Pregnancy Risks: Can You Get Pregnant with Safe Sex? - Obstetrics and Gynecology

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Can I get pregnant?


Hello doctor, every time we have sexual intercourse, we use a condom and I always pull out before ejaculation to release inside the condom.
I also check for any holes by filling it with water.
However, my girlfriend's period is already 3 days late.
What is the likelihood of pregnancy? I can't think of any way sperm could have entered the vagina.
Thank you.

J, 20~29 year old female. Ask Date: 2015/11/25

Dr. Lü Lizheng reply Obstetrics and Gynecology


If condoms are used consistently, the likelihood of pregnancy is very low.
It is likely a case of irregular menstruation.
If you are still concerned, you can take a pregnancy test.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/25

More Info


When it comes to understanding the risks of pregnancy during sexual activity, especially when using condoms, it's important to consider several factors. Based on your description, it sounds like you and your partner are taking precautions by using condoms consistently and checking for any leaks or breaks after intercourse. This is a responsible approach to sexual health.

1. Condom Effectiveness: Condoms are one of the most effective forms of contraception when used correctly. The typical failure rate of condoms is about 15%, but with perfect use, this rate drops to about 2%. This means that if you are using condoms correctly every time, the chances of pregnancy are significantly reduced. However, it's essential to ensure that the condom is put on before any genital contact and that it remains intact throughout the entire sexual act.

2. Pre-ejaculate Fluid: It's also important to note that pre-ejaculate fluid (pre-cum) can contain sperm. If there was any genital contact before the condom was applied, there is a slight risk of sperm being transferred. However, if you are diligent about putting the condom on before any contact, this risk is minimized.

3. Menstrual Cycle Considerations: The timing of your partner's menstrual cycle is also crucial. If her period is late, it could be due to various reasons, including stress, hormonal changes, or other factors unrelated to pregnancy. If she has regular cycles and is typically punctual, a delay of a few days may warrant a pregnancy test.
4. Pregnancy Testing: If there is a concern about pregnancy, the best course of action is to take a home pregnancy test. These tests are generally accurate when taken after a missed period. If the test is positive, it would be advisable to consult with a healthcare provider for further guidance.

5. Additional Contraceptive Methods: If you and your partner are looking for additional reassurance, consider discussing other contraceptive methods with a healthcare provider. Options such as hormonal birth control pills, patches, or IUDs can provide more reliable protection against pregnancy when used in conjunction with condoms.

6. Communication and Education: It's also vital to maintain open communication with your partner about sexual health and contraception. If your partner is feeling anxious about the possibility of pregnancy, discussing these feelings and educating each other about sexual health can help alleviate some of that anxiety.

In summary, if you are using condoms correctly and consistently, the risk of pregnancy is low, but it is not zero. If your partner's period is late, taking a pregnancy test is the best way to confirm whether or not she is pregnant. Additionally, consider consulting with a healthcare provider for personalized advice on contraception and sexual health.

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