Contraceptive Concerns: What to Do If a Condom Breaks During Withdrawal

Condom slippage?

If the condom partially slipped off and remained inside during withdrawal before ejaculation, it is advisable to consult a healthcare professional for guidance.
Depending on the situation, they may recommend emergency contraception or other measures to ensure safety and prevent unintended pregnancy.

Shu Jie, 10~19 year old female. Ask Date: 2024/02/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is best to use emergency contraception as a remedy.
However, its effectiveness is not 100%, with a failure rate of about 3%.
If your period is more than a week late, you should still check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/02/26

More Info

When a condom breaks or slips off during withdrawal, it can understandably cause concern regarding potential pregnancy. In your situation, since the condom partially remained inside, it is crucial to assess the risk of sperm exposure. If ejaculation occurred while the condom was still inside, there is a possibility of sperm entering the vagina, which could lead to pregnancy.

In such cases, emergency contraception (EC) is an option to consider. EC is most effective when taken as soon as possible after unprotected intercourse. There are two main types of emergency contraception pills: levonorgestrel (Plan B One-Step and others) and ulipristal acetate (ella). Levonorgestrel is effective up to 72 hours after unprotected sex, while ulipristal acetate can be effective up to 120 hours. If you are within these time frames, taking one of these options can significantly reduce the risk of pregnancy.

It is also important to note that if you are already on a regular contraceptive method, such as birth control pills, and have been taking them consistently, the risk of pregnancy is lower. However, if you have missed any doses or have not been taking them as prescribed, this could increase your risk.

Additionally, if you are concerned about sexually transmitted infections (STIs), it may be wise to consult a healthcare provider for testing and advice, as condoms are also effective in reducing the risk of STIs.

In summary, if the condom broke and there was ejaculation, it is advisable to consider taking emergency contraception as soon as possible. If you have any further questions or concerns, or if you are unsure about your contraceptive method's effectiveness, it is always best to consult with a healthcare professional for personalized advice. They can provide guidance based on your specific situation and health history.

Lastly, remember that while emergency contraception is a helpful option, it should not be used as a regular form of birth control. Regular contraceptive methods are more effective for preventing pregnancy and can provide peace of mind in your sexual health practices.

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