Can you get pregnant if you ejaculate during intercourse while taking pre-exposure prophylaxis (PrEP)?
You have been taking the combined oral contraceptive pill for almost six months, following a regimen of 21 days of pills followed by a seven-day break before starting the next pack.
You are asking if having unprotected intercourse on the fifth day of taking the pill increases the risk of pregnancy.
Generally, if you have been taking the pill consistently and correctly, the effectiveness is high, and the risk of pregnancy is low, even if you have intercourse during the fifth day of the active pills.
However, it's important to remember that no contraceptive method is 100% effective.
If you have concerns about potential pregnancy, consider consulting with a healthcare provider for personalized advice.
Miss He, 20~29 year old female. Ask Date: 2024/01/19
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant.
Wishing you good health.
Reply Date: 2024/01/19
More Info
When it comes to the question of whether you can get pregnant while taking birth control pills, the short answer is that it is highly unlikely if the pills are taken correctly. Birth control pills, when used as directed, are one of the most effective forms of contraception available, with a success rate of over 99%. This means that out of 100 women using the pill perfectly for a year, fewer than one will become pregnant.
The birth control pill works primarily by preventing ovulation. It contains hormones (estrogen and progestin) that inhibit the ovaries from releasing eggs. Additionally, these hormones thicken the cervical mucus, making it more difficult for sperm to enter the uterus, and thin the lining of the uterus, which reduces the likelihood of implantation should fertilization occur.
In your case, since you have been taking the pill consistently for five days into a new pack, and assuming you have taken the previous packs correctly without missing any doses, your contraceptive protection should be effective. The first seven days of a new pack are often considered a "backup" period for those who are starting the pill for the first time or who have missed doses. However, if you have been on the pill for a while and are consistent with your intake, you should be protected from pregnancy even if you have intercourse during this time.
It's important to note that the effectiveness of the pill can be compromised by certain factors, such as:
1. Missed Doses: If you forget to take a pill or take it late, this can reduce its effectiveness.
2. Interactions with Other Medications: Some medications, including certain antibiotics and anti-seizure medications, can interfere with the effectiveness of birth control pills.
3. Gastrointestinal Issues: If you experience vomiting or severe diarrhea shortly after taking a pill, it may not be fully absorbed, which can also decrease its effectiveness.
If you are concerned about the possibility of pregnancy, consider using a backup method of contraception, such as condoms, during the first week of a new pack or if you have missed any doses. Additionally, if you have any doubts about your contraceptive method or if you experience any unusual symptoms, it is always a good idea to consult with a healthcare provider.
In summary, if you have been taking your birth control pills consistently and correctly, the chances of becoming pregnant while having unprotected intercourse are very low. However, if you have any concerns or experience any irregularities, consulting a healthcare professional can provide personalized advice and reassurance.
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