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

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Pregnancy probability


Hello, doctor.
I had sexual intercourse with my girlfriend twice.
The first time was on May 25, during which we used a condom throughout the entire act, and her period arrived on May 31.
The second time was on June 11, again using a condom and without ejaculation, lasting about five minutes.
Afterward, we confirmed that the condom did not break.
Her period is now 8 days late, and I would like to ask you two questions: Is there a possibility of pregnancy in this situation? My girlfriend is currently experiencing symptoms such as increased vaginal discharge, diarrhea, acne, and lower back pain.
Does this indicate that her period is about to come? She recently traveled abroad and has had an irregular schedule.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2024/07/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Wait for another week, and if your period still hasn't arrived, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2024/07/09

More Info


When it comes to understanding the chances of pregnancy after protected intercourse, several factors need to be considered, especially in the context of your recent experiences. Based on the information provided, you and your girlfriend engaged in sexual activity on two occasions, both times using condoms, and there was no ejaculation during the second encounter. Your girlfriend's menstrual cycle is now delayed by eight days, which understandably raises concerns about potential pregnancy.


Pregnancy Chances After Protected Intercourse
1. Condom Effectiveness: Condoms are one of the most effective forms of contraception when used correctly. The typical failure rate of condoms is about 2% with perfect use and about 18% with typical use. Since you confirmed that the condom did not break during both instances, the likelihood of pregnancy from these encounters is significantly reduced.
2. Timing of Menstrual Cycle: You mentioned that your girlfriend's period was due on May 31, and now it is eight days late. A late period can be a sign of pregnancy, but it can also be influenced by various factors such as stress, changes in routine, travel, or hormonal fluctuations. Given that your girlfriend has recently traveled and experienced irregular sleep patterns, these could contribute to her delayed menstruation.

3. Symptoms and Signs: The symptoms your girlfriend is experiencing—such as increased white discharge, diarrhea, acne, and lower back pain—are not definitive indicators of pregnancy. These symptoms can also be associated with premenstrual syndrome (PMS) or other factors like stress or dietary changes.

Recommendations
1. Pregnancy Test: To confirm or rule out pregnancy, it is advisable for your girlfriend to take a home pregnancy test. These tests are most accurate when taken after a missed period. Given that her period is already eight days late, she should be able to get a reliable result now.

2. Monitoring Symptoms: If the pregnancy test is negative and her period does not arrive soon, it may be beneficial for her to consult a healthcare provider. They can provide further evaluation to determine the cause of the delayed menstruation and any underlying issues that may need to be addressed.

3. Lifestyle Factors: Encourage your girlfriend to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep. These factors can help regulate menstrual cycles and improve overall well-being.


Conclusion
In summary, while the chances of pregnancy from the protected intercourse you described are low, the delay in your girlfriend's menstrual cycle warrants further investigation. Taking a home pregnancy test will provide clarity, and if necessary, seeking medical advice can help address any concerns regarding her menstrual health. Remember that stress and lifestyle changes can significantly impact menstrual cycles, so it’s essential to consider these factors as well.

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