Concerned about pregnancy?
Hello doctor, I had two menstrual periods in November; the first one was at the beginning of the month, and the second was from November 28 to December 2.
On the morning of December 7, I went to the gynecologist for a Pap smear, and the doctor mentioned that they applied some medication.
That evening, I had sexual intercourse with my boyfriend.
We used protection, but he accidentally ejaculated a little inside me before withdrawing (the condom was not removed).
Then, due to dryness, the condom broke.
After removing it, the small amount of semen that was initially inside was completely gone.
Afterwards, I noticed some thick, white-yellowish discharge (not sure if it's due to the medication).
Could I be pregnant from this?
No name, 20~29 year old female. Ask Date: 2015/12/10
Dr. Lü Lizheng reply Obstetrics and Gynecology
Incomplete contraception can lead to the possibility of pregnancy.
If your period is late, please take a pregnancy test.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.
Reply Date: 2015/12/10
More Info
When it comes to concerns about potential pregnancy following unprotected intercourse, especially in the context of recent gynecological procedures, it’s essential to understand the various factors at play. Based on your description, you had a menstrual cycle that started on November 28 and ended on December 21, followed by a Pap smear on December 7. After the procedure, you engaged in sexual intercourse with your boyfriend, during which the condom broke, and there was some ejaculation.
First, let's address the question of whether you could become pregnant from this encounter. The likelihood of pregnancy depends on several factors, including the timing of your menstrual cycle, the viability of sperm, and the effectiveness of the contraceptive method used.
1. Timing of Ovulation: If your menstrual cycle is regular, ovulation typically occurs about 14 days before your next period. If your cycle is around 28 days, ovulation would likely have occurred around December 12-14. Since you had intercourse on December 7, it was close to your ovulation window, which increases the chances of sperm meeting an egg.
2. Sperm Viability: Sperm can live inside the female reproductive tract for up to five days. If you ovulated shortly after your intercourse, there is a possibility that sperm could fertilize an egg.
3. Contraceptive Failure: The fact that the condom broke is a significant factor. Even a small amount of semen can contain millions of sperm, and if it was released inside the vagina, there is a risk of pregnancy.
4. Post-Intercourse Symptoms: The thick, white-yellow discharge you experienced after intercourse could be due to several reasons. It might be related to the medication applied during your Pap smear, normal vaginal secretions, or a response to the sexual activity itself. If the discharge has an unusual odor or is accompanied by other symptoms (such as itching or burning), it could indicate an infection, which should be evaluated by a healthcare provider.
Given these considerations, if you are concerned about the possibility of pregnancy, it would be prudent to take a home pregnancy test if your period is late or to consult with your healthcare provider for further evaluation. They can provide guidance on the timing of testing and discuss options for emergency contraception if you are within the appropriate time frame.
In addition, if you have any unusual symptoms or concerns about your vaginal discharge, it’s important to follow up with your healthcare provider. They can assess whether the discharge is related to the recent Pap smear, a potential infection, or another issue.
In summary, while there is a possibility of pregnancy given the circumstances you described, the best course of action is to monitor your menstrual cycle and consult with your healthcare provider for personalized advice and testing. They can help clarify any uncertainties and ensure your reproductive health is managed appropriately.
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