Am I at Risk of Pregnancy After Unprotected Sex? - Obstetrics and Gynecology

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You had your period on October 12, had sexual intercourse on October 25, took emergency contraception on October 26, and then had your period again on November 1, which ended on November 5.
You had unprotected intercourse with ejaculation inside on November 9.

Given that you took emergency contraception shortly after the first instance of unprotected intercourse, it is likely that you are protected from pregnancy from that encounter.
However, since you had unprotected intercourse again on November 9, there is a possibility of pregnancy from that encounter.

If you are concerned about the risk of pregnancy after the November 9 encounter, you may consider taking emergency contraception again, but it is best to consult with a healthcare provider for personalized advice.

Baobao, 20~29 year old female. Ask Date: 2015/11/09

Dr. Lü Lizheng reply Obstetrics and Gynecology


After taking the emergency contraceptive pill, it is common to experience irregular menstruation, hormonal imbalance, and difficulty ovulating in a short period, which decreases the likelihood of pregnancy.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/09

More Info


When considering the risk of pregnancy after engaging in unprotected sex, it is essential to understand the timing of your menstrual cycle, the nature of the sexual activity, and the use of emergency contraception. Based on the information provided, let's break down your situation.

1. Understanding Your Menstrual Cycle: The menstrual cycle typically lasts about 28 days, but it can vary from person to person. Ovulation usually occurs around the midpoint of the cycle, approximately 14 days before your next period. If your last menstrual period started on October 12, and you had sexual intercourse on October 25, you were likely in your fertile window, which increases the risk of pregnancy.
2. Emergency Contraception: You mentioned taking emergency contraception (the "morning-after pill") on October 26, which is within 72 hours after unprotected intercourse. This medication is designed to prevent ovulation or fertilization and is most effective when taken as soon as possible after unprotected sex. Since you took it promptly, it significantly reduces the risk of pregnancy from the encounter on October 25.

3. Subsequent Menstrual Cycle: You reported that your next period started on November 1, which is consistent with your typical cycle. The onset of your period after taking emergency contraception suggests that the medication was effective in preventing pregnancy.
4. Recent Sexual Activity: You mentioned having unprotected sex again on November 9, with ejaculation occurring inside. This encounter poses a risk for pregnancy since it was unprotected. If you are concerned about this specific incident, you may want to consider taking emergency contraception again, especially if it has been within 72 hours since the encounter.

5. Need for Additional Emergency Contraception: Given that you had unprotected sex on November 9, it is advisable to take emergency contraception if you have not done so already. The effectiveness of emergency contraception decreases the longer you wait after unprotected intercourse, so acting quickly is crucial.

6. Future Considerations: To avoid uncertainty and anxiety regarding pregnancy in the future, consider discussing long-term contraceptive options with your healthcare provider. There are various methods available, including hormonal birth control pills, intrauterine devices (IUDs), and barrier methods like condoms, which can provide more reliable protection against unintended pregnancy.

In summary, based on your timeline and actions, the risk of pregnancy from the sexual encounter on October 25 is low due to the timely use of emergency contraception. However, the unprotected sex on November 9 does pose a risk for pregnancy, and you should consider taking emergency contraception if you have not already. Always consult with a healthcare professional for personalized advice and to discuss the best contraceptive options for your needs.

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