Who is the Father? Pregnancy Questions in Women - Obstetrics and Gynecology

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If a girl had sexual intercourse with man A twice in February, both times with ejaculation inside, and then got her menstrual period on February 24th, and now in March, she has not had any sexual relations with man A but has had sexual relations with man B, who used withdrawal method (pull-out), and her period is late (originally expected around the 24th) but she is experiencing breast tenderness, could you clarify if she is indeed pregnant and if the child would likely be man B's?

Dai, 20~29 year old female. Ask Date: 2007/03/28

Dr. Jian Hongmou reply Obstetrics and Gynecology


If the girl has a very regular menstrual cycle and February 24 is confirmed as the start of her period, then the likelihood of A being the father is low.
However, if her menstrual cycle is not as described, it is difficult to determine, and it is best to visit a gynecology clinic for examination.

Reply Date: 2007/03/28

More Info


Determining the biological father of a child can be a complex issue, especially when there are multiple sexual partners involved within a close timeframe. In the scenario you presented, where a woman had sexual relations with two different men (A and B) around the time of her menstrual cycle, there are several factors to consider.

Firstly, it is important to understand the timing of ovulation and the menstrual cycle. A typical menstrual cycle lasts about 28 days, but it can vary significantly from woman to woman. Ovulation usually occurs about 14 days before the next expected period. If the woman had her last menstrual period (LMP) on February 24, and assuming a regular cycle, she would likely have ovulated around March 10. If she had sexual intercourse with A on two occasions before her period and then had intercourse with B after her period was due, the likelihood of B being the father increases, especially if the intercourse with B occurred around the time of ovulation.

In this case, since the woman had her period on February 24 and did not have any further sexual relations with A after that, it is unlikely that A could be the father unless there was a very unusual cycle or an early pregnancy loss that was not recognized. The sexual encounters with B, particularly if they occurred around the time of ovulation, would present a higher probability of conception.

Moreover, the method of contraception used is also crucial. If B used withdrawal (pull-out method), there is still a risk of pregnancy, as pre-ejaculate fluid can contain sperm. If the woman is experiencing symptoms such as breast tenderness, it could indicate hormonal changes associated with pregnancy, and she should consider taking a home pregnancy test for confirmation.

In summary, if the woman is pregnant, the most likely biological father would be B, given the timing of their sexual encounters in relation to her ovulation. However, the only definitive way to determine paternity is through genetic testing after the child is born. This can be done through a paternity test, which analyzes DNA samples from the child, the mother, and the alleged father.

It is also essential for the woman to consult with a healthcare provider for further evaluation and to discuss her options moving forward, especially if she is uncertain about the pregnancy or the implications of her sexual history. Open communication with all parties involved is crucial in navigating the emotional and practical aspects of this situation.

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