Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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Pregnancy test questions?


Your menstrual period started on October 18 and ended on October 23.
You had intercourse with your boyfriend on November 13 with external ejaculation.
My menstrual cycle is irregular, but I took a pregnancy test seven days later, and it showed a single line (negative).
What is the likelihood of being pregnant?

I'm sorry, 20~29 year old female. Ask Date: 2015/11/21

Dr. Lü Lizheng reply Obstetrics and Gynecology


If menstruation does not occur, it is recommended to take a pregnancy test again 18 days after the last sexual intercourse for more accurate results.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/21

More Info


When it comes to understanding the chances of pregnancy after unprotected intercourse, several factors come into play, including the timing of ovulation, the nature of your menstrual cycle, and the method of contraception used (or lack thereof).
In your case, you mentioned that your last menstrual period started on October 18 and ended on October 23, with unprotected intercourse occurring on November 13. Given that your menstrual cycle is irregular, it can be challenging to pinpoint your ovulation date accurately. Typically, ovulation occurs about 14 days before the start of your next period, but this can vary significantly in women with irregular cycles.

If we consider a standard cycle of around 28 days, ovulation would likely occur around day 14, which would be approximately October 31 in your case. However, since your cycle is not regular, ovulation could have occurred later or earlier than this estimate. Sperm can live inside the female reproductive tract for up to five days, so if you ovulated shortly after your intercourse on November 13, there is a possibility of becoming pregnant.

You mentioned that you took a pregnancy test seven days after the intercourse, which returned a negative result. Home pregnancy tests are generally reliable and can detect pregnancy hormones (hCG) about a week after a missed period. Since you tested negative, it suggests that you are likely not pregnant at this time. However, if your period does not arrive as expected, it would be advisable to retest or consult with a healthcare provider for further evaluation.

It's important to note that the chances of pregnancy can vary widely based on individual circumstances. Factors such as age, overall health, and frequency of unprotected intercourse all play a role. In general, the likelihood of pregnancy from a single act of unprotected intercourse is estimated to be around 15-25% during the fertile window, which is the time when ovulation occurs.

If you are concerned about the possibility of pregnancy or if your menstrual cycle continues to be irregular, it may be beneficial to consult with a healthcare provider. They can offer personalized advice, perform further testing if necessary, and discuss options for contraception if you wish to avoid unintended pregnancies in the future.

In summary, while the chances of pregnancy after unprotected intercourse can be significant, your negative pregnancy test and the timing of your cycle suggest that you are likely not pregnant. However, if you experience any unusual symptoms or if your period is delayed, it is always best to seek medical advice for peace of mind and to ensure your reproductive health is monitored appropriately.

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