Pregnancy Risks After Unprotected Intercourse: Key Insights - Obstetrics and Gynecology

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Having unprotected intercourse with your girlfriend raises the risk of pregnancy. The likelihood of conception depends on various factors, including the timing of her menstrual cycle, her overall fertility, and whether she is using any form of contraception. If she is in her fertile window, the chances of


The last menstrual period was on June 6, and intercourse occurred on June 29, with an expected period on July 6.
Considering the week before the expected period (+1 to 2 days), it should be a safe period.
The menstrual cycle is usually irregular, and during intercourse, the male partner did not use a condom and there was no ejaculation inside.
The female partner did not take any emergency contraception.
After the glans dried, penetration occurred for less than 10 seconds before withdrawal, with no bodily fluids released.
As of now, there have been no other bodily reactions, and the expected period on July 6 has not arrived, with July 10 already passed.
I would like to ask the doctor about the likelihood of pregnancy.
Thank you very much for taking the time to respond amidst your busy schedule! Thank you!

Xiao Yi, 10~19 year old female. Ask Date: 2024/07/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the likelihood of pregnancy should be low.
I suggest waiting another week, and if your period still hasn't arrived, it would be advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2024/07/10

More Info


When evaluating the risk of pregnancy after unprotected intercourse, several factors come into play, including the timing of the menstrual cycle, the nature of the sexual activity, and the use of contraceptive methods. In your case, you mentioned that your last menstrual period started on June 6, and you had intercourse on June 29, with an expected period around July 6.
First, let's consider the menstrual cycle. A typical menstrual cycle lasts about 28 days, but it can vary from person to person. Ovulation usually occurs about 14 days before the start of the next period. Given your cycle started on June 6, ovulation likely occurred around June 20. Since you had intercourse on June 29, this was approximately nine days after ovulation. Sperm can live inside the female reproductive tract for up to five days, but the chances of conception decrease significantly after ovulation has passed.

You mentioned that there was no ejaculation inside the vagina, and the intercourse lasted only about ten seconds before withdrawal. This is a crucial point because the risk of pregnancy is significantly lower when there is no ejaculation. However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, although the quantity is usually much lower than in ejaculate. The risk of pregnancy from pre-ejaculate is generally considered low, but it is not zero.

Now, regarding your menstrual cycle, you indicated that your periods are usually irregular. This irregularity can make it challenging to predict ovulation accurately, which in turn affects the assessment of pregnancy risk. If your cycle is typically longer or shorter than the average 28 days, this could shift your ovulation date, potentially increasing or decreasing your risk of pregnancy.

As for your current situation, you mentioned that your period was expected on July 6, and as of July 10, it has not yet arrived. A missed period can be an early sign of pregnancy, but it is not definitive. Stress, hormonal changes, and other factors can also cause a delay in menstruation, especially if your cycles are irregular.
Given these considerations, the likelihood of pregnancy in your case appears to be low, especially since there was no ejaculation and the timing of intercourse was after the estimated ovulation period. However, since your period is late, it would be prudent to take a home pregnancy test to confirm whether or not you are pregnant. These tests are generally reliable and can provide you with peace of mind.

In summary, while the risk of pregnancy in your situation seems low, the best course of action is to monitor your body for any changes and consider taking a pregnancy test if your period does not arrive soon. If you have further concerns or if your period remains absent, consulting with a healthcare provider would be advisable for personalized advice and support.

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