Could I Be Pregnant? Risks After Protected Intercourse - Obstetrics and Gynecology

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Is it possible to be pregnant?


On April 26, sexual intercourse occurred with the use of a condom, and a water test was performed afterward (the condom did not break).
Menstruation started on May 1, and there was no sexual activity for the entire month of May.
However, menstruation has not yet occurred in June.
I would like to know if there is a possibility of pregnancy in this situation.

Niming, 10~19 year old female. Ask Date: 2024/06/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the factors that can affect the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulation, pregnancy, and breastfeeding, among others.
It is recommended that if your symptoms persist or worsen, you should consult a gynecologist to check for hormonal imbalances or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2024/06/02

More Info


When considering the possibility of pregnancy after protected intercourse, it's essential to evaluate several factors, including the timing of your menstrual cycle, the effectiveness of the contraceptive method used, and any potential issues that may have arisen during the sexual encounter.

In your case, you mentioned that you had sexual intercourse on April 26 with a condom, and you confirmed that the condom did not break during the act. This is a crucial point because condoms are highly effective at preventing pregnancy when used correctly. The effectiveness of condoms is approximately 98% with perfect use, which means that the chances of becoming pregnant from a single act of intercourse with a properly used condom are quite low.

You also noted that your menstrual period started on May 1, which indicates that you had a normal menstrual cycle following the intercourse. The onset of your period is a strong indicator that you are not pregnant, as menstruation typically signifies that an egg was not fertilized and the body is shedding its uterine lining.
However, you mentioned that your period for June has not yet arrived. It's important to consider that menstrual cycles can vary for many reasons, including stress, changes in routine, hormonal fluctuations, or even illness. If your cycles are usually regular, a missed period can understandably cause concern about the possibility of pregnancy.
Given that you had a menstrual period shortly after the intercourse and that the condom was intact, the likelihood of pregnancy is very low. If you are experiencing a missed period, it may be beneficial to take a home pregnancy test for reassurance. These tests are designed to detect the hormone hCG, which is produced during pregnancy, and they can provide accurate results if taken after a missed period.

If the test is negative and your period still does not arrive, it may be wise to consult with a healthcare provider. They can help determine if there are other underlying issues affecting your menstrual cycle and provide guidance on what steps to take next.

In summary, based on the information provided, the chances of you being pregnant are very low due to the use of a condom and the onset of your period shortly after the sexual encounter. However, if you are concerned about your missed period in June, taking a pregnancy test and consulting with a healthcare professional can provide clarity and peace of mind.

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