Concerns About Condom Retention and Pregnancy Risk: A Doctor's Insight - Obstetrics and Gynecology

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The condom got lost inside?


Hello doctor, this afternoon I had intercourse with my girlfriend twice, both times using a condom.
During the first time, when I was about to ejaculate, the condom was at the entrance of her vagina, but I pulled out and ejaculated inside the condom.
During the second time, when I was about to ejaculate, I pulled out but the condom slipped off and got left inside her vagina.
I think I ejaculated towards the entrance.
I'm not sure if any sperm could have entered her.
We were able to remove the condom from her vagina, and it didn't break when we filled it with water.
Is there a chance of pregnancy? My girlfriend hasn't taken emergency contraception.
She mentioned that her breasts feel swollen and a bit painful.
Could this be premenstrual syndrome? Her last menstrual period was from June 10 to June 15.
Thank you, doctor!

Guang, 0~9 year old female. Ask Date: 2024/07/14

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Just observe the situation.
Wishing you good health.

Reply Date: 2024/07/14

More Info


When it comes to concerns about condom retention and the potential risk of pregnancy, it's essential to understand the mechanics of condom use and the reproductive cycle. Based on your description, it seems that you and your girlfriend were cautious by using condoms during intercourse, which is a responsible approach to preventing unintended pregnancy.

Firstly, let's address the incident where the condom was retained inside your girlfriend's vagina. If the condom was intact and did not break, the likelihood of sperm entering the vagina is significantly reduced. However, if the condom slipped off during withdrawal, there is a potential risk of sperm being deposited in the vaginal canal, especially if ejaculation occurred near the vaginal opening.
In your case, since you mentioned that the condom was intact when you checked it by filling it with water, this is a good sign. An intact condom is designed to effectively prevent sperm from entering the vagina, thus reducing the risk of pregnancy. However, it is important to note that even with proper condom use, there is still a small chance of failure due to factors such as improper application, breakage, or slippage.

Regarding your girlfriend's symptoms of breast tenderness and bloating, these could indeed be indicative of premenstrual syndrome (PMS), especially if they coincide with her menstrual cycle. PMS can cause a variety of symptoms, including breast tenderness, mood swings, bloating, and cramping, typically occurring in the luteal phase of the menstrual cycle, which is the time between ovulation and the start of menstruation. Given that her last menstrual period was from June 10 to June 15, it is possible that she is experiencing PMS if her cycle is regular.

However, if her period is late or if she experiences any unusual symptoms, it would be prudent for her to take a pregnancy test. Home pregnancy tests are quite accurate and can provide clarity on whether she is pregnant or not. If the test is positive, or if she has any concerns about her symptoms, it would be advisable for her to consult a healthcare provider for further evaluation.

In summary, while the risk of pregnancy in your situation seems low due to the intact condom, it is not entirely zero. Monitoring her menstrual cycle and symptoms will be crucial. If she experiences any significant changes or has concerns about her health, seeking medical advice is always a good course of action. Remember, open communication with your partner about these concerns is also essential for both of your peace of mind.

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