Concerns About Condom Slipping Inside: Pregnancy Risks and Emergency Contraception - Obstetrics and Gynecology

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The condom slipped inside the vagina?


Hello Doctor, my period started on July 20 and ended on July 25, with an average menstrual cycle of 26 days.
According to the app, ovulation was calculated to be on August 1.
Yesterday, on July 26, I had sexual intercourse with my boyfriend in the early hours of July 27, and we used a condom throughout.
However, when we removed it, the condom slipped off inside my vagina.
My partner helped me retrieve it, and after cleaning up, I immediately went to the pharmacy to buy emergency contraception (Postinor) and took it about 40 minutes after the incident.
Is there a chance I could become pregnant? Thank you, Doctor.

Feng, 30~39 year old female. Ask Date: 2024/07/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should be in a safe zone and not get pregnant.
Wishing you good health.

Reply Date: 2024/07/27

More Info


When it comes to concerns about condom slippage during intercourse and the potential risk of pregnancy, it is important to understand both the mechanics of contraception and the effectiveness of emergency contraception.
Firstly, condoms are a widely used form of birth control that, when used correctly, can be very effective in preventing pregnancy. However, if a condom slips off during intercourse, there is a risk that sperm may enter the vagina, which could lead to pregnancy. In your case, since the condom slipped off but was promptly removed, the immediate risk of sperm entering the vagina was minimized. However, it is important to consider that sperm can be present in pre-ejaculate fluid, which may also pose a risk if the condom was not intact.

You mentioned that you took emergency contraception (Plan B, or in your case, "世達 后服寧錠") within 40 minutes after the incident. This is a crucial step in mitigating the risk of pregnancy. Emergency contraceptive pills (ECPs) are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but they can be taken up to 5 days after. The sooner you take it, the better the chances of preventing ovulation and thus preventing pregnancy.

Given your menstrual cycle details, with your last period starting on July 20 and ending on July 25, and your estimated ovulation date being around August 1, the timing of your sexual encounter on July 26 does fall within a window where you could potentially be at risk for pregnancy. However, since you took the emergency contraception promptly, it significantly reduces the likelihood of ovulation occurring and thus lowers the risk of pregnancy.

It is also worth noting that while emergency contraception is effective, it is not 100% guaranteed to prevent pregnancy. Factors such as the timing of ovulation, the timing of taking the emergency contraceptive, and individual variations in menstrual cycles can all influence its effectiveness.

In addition to the immediate concern of potential pregnancy, it is also important to consider the emotional and psychological aspects of such situations. Many individuals experience anxiety after a contraceptive failure, and it is perfectly normal to feel concerned. If you find yourself feeling overwhelmed, it may be helpful to talk to a healthcare provider or a counselor who can provide support and guidance.

Lastly, if you have any further concerns about your menstrual cycle, potential pregnancy, or contraceptive methods, it is advisable to follow up with your healthcare provider. They can offer personalized advice and may suggest a pregnancy test if your period is late or if you experience any unusual symptoms.

In summary, while there is a risk of pregnancy when a condom slips, your prompt action in taking emergency contraception greatly reduces that risk. Keep monitoring your menstrual cycle, and if you have any doubts or concerns, do not hesitate to consult with a healthcare professional for further assistance.

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Hello, the chances are likely low, but if possible, it is still advisable to take emergency contraception just in case. Wishing you good health.

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Hello, it should be due to taking the emergency contraceptive pill, so you are unlikely to be pregnant. Wishing you good health.

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