Can You Get Pregnant from Pre-Ejaculate During Protected Sex? - Obstetrics and Gynecology

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Secretions from the glans penis?


Hello, doctor.
During sexual intercourse, I used a condom the entire time and there was no ejaculation.
The discharge was only on the glans.
However, halfway through, the condom slipped up a bit, and I touched the base of the penis, but that was only after I removed the condom.
Is there a chance of pregnancy in this situation?

Yii, 10~19 year old female. Ask Date: 2024/01/15

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.
Emergency contraception can be used as a remedy, but its effectiveness is not 100%, with a failure rate of about 3%.
If your period is more than a week late, it is still necessary to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2024/01/15

More Info


When it comes to the question of whether pregnancy can occur from pre-ejaculate during protected sex, it's essential to understand the mechanics of sexual intercourse and the effectiveness of condoms as a contraceptive method.

Firstly, condoms are designed to be a reliable form of contraception when used correctly. They act as a barrier to prevent sperm from entering the vagina, thus significantly reducing the risk of pregnancy. If you were using a condom throughout the sexual encounter and it did not break or slip off, the likelihood of pregnancy is very low, even if there was some movement of the condom during intercourse.

Pre-ejaculate, or pre-cum, is a fluid released by the male during sexual arousal before ejaculation. This fluid can contain sperm, although typically in much smaller quantities than ejaculate. The presence of sperm in pre-ejaculate is a subject of debate among medical professionals. Some studies suggest that pre-ejaculate can contain viable sperm, especially if there has been a previous ejaculation without urination in between. However, the concentration of sperm in pre-ejaculate is generally lower than in ejaculate.

In your case, you mentioned that the condom was worn throughout the sexual activity and that there was no ejaculation inside the vagina. If the condom was intact and properly used, the chances of sperm reaching the vagina are minimal. The fact that you only came into contact with the base of the penis after removing the condom does not significantly increase the risk of pregnancy, especially if there was no direct transfer of pre-ejaculate into the vaginal canal.

It's also important to note that if the condom was only slightly displaced during intercourse, as long as it remained on the penis and did not slip off completely, it should still provide adequate protection. However, if you have concerns about the condom's effectiveness due to it moving up or any potential exposure to pre-ejaculate, it may be wise to consult with a healthcare provider for reassurance and to discuss further contraceptive options.

In summary, if the condom was used correctly and did not break, the risk of pregnancy is very low, even with the presence of pre-ejaculate. If you or your partner are still concerned about the possibility of pregnancy, consider discussing the use of emergency contraception or other contraceptive methods with a healthcare professional. Additionally, maintaining open communication with your partner about sexual health and contraception can help alleviate anxiety surrounding these situations.

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