Pregnancy Risks After Unprotected Sex During Menstruation - Obstetrics and Gynecology

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Menstrual intercourse


Today (February 28), I had sexual intercourse with my boyfriend without a condom and without ejaculation.
We stopped halfway.
Today is the 8th day of my menstrual cycle (started on February 21).
I would like to know the chances of pregnancy and whether I need to take emergency contraception (I took it once on February 12, and I hope I don't need to take it again).

6, 20~29 year old female. Ask Date: 2024/02/28

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.
The effectiveness of emergency contraception varies depending on the time of administration after sexual intercourse: taking it within 24 hours has an effectiveness of 95%, 24 to 48 hours has an effectiveness of 85%, and 48 to 72 hours has an effectiveness of 58%.
These percentages refer to the protective effect of emergency contraception in delaying ovulation.
If you engage in unprotected intercourse after taking emergency contraception, it is advisable to take another dose.
However, the effectiveness of emergency contraception is not 100%, with a failure rate of about 3%.
If your period is more than a week late, it is recommended to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/02/28

More Info


When considering the risk of pregnancy after unprotected sex, especially during menstruation, it's essential to understand the biological and physiological factors involved. In your case, you mentioned that you had unprotected sex on February 28, which is the 8th day of your menstrual cycle, following your period that started on February 21.
Firstly, it's important to note that the menstrual cycle can vary significantly among individuals, but it typically lasts about 28 days. Ovulation usually occurs around the midpoint of the cycle, approximately 14 days before the next period begins. For someone with a regular 28-day cycle, ovulation would likely occur around day 14, which means that the fertile window—when the chances of conception are highest—would be from about day 10 to day 16 of the cycle. Since you had intercourse on day 8, you are likely outside of your fertile window, which generally reduces the risk of pregnancy.

However, it is crucial to understand that sperm can survive in the female reproductive tract for up to five days. Therefore, if you were to ovulate earlier than expected, there is still a slight chance of becoming pregnant from intercourse that occurs just before ovulation. Given that you had unprotected sex on day 8, the risk of pregnancy is relatively low, but it is not zero.

Regarding the use of emergency contraception (often referred to as the "morning-after pill"), it is most effective when taken as soon as possible after unprotected intercourse. Since you mentioned that you had taken emergency contraception on February 12, it is important to consider that repeated use of emergency contraception is not recommended as a regular form of birth control. If you are concerned about the possibility of pregnancy and are within the appropriate time frame for taking emergency contraception, it may be worth considering, even if the risk is low.

Additionally, if you experience any unusual symptoms or if your period is significantly late, it would be wise to take a pregnancy test or consult with a healthcare provider for further evaluation. Pregnancy tests are most reliable when taken after a missed period, as they measure the hormone hCG, which is produced after a fertilized egg implants in the uterus.

In conclusion, while the likelihood of pregnancy from unprotected sex on day 8 of your menstrual cycle is low, it is not impossible. If you have concerns about potential pregnancy or the need for emergency contraception, it is advisable to consult with a healthcare professional who can provide personalized advice based on your specific circumstances. Always consider using reliable contraception methods to prevent unintended pregnancies in the future.

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