Pregnancy Risks: Oral Sex and Safe Period Concerns - Obstetrics and Gynecology

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Hello doctor, I would like to ask a question.
After my girlfriend performed oral sex today, there was some residual semen in her mouth, and she rinsed her mouth with water afterward.
About 20 minutes later, when we kissed, it’s possible that some residual semen was transferred to my mouth.
After kissing, I drank a few sips of water, and then I performed oral sex on my girlfriend, inserting my tongue into her vagina.
We also had intercourse using a condom.
I’m a bit worried that any remaining semen could be pushed to the cervix and cause pregnancy.
My girlfriend is currently in her safe period.
What is the likelihood of pregnancy? Thank you, doctor!

Niming, 20~29 year old female. Ask Date: 2024/04/05

Dr. Cao Guotao reply Obstetrics and Gynecology


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

Reply Date: 2024/04/05

More Info


When it comes to understanding the risks of pregnancy associated with oral sex, it's important to clarify a few key points based on the information provided and general medical knowledge.

1. Pregnancy Risk from Oral Sex: The likelihood of becoming pregnant from oral sex is extremely low. Sperm must enter the vaginal canal and travel through the cervix to fertilize an egg. In your scenario, even if there was residual semen in your girlfriend's mouth, the act of kissing and the subsequent oral sex you performed would not significantly increase the chances of sperm reaching the vagina in a viable state. Sperm can survive outside the body for a short time, but the conditions in the mouth and the act of swallowing or rinsing with water would likely render any sperm non-viable.

2. Safety Period Considerations: You mentioned that your girlfriend is in her "safe period." This term typically refers to the days in a woman's menstrual cycle when she is least likely to conceive. If she is accurately tracking her cycle and it aligns with the safe period, the risk of pregnancy is further reduced. However, it's important to note that menstrual cycles can vary, and ovulation can sometimes occur earlier or later than expected.

3. Semen and Sperm Viability: The concern about residual semen being pushed into the cervix during oral sex is understandable but largely unfounded. The act of oral sex, even if it involves some contact with the vaginal area, does not create a pathway for sperm to travel into the uterus. Sperm needs a specific environment to survive and remain motile, and the conditions in the mouth and during oral sex do not support this.

4. Use of Condoms: You mentioned that you used a condom during intercourse. This is an effective method of preventing both pregnancy and sexually transmitted infections (STIs). Condoms act as a barrier that prevents sperm from entering the vagina, thus significantly reducing the risk of pregnancy.

5. Kissing and Oral Contact: The transfer of bodily fluids during kissing or oral sex does not pose a significant risk for pregnancy. While STIs can be transmitted through oral sex, the mechanics of pregnancy require a more direct route for sperm to reach the egg.

6. Emergency Contraception: If there is still concern about potential pregnancy despite the low risk, emergency contraception (like Plan B) can be considered. However, it is most effective when taken as soon as possible after unprotected intercourse.

In summary, based on the details you've provided, the risk of pregnancy from the sequence of events you described is very low. The combination of being in the safe period, using a condom during intercourse, and the nature of oral sex significantly mitigates the risk of pregnancy. If there are any further concerns or if your girlfriend experiences any unusual symptoms, it would be advisable to consult with a healthcare professional for personalized advice and reassurance.

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

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