Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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Probability of Pregnancy


Hello, Doctor.
I started taking birth control pills on the second day of my period, which began on April 9th, and my period ended on April 14th, the sixth day.
I had unprotected intercourse on April 15th.
What is the likelihood of pregnancy? Should I take emergency contraception? Thank you.

H, 20~29 year old female. Ask Date: 2024/04/17

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you probably don't need to take emergency contraception.
Wishing you good health.

Reply Date: 2024/04/17

More Info


When it comes to understanding the chances of pregnancy after unprotected intercourse, especially in the context of using birth control pills, it’s important to consider several factors.

First, you mentioned that you started taking birth control pills on the second day of your menstrual cycle, which is typically a good time to begin taking them. Birth control pills are designed to prevent ovulation, and when taken correctly, they can be over 99% effective in preventing pregnancy. However, it usually takes about 7 days for the pills to become fully effective if you start taking them at a time other than the first day of your period. Since you started on the second day of your period, by the time you had unprotected intercourse on April 15, you may not have been fully protected yet, depending on the specific type of pill you are taking.

If you had unprotected intercourse on April 15, and you are concerned about the possibility of pregnancy, taking emergency contraception (often referred to as the "morning-after pill") can be an option. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some types can be effective up to 5 days after. The sooner you take it, the better the chances of preventing pregnancy.

In terms of the likelihood of pregnancy, if you were not fully protected by the birth control pills at the time of intercourse, there is a chance of pregnancy, but it is generally lower than if you were not on any form of contraception at all. The effectiveness of emergency contraception can also reduce the risk of pregnancy significantly if taken promptly.

It’s also important to consider your menstrual cycle. If you have a regular cycle, ovulation typically occurs around 14 days before your next period. If your cycle is longer or shorter, this could affect when you ovulate. If you had unprotected intercourse close to your ovulation period, the chances of pregnancy would be higher.

In summary, if you are concerned about the possibility of pregnancy after unprotected intercourse while on birth control pills, consider the following steps:
1. Evaluate Timing: Since you started taking the pill on the second day of your period, assess how long you have been taking it and whether you have reached the 7-day mark for full effectiveness.

2. Consider Emergency Contraception: If you are within the time frame for emergency contraception, it may be wise to take it to further reduce the risk of pregnancy.

3. Monitor Your Cycle: Keep track of your menstrual cycle and any symptoms you may experience. If your period is late or you have unusual symptoms, consider taking a pregnancy test.

4. Consult a Healthcare Provider: If you have any concerns or questions about your birth control method or the risk of pregnancy, it’s always a good idea to consult with a healthcare provider for personalized advice.

In conclusion, while the chances of pregnancy may be lower due to your use of birth control pills, there is still a possibility, especially if the pills were not fully effective at the time of intercourse. Taking emergency contraception can help mitigate this risk, and staying informed about your cycle and contraceptive methods is key to managing your reproductive health effectively.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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