Contraceptive Concerns: Risk of Pregnancy with Condom Slippage

Condom was used, but there was no ejaculation inside?

Doctor, I would like to ask about the situation on February 16th and 17th when I had sexual intercourse with my girlfriend.
We used a condom throughout the process, but it slipped forward about 1/3 of the way.
The condom did not break, and there was no ejaculation inside.
I am unsure if there were any pre-ejaculatory fluids.
We did not take emergency contraception, but the next day was my girlfriend's ovulation period (although she has a history of irregular menstruation).
I would like to know, based on the above circumstances, what is the likelihood of pregnancy? Thank you, doctor.

Mr. Hsieh, 10~19 year old female. Ask Date: 2024/02/26

Dr. Cao Guotao reply Obstetrics and Gynecology

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

Reply Date: 2024/02/26

More Info

When it comes to contraceptive methods and the risk of pregnancy, it's essential to understand how various factors can influence the likelihood of conception. In your situation, you had sexual intercourse with your girlfriend while using a condom, which is generally considered a reliable form of contraception. However, you mentioned that the condom slipped forward by about one-third of its length during intercourse. This raises some valid concerns regarding the potential risk of pregnancy.

Firstly, it's important to note that condoms are designed to prevent sperm from entering the vagina, thus reducing the risk of pregnancy. If the condom did not break and there was no ejaculation inside the vagina, the chances of pregnancy are significantly lower. However, you mentioned the possibility of pre-ejaculate fluid (also known as pre-cum), which can contain sperm. While the amount of sperm in pre-ejaculate is typically lower than in ejaculate, it is still a potential risk factor for pregnancy.

The timing of your girlfriend's ovulation is also a crucial element to consider. You indicated that the incident occurred during her ovulation period, which is when she is most fertile. If she has irregular menstrual cycles, it may be challenging to predict her ovulation accurately, which can further complicate the assessment of pregnancy risk. Generally, the days leading up to and including ovulation are the most fertile days in a woman's cycle, and any unprotected intercourse during this time can increase the likelihood of conception.

Given that you did not use emergency contraception (the "morning-after pill") and considering the timing of her ovulation, it is advisable to monitor for any signs of pregnancy. These signs may include a missed period, nausea, breast tenderness, or fatigue. If your girlfriend experiences any of these symptoms, it would be prudent for her to take a home pregnancy test or consult with a healthcare provider for further evaluation.

In terms of the probability of pregnancy in your specific case, while it is difficult to provide an exact percentage, the risk is not negligible, especially given the condom slippage and the timing of ovulation. If you are concerned about the possibility of pregnancy, it may be beneficial to discuss contraceptive options with a healthcare provider to find a method that works best for both of you in the future.

In summary, while the use of condoms significantly reduces the risk of pregnancy, factors such as condom slippage, the timing of ovulation, and the potential presence of sperm in pre-ejaculate fluid can influence the overall risk. It is essential to remain vigilant for any signs of pregnancy and consider consulting a healthcare professional for personalized advice and guidance on contraception moving forward.

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