Pelvic Inflammation and Missed Period: Is Pregnancy Possible?

Q: Pelvic Inflammation and Missed Period: Is Pregnancy Possible?

Hello, the questioner： There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm. <br>As long as there are active sperm present in the vagina during the ovulation period, there is still a chance of conception through any

Menstruation has not occurred, but there is pelvic inflammatory disease?

Hello, doctor.
I would like to inquire about my girlfriend's situation and whether the likelihood of pregnancy is high.
My girlfriend has never engaged in any sexual activity before, and her menstrual cycle is quite regular, with her period occurring from November 1 to November 5 and again from November 28 to December 2, approximately a 28-day cycle.
We chose to use the safe period method for contraception.
We had our first sexual encounter on December 5, and then our second and third encounters on December 22 and December 26 (the day she was expected to get her period but it did not arrive).
However, we did not have vaginal penetration; instead, we engaged in external stimulation, where I rubbed my penis against her abdomen and she stimulated her clitoris against the lower part of my penis, a practice known as "outercourse." I ejaculated on her navel, thinking that since my glans and semen never came into contact with her vaginal area, it should be quite safe.
However, her period has still not arrived.
We took a pregnancy test on December 29, which was negative, but she is experiencing lower abdominal pain.
After seeking medical attention, she was diagnosed with pelvic inflammatory disease and has been taking antibiotics.
As of today, January 2, her period still hasn't come, and she is very worried about the possibility of being pregnant but is hesitant to take another pregnancy test.
I would like to ask, what is the likelihood of pregnancy in this situation?

Yabi, 20~29 year old female. Ask Date: 2024/01/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm.
As long as there are active sperm present in the vagina during the ovulation period, there is still a chance of conception through any means.
It is recommended that you take appropriate contraceptive measures.
If your period is more than a week late, it is advisable to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2024/01/02

More Info

Based on the information provided, it appears that your girlfriend has been experiencing a missed period and pelvic inflammation, which raises concerns about the possibility of pregnancy. Given the details of your sexual activity and the precautions taken, let's analyze the situation.

Firstly, the method of contraception you employed—outercourse (or "dry humping")—is generally considered to have a lower risk of pregnancy compared to penetrative intercourse. Since you mentioned that there was no direct contact between the penis and the vaginal area, and that ejaculation occurred away from the genital area, the likelihood of sperm reaching the vagina is significantly reduced. However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, albeit in smaller quantities, and if there was any contact or transfer of fluid, there is a slight risk of pregnancy.

Your girlfriend's menstrual cycle appears to be regular, with her last period occurring from November 28 to December 2. Since she was expected to have her period around December 26, the missed period could be attributed to several factors, including stress, hormonal imbalances, or the pelvic inflammation she is experiencing. Pelvic inflammatory disease (PID) can disrupt normal menstrual cycles and may lead to symptoms such as abdominal pain, which she is currently experiencing.

The negative pregnancy test on December 29 is a reassuring sign, as it indicates that, at that time, there was no detectable pregnancy hormone (hCG) in her system. However, it is essential to consider that if her menstrual cycle is irregular or if she ovulated later than expected, there is a possibility that a pregnancy could still be detected in the following days, especially if the test was taken too early.

Given her ongoing symptoms of pelvic inflammation and the missed period, it is crucial for her to follow up with her healthcare provider. PID can have serious implications if left untreated, including the risk of infertility or complications in future pregnancies. The healthcare provider can perform further evaluations, including blood tests and possibly imaging studies, to assess her condition and rule out any complications.

In summary, while the likelihood of pregnancy appears low based on the precautions taken during sexual activity, the missed period and pelvic inflammation warrant further investigation. It is advisable for your girlfriend to consult with her healthcare provider for a thorough evaluation and to discuss her concerns about potential pregnancy. Additionally, if she continues to experience symptoms or if her period does not arrive soon, she should consider taking another pregnancy test or seeking medical advice for further assessment.

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