Pregnancy Chances After Protected Intercourse: Key Insights - Obstetrics and Gynecology

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Probability of Pregnancy


Hello Doctor, my girlfriend's menstrual period was approximately from March 27 to March 31.
We had sexual intercourse on the evening of April 2, using a condom throughout, and ejaculation occurred inside the condom.
When we removed the condom, there was a thick liquid resembling semen on the outer tip of the condom.
Is it possible that this could be semen? It seemed like there was quite a bit, extending from the tip of the condom to the corona.
Could it have overflowed? We conducted a water test afterward, and there were no holes.
What is the likelihood of pregnancy in this situation?

Kun, 10~19 year old female. Ask Date: 2024/04/03

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, that's normal; you should not be pregnant.
Wishing you good health.

Reply Date: 2024/04/03

More Info


When it comes to understanding the chances of pregnancy after protected intercourse, there are several factors to consider, especially regarding the use of condoms and the timing of sexual activity in relation to the menstrual cycle.

In your case, you mentioned that your girlfriend's menstrual period was from March 27 to March 31, and you had sexual intercourse on the evening of April 2, using a condom throughout the act. The fact that the condom was intact after the encounter, as confirmed by your water test, significantly reduces the likelihood of pregnancy. Condoms are designed to be an effective barrier method of contraception, and when used correctly, they have a high success rate in preventing sperm from entering the vagina.

Regarding the presence of a thick, semen-like fluid at the end of the condom, it is indeed possible that this is residual semen. During ejaculation, some semen can remain in the condom, especially if it was filled to the brim. However, if the condom was properly fitted and used, the chances of semen leaking out during withdrawal are minimal. The key is ensuring that the condom is held at the base while withdrawing to prevent any spillage.

The risk of pregnancy is further influenced by the timing of intercourse in relation to your girlfriend's menstrual cycle. The average menstrual cycle lasts about 28 days, but it can vary from person to person. Ovulation typically occurs around 14 days before the start of the next period. If your girlfriend's cycle is regular, she would likely be in her non-fertile phase after her period, which further decreases the chances of conception from intercourse on April 2.

To summarize, based on the information provided:
1. Condom Integrity: Since you confirmed that the condom did not break, the risk of pregnancy is significantly reduced.

2. Timing of Intercourse: Given that the intercourse occurred shortly after her menstrual period, it is likely outside her fertile window, further lowering the chances of pregnancy.

3. Residual Semen: The presence of fluid at the end of the condom does not necessarily indicate a failure of contraception, especially if the condom was intact.

In conclusion, while no contraceptive method is 100% effective, the combination of proper condom use and the timing of intercourse suggests that the likelihood of pregnancy in this scenario is low. If there are any concerns or if your girlfriend experiences any unusual symptoms, it may be advisable to take a pregnancy test or consult a healthcare provider for further guidance. Regular check-ups and discussions about contraceptive methods can also help in making informed decisions about sexual health and family planning.

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