Is There a High Chance of Pregnancy After Unprotected Withdrawal? - Obstetrics and Gynecology

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The last day of the safe period involved unprotected withdrawal?


Hello doctor, my last menstrual period was from January 11 to January 15.
My menstrual cycle is approximately 27 days.
The app indicates that my ovulation period was from January 17 to January 27.
On January 27, I had unprotected intercourse with my partner, and we used withdrawal method.
I did not take emergency contraception, and my next period is expected around February 7.
What is the likelihood of pregnancy in this situation? Thank you, doctor.

Lin, 10~19 year old female. Ask Date: 2024/01/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it should not be a big issue.
If you're still concerned, you can take emergency contraception.
Wishing you good health.

Reply Date: 2024/01/29

More Info


When considering the likelihood of pregnancy after unprotected withdrawal, it's essential to understand a few key factors about the menstrual cycle, ovulation, and the effectiveness of withdrawal as a contraceptive method.

Based on your menstrual cycle, which is approximately 27 days, ovulation typically occurs around 14 days before the start of your next period. Since your last period began on January 11 and ended on January 15, your estimated ovulation window would indeed fall between January 17 and January 27. Engaging in unprotected intercourse on January 27, which is close to the end of your ovulation period, does pose a risk for pregnancy.

The withdrawal method, also known as "pulling out," involves the male partner withdrawing the penis from the vagina before ejaculation to prevent sperm from entering the female reproductive tract. While this method can reduce the likelihood of pregnancy, it is not foolproof. Pre-ejaculate fluid (pre-cum) can contain sperm, and if any sperm are present, they can lead to pregnancy if they come into contact with the vaginal canal during the fertile window.

Given that you had unprotected intercourse on January 27, which is within your ovulation period, the chances of pregnancy are relatively higher. The sperm can survive in the female reproductive tract for up to five days, meaning that if ovulation occurred shortly after intercourse, there is a possibility for fertilization to take place.

In your case, since your next expected period is around February 7, you would typically wait until after this date to take a pregnancy test for the most accurate results. If your period is late, a home pregnancy test can provide a reliable indication of pregnancy.
It's also important to consider that individual factors such as stress, health conditions, and hormonal fluctuations can affect your menstrual cycle and ovulation timing. If you find yourself frequently worried about unintended pregnancies, it may be worth discussing more reliable contraceptive methods with your healthcare provider.

In summary, while the withdrawal method can reduce the risk of pregnancy, it is not entirely effective, especially during your fertile window. Given the timing of your intercourse relative to your ovulation, there is a significant chance of pregnancy. If you have concerns or experience a missed period, consider taking a pregnancy test or consulting with your healthcare provider for further guidance.

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

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