Pregnancy Chances After Protected Intercourse: Your Questions Answered - Obstetrics and Gynecology

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Probability of Pregnancy


Doctor, I had sexual intercourse twice on September 15 and 16, both times using condoms and withdrawing before ejaculation.
There was no further contact afterward, and I checked to confirm that the condoms did not break.
My girlfriend was supposed to get her period on the 26th, but it hasn't arrived yet.
She only has some breast tenderness and slight abdominal pain.
Is there a possibility of pregnancy? Thank you!

Xiao Zhang, 20~29 year old female. Ask Date: 2023/09/28

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Let's wait another week, and if your period still hasn't arrived, then you can take a pregnancy test.
Wishing you good health.

Reply Date: 2023/09/28

More Info


When it comes to understanding the chances of pregnancy after protected intercourse, it’s important to consider several factors, including the effectiveness of the contraceptive method used, the timing of the menstrual cycle, and any symptoms that may arise post-intercourse.

In your case, you mentioned that you had two instances of protected intercourse on September 15 and 16, using condoms throughout and ensuring that there was no breakage. Condoms, when used correctly, are highly effective at preventing pregnancy, with a typical use failure rate of about 13% per year, which means that 87% of couples using condoms correctly will not experience an unintended pregnancy within a year. Since you also mentioned that you confirmed the condom was intact after intercourse, this further reduces the likelihood of pregnancy.

However, it’s important to note that no contraceptive method is 100% effective. Factors such as improper use of the condom, slippage, or even the presence of sperm in pre-ejaculate fluid can contribute to a small risk of pregnancy. Given that you had protected intercourse and took precautions, the chances of pregnancy are relatively low.

Regarding your girlfriend's missed period, it’s essential to consider that menstrual cycles can be influenced by various factors, including stress, hormonal changes, illness, or changes in routine. The symptoms you described, such as breast tenderness and mild abdominal discomfort, can also be associated with premenstrual syndrome (PMS) or other hormonal fluctuations rather than pregnancy.
If your girlfriend's period does not arrive soon, it would be advisable for her to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced during pregnancy. For the most accurate results, it’s best to wait until at least the first day of the missed period to take the test, as this allows hCG levels to rise sufficiently to be detected.

In summary, while the chances of pregnancy after protected intercourse are low, they are not zero. If your girlfriend's period is significantly delayed, taking a pregnancy test would be the next logical step. If the test is positive or if there are any concerns about her health, it would be wise to consult a healthcare provider for further evaluation and guidance.

In addition, if there are ongoing concerns about menstrual irregularities or other symptoms, it’s important to seek medical advice. A healthcare provider can perform a more thorough evaluation, including blood tests or ultrasounds if necessary, to rule out any underlying conditions and provide appropriate care.
Overall, while the situation can be concerning, it’s essential to approach it with a clear understanding of the facts and to utilize available resources for accurate information and support.

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