Pregnancy Risks: Unprotected Intercourse and Menstrual Cycles - Obstetrics and Gynecology

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Can I get pregnant?


The start date of the last menstrual period was on the 16th, and the previous one was on the 18th, with a cycle length of approximately 7 days.
There was unprotected intercourse on January 1st and January 2nd, but there was no ejaculation inside.
What is the likelihood of pregnancy? Thank you.

Niming, 10~19 year old female. Ask Date: 2016/01/02

Dr. Lü Lizheng reply Obstetrics and Gynecology


There is still a possibility of pregnancy.
If your next menstrual period does not arrive, please take a pregnancy test.
Sincerely, Dr.
Lyu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/01/02

More Info


When considering the risks associated with unprotected intercourse during the menstrual cycle, it is essential to understand the timing of ovulation and the viability of sperm. The menstrual cycle typically lasts about 28 days, but it can vary from person to person. Ovulation usually occurs around 14 days before the start of the next menstrual period. For someone with a regular 28-day cycle, this would place ovulation around day 14 of the cycle.

In your case, if your last menstrual period started on the 18th, and your cycles are approximately 7 days long, you would likely ovulate around the 2nd of the following month. Engaging in unprotected intercourse on the 1st and 2nd of the month places you very close to your ovulation window, which increases the likelihood of conception. Sperm can live inside the female reproductive tract for up to five days, so if you had intercourse just before ovulation, there is a possibility that sperm could fertilize an egg when it is released.

However, since you mentioned that there was no ejaculation during intercourse, the risk of pregnancy is lower, but not entirely eliminated. Pre-ejaculate fluid (pre-cum) can contain sperm, and if any sperm were present, there is still a chance of conception.
To summarize, while the chances of pregnancy are not as high as they would be with full ejaculation, there is still a risk associated with unprotected intercourse, especially if it occurs close to the ovulation period. If you are concerned about the possibility of pregnancy, consider taking a home pregnancy test if your period is late, or consult with a healthcare provider for further guidance.

In addition to understanding the risks of unprotected intercourse, it is also important to consider the implications of sexually transmitted infections (STIs). Engaging in unprotected sex increases the risk of STIs, which can have significant health consequences. Therefore, if you are sexually active, it is advisable to discuss contraceptive options with your healthcare provider to prevent unintended pregnancies and protect against STIs.

If you are trying to conceive, tracking your menstrual cycle and ovulation can help you identify the best times for intercourse. There are various methods available, including ovulation predictor kits, basal body temperature tracking, and monitoring changes in cervical mucus. These methods can provide more clarity on your fertile window and help you make informed decisions regarding your reproductive health.

In conclusion, while the risk of pregnancy from unprotected intercourse during your menstrual cycle is present, it is influenced by several factors, including the timing of ovulation and whether ejaculation occurred. If you have concerns about pregnancy or reproductive health, it is always best to consult with a healthcare professional for personalized advice and support.

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