Pre-Ejaculation Risks and Increased Vaginal Discharge

Regarding ejaculation outside the body and excessive secretion?

Hello Dr.
Chou, can you tell me if external ejaculation can lead to pregnancy? Also, my girlfriend seems to have increased white discharge after her period, around the time of ovulation.
What could be the reason for this? Is it harmful?

xiang zhi dao de ren, 20~29 year old female. Ask Date: 2006/07/13

Dr. Zhou Dali reply Obstetrics and Gynecology

1.
If ejaculation occurs outside during intercourse, there is still a possibility of pregnancy because it is difficult to confirm whether any sperm remains.
2.
It is recommended to visit a gynecologist for an examination as soon as symptoms arise.

Reply Date: 2006/07/13

More Info

Pre-ejaculation, often referred to as "pre-cum," is a fluid released by the penis before ejaculation. It is produced by the Cowper's glands and serves several purposes, including lubricating the urethra and neutralizing acidity in the urethra to create a more favorable environment for sperm. However, one of the most significant concerns regarding pre-ejaculation is its potential to cause pregnancy.

While pre-ejaculation fluid itself typically does not contain sperm, it can pick up sperm that may remain in the urethra from a previous ejaculation. Therefore, there is a risk of pregnancy if pre-ejaculation occurs during intercourse, especially if no other form of contraception is used. Studies suggest that while the risk of pregnancy from pre-ejaculation is lower than from full ejaculation, it is not zero. If you and your girlfriend are relying solely on the withdrawal method (pulling out) as a form of contraception, it is essential to understand that this method is not highly reliable. Factors such as timing, control, and the presence of sperm in pre-ejaculatory fluid can all contribute to the risk of unintended pregnancy.

Regarding your girlfriend's increased vaginal discharge, it is common for women to experience changes in vaginal discharge throughout their menstrual cycle. After menstruation, as the body approaches ovulation, estrogen levels rise, which can lead to an increase in cervical mucus. This discharge is often clear or white and can be stretchy and slippery, resembling egg whites. This type of discharge is typically a sign of fertility and indicates that ovulation is approaching. It is a normal physiological response and is not harmful.

However, if the discharge has an unusual odor, color, or consistency, or if it is accompanied by itching, burning, or irritation, it may indicate an infection or other medical condition that should be evaluated by a healthcare professional. Conditions such as bacterial vaginosis or yeast infections can alter the normal characteristics of vaginal discharge and may require treatment.

In summary, while pre-ejaculation can pose a risk for pregnancy, understanding the nature of pre-ejaculatory fluid and the reliability of withdrawal as a contraceptive method is crucial. Additionally, changes in vaginal discharge around the time of ovulation are typically normal and indicate a healthy reproductive system. If there are any concerns about the nature of the discharge or potential pregnancy, it is advisable to consult with a healthcare provider for personalized advice and potential testing.

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