Can You Get Pregnant from Pre-Ejaculate and External Ejaculation? - Obstetrics and Gynecology

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Could this lead to pregnancy?


Hello, my last menstrual cycle started on July 2nd.
I had intercourse with my boyfriend on July 16th, and it was through withdrawal, but during foreplay, his secretions came into contact with the vaginal opening.
He ejaculated on my abdomen, but while wiping, a small amount of semen may have entered the vagina.
Is there a chance of pregnancy from this? Thank you.

Jin Jin, 20~29 year old female. Ask Date: 2005/08/04

Dr. Lü Lizheng reply Obstetrics and Gynecology


It is possible to become pregnant if even a small amount of semen is introduced into the vagina during wiping.
Respectfully, Lu Lizheng.

Reply Date: 2005/08/04

More Info


When it comes to the question of whether pregnancy can occur from pre-ejaculate (pre-cum) and external ejaculation, it is important to understand the mechanics of conception and the nature of male reproductive fluids.
Pre-ejaculate is a fluid released by the male during sexual arousal, prior to ejaculation. Its primary function is to lubricate the urethra and neutralize any acidity in the urethra, which can be harmful to sperm. While pre-ejaculate itself typically does not contain sperm, it can sometimes pick up sperm that may remain in the urethra from a previous ejaculation. This means that there is a potential, albeit small, risk of pregnancy if pre-ejaculate comes into contact with the vaginal canal.

In your specific situation, you mentioned that during foreplay, your boyfriend's bodily fluids came into contact with the vaginal opening, and there was also a possibility of some semen being wiped into the vagina. This scenario does present a risk for pregnancy, albeit a low one. The risk is primarily due to the potential presence of sperm in the pre-ejaculate or from the semen that may have been inadvertently introduced into the vaginal canal.

To put this into perspective, studies suggest that the likelihood of pregnancy from pre-ejaculate is significantly lower than from full ejaculation, but it is not zero. Factors such as the timing of your menstrual cycle can also influence the probability of conception. If you were near your ovulation period (which typically occurs about 14 days before your next expected period), the chances of becoming pregnant would be higher.

If you are concerned about the possibility of pregnancy, it would be advisable to take a home pregnancy test if your period is late. Additionally, if you are sexually active and wish to avoid unintended pregnancies in the future, consider discussing contraceptive options with your healthcare provider. There are various methods available, including hormonal birth control, barrier methods like condoms, and long-acting reversible contraceptives (LARCs) such as IUDs.

In summary, while the risk of pregnancy from pre-ejaculate and external ejaculation is relatively low, it is not impossible, especially if there was any direct contact with the vaginal area. If you have further concerns or questions about your reproductive health, it is always best to consult with a healthcare professional who can provide personalized advice based on your specific circumstances.

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