Pregnancy Risks: Assessing Your Recent Sexual Activity - Obstetrics and Gynecology

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What is the likelihood of getting pregnant in this situation?


Hello doctor, my girlfriend is 18 years old.
We had sexual intercourse twice from December 31 to January 1.
The first time, we used a condom throughout.
Before the second time, we cleaned our genitals.
Initially, we did not use a condom, but after a brief moment, I pulled out and put on a condom.
During the unprotected period, I did not feel any ejaculation.
After that, we continued using a condom.
When I removed the condom, a small amount of semen leaked out, but I confirmed that the condom did not break after we finished.
My girlfriend's last menstrual period started on December 18, and her cycle is irregular.
I would like to ask the doctor if the chances of her getting pregnant are high.

Mr. Chen, 20~29 year old female. Ask Date: 2024/01/01

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm.
Additionally, the failure rate of correctly using condoms throughout intercourse is still about 5%.
Therefore, it is recommended to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2024/01/01

More Info


When it comes to sexual activity during pregnancy, it's important to understand both the safety and potential risks involved. Generally speaking, sexual intercourse is considered safe for most pregnant women, provided there are no complications such as bleeding, abdominal pain, or a history of miscarriage or preterm labor. If a woman has a healthy pregnancy, engaging in sexual activity can be a normal part of her relationship with her partner.

In your specific case, since your girlfriend's last menstrual period was on December 18, and you had sexual intercourse on December 31 and January 1, it is crucial to consider her ovulation cycle. Typically, ovulation occurs about 14 days before the next expected period, which means she may have been fertile around that time. If her cycle is regular and she ovulated around December 31, there is a possibility of pregnancy, especially since there was a moment of unprotected intercourse.

Regarding the concerns about the potential impact of sexual activity on the embryo or fetus, research indicates that normal sexual activity does not adversely affect the implantation of a fertilized egg or the development of the embryo. The uterus is a well-protected environment, and the amniotic fluid acts as a cushion for the developing fetus. Therefore, unless there are specific medical concerns, sexual activity should not cause developmental issues or complications.

However, if there are any signs of complications or if your girlfriend experiences any unusual symptoms, it is essential to consult a healthcare provider. They can provide personalized advice based on her medical history and current health status.

As for the risk of pregnancy from the sexual activity you described, while the use of condoms significantly reduces the likelihood of pregnancy, no contraceptive method is 100% effective. The fact that you did not notice any ejaculation during the unprotected part of intercourse is reassuring, but pre-ejaculate fluid can contain sperm, which poses a risk of pregnancy. If your girlfriend is concerned about the possibility of being pregnant, she may consider taking a home pregnancy test after a missed period for a more definitive answer.

In summary, while sexual activity during pregnancy is generally safe for women without complications, the risk of pregnancy from your recent activities depends on various factors, including her ovulation cycle and the effectiveness of the contraceptive methods used. If there are any concerns about potential pregnancy or the health of the pregnancy, it is always best to consult with a healthcare professional for guidance and support.

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