Am I at Risk of Pregnancy? Your Concerns - Obstetrics and Gynecology

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When it comes to assessing the risk of pregnancy, especially in the context of your recent sexual activity, it's important to consider several factors. Based on the information you've provided, you had your last menstrual period on March 24, and your fertility app indicated a high chance of conception between April 8 and April 14. You then had sexual intercourse on April 20, during which your boyfriend used a condom initially but later engaged in unprotected intercourse for a brief period without ejaculation.

To address your concerns, let's break down the situation:
1. Timing of Ovulation: The menstrual cycle typically lasts about 28 days, with ovulation occurring approximately 14 days after the first day of your last period. Since your last period started on March 24, ovulation likely occurred around April 7 to April 10. This means that by April 20, you would be past your fertile window, which reduces the likelihood of pregnancy from that encounter.

2. Contraceptive Measures: The use of a condom is an effective method of contraception when used correctly. However, since there was a brief period of unprotected intercourse, it is understandable to feel anxious. The fact that your boyfriend did not ejaculate during this time further decreases the risk of pregnancy, as pre-ejaculate fluid can contain sperm, but the likelihood of conception from such exposure is relatively low.

3. Fertility App Insights: Fertility apps can provide useful insights based on your cycle data, but they are not foolproof. They estimate fertile windows based on averages and may not account for individual variations in your cycle. If the app indicates a low chance of pregnancy after your encounter, it aligns with the understanding that you were outside your fertile window.

4. Menstrual Cycle Tracking: You mentioned that your period is approaching. If your menstrual cycle is regular, you can expect your next period around the end of April. If your period arrives on time, it is a strong indication that you are not pregnant. If it is late, you may want to take a home pregnancy test for confirmation.

5. Anxiety and Stress: It's natural to feel anxious about the possibility of pregnancy, especially when there are uncertainties involved. However, focusing on the facts can help alleviate some of that anxiety. If you find that your worries persist, consider discussing your concerns with a healthcare provider who can offer personalized advice and support.

In summary, based on the timing of your menstrual cycle, the use of condoms, and the fact that there was no ejaculation during unprotected intercourse, the risk of pregnancy appears to be low. However, if you are still concerned, taking a pregnancy test after your expected period date can provide clarity. Remember, if you have any ongoing concerns about your reproductive health or contraception, consulting with a healthcare professional is always a good step.