Probability of pregnancy?
Hello, doctor.
I hope you can quickly help me with my questions.
😢 My girlfriend's period started on February 17 and lasted about 6 days.
We had condom-protected intercourse on the first to third days of her period, and there was no ejaculation.
I would like to ask the doctor the following:
1.
The last sexual intercourse was on February 20, and now it has been about 20 days.
I used a pregnancy test from 7-11 (Mentholatum) with morning urine.
Is the result accurate? Can I trust it?
2.
My girlfriend started experiencing breast tenderness and swelling on March 7 (about 16 days after intercourse).
Is this a symptom of early pregnancy? She usually experiences breast swelling before her period, but I am still very worried.
3.
Have you encountered or heard of early pregnancy symptoms appearing 2-3 weeks after intercourse? Is it possible to have early pregnancy symptoms 2-3 weeks after sexual activity?
4.
Initially, the condom was put on inside out, but I flipped it over and put it on correctly.
Before entering her vagina, I rinsed my penis with clean water.
Does this significantly increase the chance of pregnancy? Does every male's pre-ejaculate or bulbourethral fluid necessarily contain sperm?
I sincerely ask the doctor to help me with these questions.
🙏
Niming, 10~19 year old female. Ask Date: 2024/03/12
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: 1.
The test is accurate; if you're concerned, you can take another test in a week.
2.
If you're worried, you should take a pregnancy test again.
3.
Yes.
4.
The chances of pregnancy are low, but pre-ejaculate fluid can contain sperm, so it's important to use condoms throughout.
Reply Date: 2024/03/12
More Info
Understanding pregnancy chances and early symptoms can be quite overwhelming, especially for those who are new to the experience. Let’s address your questions one by one to provide clarity.
1. Accuracy of Home Pregnancy Tests: Home pregnancy tests, like the one you purchased from 7-11, are generally reliable when used correctly. These tests detect the hormone hCG (human chorionic gonadotropin) in urine, which is produced shortly after a fertilized egg attaches to the uterine lining. Since you are testing approximately 20 days after the last sexual encounter, it is likely that the test will provide an accurate result, especially if you are using the first morning urine, which is more concentrated. However, if the test shows a negative result and you still suspect pregnancy, it is advisable to wait a few days and test again or consult a healthcare provider for a blood test, which is more sensitive.
2. Breast Changes as Early Symptoms: The breast tenderness and swelling your girlfriend is experiencing could indeed be an early sign of pregnancy. Hormonal changes during the early stages of pregnancy can lead to breast changes, including tenderness and swelling. However, since she has experienced similar symptoms before her period, it’s important to consider that these symptoms can also be related to premenstrual syndrome (PMS). Monitoring for additional symptoms, such as missed periods or nausea, can help clarify the situation.
3. Early Symptoms After 2-3 Weeks: It is possible for early pregnancy symptoms to appear as soon as two to three weeks after conception. Common early signs include breast tenderness, fatigue, nausea, and frequent urination. However, these symptoms can also be influenced by other factors, such as hormonal fluctuations related to the menstrual cycle. Therefore, while it is plausible to experience early pregnancy symptoms within this timeframe, it is not definitive without a positive pregnancy test.
4. Contraceptive Use and Pregnancy Risk: Regarding the use of condoms, if the condom was initially put on incorrectly but was flipped and used properly afterward, the risk of pregnancy is generally low, especially since there was no ejaculation. However, pre-ejaculate fluid (pre-cum) can contain sperm, and while the likelihood of pregnancy from pre-cum is lower than from ejaculate, it is not zero. Not every male will have sperm in pre-ejaculate, but it is possible. If there was any concern about the integrity of the condom or if it was used improperly, it is wise to consider emergency contraception if within the appropriate time frame.
In summary, while there are various factors at play regarding the possibility of pregnancy, the best course of action is to wait for a missed period and retest or consult a healthcare professional for further evaluation. Early pregnancy symptoms can vary widely among individuals, and understanding these nuances can help ease concerns. If you or your girlfriend have any further questions or uncertainties, do not hesitate to reach out to a healthcare provider for personalized advice and support.
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