Concerns About Pregnancy After Intercourse and Emergency Contraception

I am very worried about being pregnant?

On the 14th day of the menstrual cycle, during the fertile period (the 9th), there was vaginal rubbing without penetration.
The next day (the 11th), emergency contraception was taken.
On that day, fingers were inserted into the vagina (possibly with pre-ejaculate fluid, and she mentioned that the fingers were inserted quite deeply).
The following day, another dose of emergency contraception was taken.
The two emergency contraceptive pills are called "Postinor." Is there a risk of pregnancy in this situation?

duì bù qǐ……, 10~19 year old female. Ask Date: 2015/11/14

Dr. Lü Lizheng reply Obstetrics and Gynecology

The response indicates that pregnancy is unlikely.
If you are still concerned, please take a pregnancy test again in 10 days.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/14

More Info

When it comes to concerns about pregnancy after intercourse and the use of emergency contraception, it's important to understand how these factors interact and the potential risks involved.

Firstly, emergency contraceptive pills (ECPs), such as the one you mentioned (妊止), are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They are most effective when taken as soon as possible after the incident, ideally within 72 hours, but some types can be taken up to 5 days after. The primary mechanism of action for these pills is to delay ovulation, which means if ovulation has already occurred, the effectiveness of the pill diminishes significantly.

In your case, you mentioned having vaginal intercourse on the 14th day of your menstrual cycle, which is typically around the time of ovulation for many women. If ovulation occurred shortly after the intercourse, and sperm were present, there is a possibility of fertilization. However, since you took the emergency contraceptive pill the day after, it could potentially prevent ovulation if it was not already too late.

Regarding the use of fingers, if there was any contact with pre-ejaculatory fluid (pre-cum), there is a theoretical risk of pregnancy, although it is generally considered low. Pre-ejaculatory fluid can contain sperm, but the concentration is usually much lower than in ejaculate. If your partner was not ovulating at the time of this contact, the likelihood of pregnancy remains low.

Taking two doses of the emergency contraceptive pill, as you did, is generally not harmful, but it is not recommended unless specifically advised by a healthcare provider. The side effects of ECPs can include nausea, fatigue, headache, and changes in your menstrual cycle, but they do not increase the effectiveness of the pill beyond the first dose.

It's also worth noting that while ECPs are effective, they are not 100% guaranteed to prevent pregnancy. If your period is delayed by more than a week after taking the pills, it is advisable to take a pregnancy test to confirm whether or not you are pregnant.
In summary, while there is a possibility of pregnancy due to the timing of intercourse and the use of fingers, taking the emergency contraceptive pill significantly reduces that risk, especially if taken promptly. If you have further concerns or experience any unusual symptoms, it would be wise to consult with a healthcare provider for personalized advice and support. They can provide further guidance on contraceptive options and reproductive health.

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