than average, it is possible that you tested too early to detect pregnancy, especially if implantation occurred later than expected.

In terms of the likelihood of pregnancy from the unprotected intercourse on July 27, it is relatively low, given that it occurred before your ovulation window. However, it is not impossible, especially if your ovulation timing was atypical or if you have irregular cycles.
If your period does not arrive by the end of August, it would be advisable to take another pregnancy test. If you continue to receive negative results and your period still does not come, consider consulting with a healthcare provider for further evaluation. They may suggest a blood test, which can detect pregnancy earlier than a home test.

In summary, while the risk of pregnancy from the encounter on July 27 is lower due to the timing in relation to your ovulation, it is not zero. If you have any concerns or experience symptoms such as missed periods, nausea, or breast tenderness, it is best to seek medical advice. Additionally, if you are sexually active and not planning for pregnancy, consider discussing contraceptive options with your healthcare provider to prevent unintended pregnancies in the future.

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