Can You Get Pregnant from External Contact? the Risks - Obstetrics and Gynecology

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Is it possible to get pregnant?


On August 4th, there was intimate contact, but the male's genitalia did not penetrate the vagina.
However, there were some sperm present on the male's genitalia, and afterward, it was discovered that a bit had also gotten onto the thigh.
In the following days, there was an increase in vaginal discharge, and the breasts have felt somewhat swollen.
What is the likelihood of pregnancy in this situation?

J, 20~29 year old female. Ask Date: 2015/08/13

Dr. Lü Lizheng reply Obstetrics and Gynecology


If there is no penetration of the genital organs, theoretically, pregnancy should not occur.
However, there are instances where one might mistakenly believe there was no penetration when, in fact, it was deep enough to allow for the possibility of pregnancy.
If uncertain, it is advisable to monitor the menstrual cycle; if menstruation is significantly delayed, it is still recommended to take a pregnancy test for confirmation.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/08/13

More Info


The question of whether one can become pregnant from external contact, particularly when there is no penetration involved, is a common concern. In your case, you mentioned having intimate contact on August 4th, where the male partner's genitalia did not enter the vagina, but there was some contact with pre-ejaculate fluid that may have contained sperm. You also noted experiencing increased vaginal discharge and breast tenderness in the following days.

To address your question, the likelihood of becoming pregnant from external contact is generally low, but it is not impossible. Sperm can survive outside the body for a short period, and if sperm from pre-ejaculate fluid comes into contact with the vaginal area, there is a potential risk of pregnancy. However, the chances are significantly reduced compared to direct ejaculation into the vagina.

The key factors to consider include:
1. Sperm Viability: Sperm can live for a few hours outside the body, depending on the environment. If sperm comes into contact with the vaginal area, it may still have the potential to swim into the vagina and reach the egg, but this is less likely without direct ejaculation.

2. Timing of Ovulation: The likelihood of pregnancy also depends on the timing of your menstrual cycle. If you were near ovulation at the time of contact, the chances of pregnancy would be higher. Conversely, if you were not ovulating, the chances decrease.

3. Symptoms: The symptoms you are experiencing, such as increased discharge and breast tenderness, can be associated with various factors, including hormonal changes, premenstrual symptoms, or early signs of pregnancy. However, these symptoms alone are not definitive indicators of pregnancy.

4. Pregnancy Testing: If you suspect you might be pregnant, the most reliable way to confirm this is through a pregnancy test. Home pregnancy tests can detect the hormone hCG in urine, which typically becomes detectable about a week after a missed period. If you take a test and it is negative but you still suspect pregnancy, consider retesting a few days later or consulting a healthcare provider for a blood test.

5. Preventive Measures: If you are concerned about the risk of unintended pregnancy in the future, consider discussing contraceptive options with a healthcare provider. There are various methods available, including hormonal birth control, barrier methods, and long-acting reversible contraception (LARC) that can help prevent pregnancy effectively.

In summary, while the risk of pregnancy from external contact is low, it is not zero. If you are experiencing symptoms that concern you, or if you have further questions about your reproductive health, it is advisable to consult with a healthcare professional for personalized advice and support. They can provide you with more detailed information based on your specific circumstances and help you explore your options moving forward.

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