Could I Be Pregnant? Risks and Stress Effects on Menstrual Cycle

Will this lead to pregnancy?

I had sexual intercourse with my boyfriend on one of the days between October 15 and 24 (I can't remember the exact day).
We used a condom, but when I first put it on, I put it on the wrong way, so it couldn't be fully inserted.
At that time, there was some pre-ejaculate fluid on his penis, and then he turned it around to put it on correctly, allowing it to be fully inserted.
Later, he only penetrated a little bit (because it was painful for me), and he did not ejaculate.
Is there a possibility that I could become pregnant? Could the fact that the condom was on the wrong way and came into contact with some pre-ejaculate fluid lead to pregnancy? Normally, my period is regular and comes between October 24 and 30, but today it still hasn't arrived.
I am a high school senior and have been preparing for exams every day.
Besides the possibility of pregnancy, could the absence of my period also be due to stress? Thank you for your help!

Dai Dai, 10~19 year old female. Ask Date: 2004/11/05

Dr. Zhuang Zhijian reply Obstetrics and Gynecology

It is still possible to become pregnant, and of course, high levels of stress can also affect your menstrual cycle.
It is best to visit a hospital for an examination.

Reply Date: 2004/11/05

More Info

It's understandable to feel anxious about the possibility of pregnancy, especially given the circumstances you've described. Let's break down your situation and address your concerns regarding the risk of pregnancy, the role of stress, and the potential effects on your menstrual cycle.

First, regarding the possibility of pregnancy: The scenario you described, where the condom was initially put on incorrectly and there was some pre-ejaculatory fluid (pre-cum), does carry a risk, albeit a relatively low one. Pre-ejaculatory fluid can contain sperm, and if it comes into contact with the vaginal area, there is a chance of pregnancy, especially if penetration occurred, even if it was brief. However, since your boyfriend did not ejaculate, the likelihood of pregnancy is reduced.
That said, the absence of your expected menstrual period could be attributed to several factors. Stress is a significant factor that can affect your menstrual cycle. As a high school senior preparing for exams, it's likely that you're experiencing a considerable amount of stress, which can lead to hormonal changes that may delay or even temporarily stop your period. This phenomenon is known as stress-induced amenorrhea.
In addition to stress, other factors such as changes in weight, exercise habits, or even illness can also impact your menstrual cycle. If you have been more physically active or have experienced any changes in your diet or lifestyle, these could also contribute to a delay in your period.

Given that your menstrual cycle is typically regular, the missed period is understandably concerning. Here are some steps you can take:
1. Take a Pregnancy Test: If your period does not arrive soon, consider taking a home pregnancy test. These tests are most accurate when taken after a missed period. Follow the instructions carefully for the best results.

2. Monitor Your Symptoms: Pay attention to any other symptoms you may experience, such as breast tenderness, nausea, or fatigue, which could indicate pregnancy.

3. Consult a Healthcare Provider: If your period remains absent and you are concerned about the possibility of pregnancy or if you experience any unusual symptoms, it would be wise to consult a healthcare provider. They can offer guidance, perform a pregnancy test, and help you understand your options.

4. Manage Stress: Since stress can impact your menstrual cycle, consider incorporating stress-reducing activities into your routine. Techniques such as mindfulness, meditation, yoga, or even simple breathing exercises can help alleviate stress and may help regulate your cycle.

In summary, while there is a possibility of pregnancy due to the circumstances you described, the likelihood is relatively low, especially since there was no ejaculation. However, stress and other factors can certainly affect your menstrual cycle. Taking a pregnancy test and consulting with a healthcare provider will provide clarity and help you address any concerns you may have. Remember, it's essential to take care of your mental and emotional well-being during this time, especially with the pressures of school and exams.

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