Could this lead to pregnancy?
On November 14, my period started.
On November 28, I had sexual intercourse with my boyfriend without a condom.
He pulled out just before ejaculation, but I am worried that some semen may have dripped down into the vagina.
On December 6, we had intercourse again without a condom, and he ejaculated inside me.
On December 11, I noticed a small amount of brown discharge, not much.
Early on December 12, my period started, and I experienced severe abdominal pain, worse than usual.
After the abdominal pain subsided, I began to feel lower back pain and soon developed a slight fever with a temperature of about 37.8°C.
I went to the hospital because I felt very unwell, and the results showed elevated white blood cell count indicating inflammation.
Could this be a sign of pregnancy?
Xiao Y, 20~29 year old female. Ask Date: 2015/12/13
Dr. Lü Lizheng reply Obstetrics and Gynecology
The patient presents with fever and elevated white blood cell count; pelvic inflammatory disease should be prioritized as a consideration.
Please seek medical evaluation.
If pregnancy is a concern, please take a pregnancy test.
Sincerely, Dr.
Lyu Li-Cheng, Taoyuan Hospital.
Reply Date: 2015/12/13
More Info
Based on the information provided, it seems you are experiencing a complex situation regarding potential pregnancy and associated symptoms after engaging in unprotected sexual intercourse. Let's break down the key points and clarify your concerns.
1. Unprotected Sex and Pregnancy Risk: Engaging in sexual intercourse without a condom, especially when there is ejaculation (even if it is outside the vagina), poses a risk of pregnancy. Sperm can sometimes travel and enter the vagina, leading to potential fertilization. In your case, you mentioned that your boyfriend pulled out before ejaculation, which reduces the risk but does not eliminate it entirely. The fact that you had unprotected sex again on December 6, with ejaculation inside, significantly increases the likelihood of pregnancy.
2. Symptoms and Timing: You reported experiencing some unusual symptoms, including a small amount of brown discharge on December 11, followed by your period starting on December 12. The brown discharge could be old blood, which is not uncommon before the onset of menstruation. The pain you experienced during your period, along with back pain and a slight fever, could be related to menstrual cramps or possibly an infection, especially since you mentioned elevated white blood cell counts indicating inflammation.
3. Could You Be Pregnant?: Given that you had your period on December 12, it is unlikely that you are pregnant. Menstrual bleeding typically indicates that you are not pregnant, especially if it is consistent with your normal cycle. However, if your period is late or significantly different from your usual pattern, it would be wise to take a home pregnancy test for confirmation.
4. Health Concerns: The symptoms you described, including abdominal pain, back pain, and fever, warrant attention. Elevated white blood cell counts suggest that there may be an underlying infection or inflammation. It is essential to follow up with your healthcare provider to determine the cause of these symptoms and receive appropriate treatment.
5. Next Steps: If you are concerned about pregnancy, consider taking a home pregnancy test a few days after your expected period date for the most accurate result. If you continue to experience discomfort or if your symptoms worsen, seek medical attention promptly.
In summary, while the risk of pregnancy exists with unprotected sex, the onset of your period suggests that you are likely not pregnant. However, your other symptoms should be evaluated by a healthcare professional to rule out any infections or other health issues. Always remember that using protection during sexual activity is crucial not only for preventing pregnancy but also for reducing the risk of sexually transmitted infections (STIs).
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Dr. Lü Lizheng reply Obstetrics and Gynecology
If there is sexual intercourse without contraception, there is a possibility of pregnancy. If your next menstrual period does not arrive, please take a pregnancy test to confirm whether you are pregnant. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Can You Get Pregnant? Understanding Risks After Unprotected Intercourse
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