Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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What is the likelihood of becoming pregnant?


Hello, doctor.
I would like to ask a question.
I calculated my ovulation period based on my menstrual cycle, which is around December 30th to December 31st.
I had sexual intercourse on December 31st, and there was a little brown discharge.
During the first time, I used a condom, but during the second time, I removed the condom and inserted a few times without ejaculation.
That night, I took emergency contraception.
What is the likelihood of pregnancy in this situation?

Mr. Chen, 10~19 year old female. Ask Date: 2024/01/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the probability of pregnancy should be low.
Wishing you good health.

Reply Date: 2024/01/07

More Info


When considering the chances of pregnancy after unprotected intercourse, several factors come into play, including the timing of ovulation, the use of contraceptives, and the effectiveness of emergency contraception. Based on your description, let's break down the situation.

1. Timing of Ovulation: You mentioned that your estimated ovulation period was around December 30-31. Sperm can live inside the female reproductive tract for up to five days, so if you had unprotected intercourse on December 31, there is a possibility that sperm could still be viable when the egg is released. This means that if ovulation occurred on December 31, there is a chance of conception.

2. Use of Condoms: You indicated that you used a condom during the first instance of intercourse, which significantly reduces the risk of pregnancy when used correctly. However, you also mentioned that during the second instance, the condom was removed before ejaculation. This is a riskier situation because pre-ejaculate fluid (pre-cum) can contain sperm, which means there is still a possibility of pregnancy even if ejaculation did not occur inside the vagina.

3. Emergency Contraception: You took emergency contraception (the "morning-after pill") on the same day as the unprotected intercourse. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, and they can reduce the risk of pregnancy by up to 89% if taken within that timeframe. Since you took the pill on the same day, this significantly lowers your chances of becoming pregnant.

4. Other Factors: The presence of brown discharge you mentioned could be related to various factors, including ovulation spotting, hormonal changes, or the onset of your menstrual cycle. It is not uncommon for women to experience some spotting around ovulation or even after taking emergency contraception.

In summary, while there is a possibility of pregnancy due to the timing of ovulation and the removal of the condom, the fact that you took emergency contraception on the same day greatly reduces that risk. If your period is delayed by more than a week, it would be advisable to take a pregnancy test for confirmation.
In the context of reproductive health, it is essential to understand how various contraceptive methods work and their effectiveness. If you are concerned about your reproductive health or have questions about contraception, it may be beneficial to consult with a healthcare provider for personalized advice and options that suit your needs. Regular check-ups and discussions about family planning can help you make informed decisions about your reproductive 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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