Can You Get Pregnant After Unprotected Intercourse? Emergency Contraception - Obstetrics and Gynecology

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Unprotected intercourse during ovulation without ejaculation?


In mid-January, I took an emergency contraceptive pill.
My period came from January 27 to February 1.
On February 3, I had unprotected intercourse with my boyfriend, with withdrawal twice.
On February 5, I took another emergency contraceptive pill.
From February 6 to 7, I experienced some discharge, and on February 7, I had symptoms suggestive of ovulation pain.
That afternoon, I had unprotected intercourse without ejaculation for 30 seconds twice.
Is it possible that I could be pregnant? Should I take another emergency contraceptive pill?

Niming, 10~19 year old female. Ask Date: 2016/02/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low.
If you are still concerned, you may consider taking emergency contraception.
It is advisable to use "prevention" methods during sexual intercourse and not to rely on the safe period.
If your period is more than 1 to 2 weeks late, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2016/02/09

More Info


When it comes to the possibility of getting pregnant after unprotected intercourse, it's essential to understand how emergency contraception works and the timing of ovulation in relation to your menstrual cycle. Based on the information you've provided, let's break down your situation and clarify your concerns.

First, it's important to note that emergency contraception (EC) is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The most common forms of EC are the "morning-after pill," which can be taken within a specific time frame after unprotected sex. There are two main types of pills: those containing levonorgestrel (Plan B) and those containing ulipristal acetate (Ella). Levonorgestrel is most effective when taken within 72 hours after intercourse, while ulipristal can be effective up to 120 hours after.

In your case, you took an emergency contraceptive pill on January 15th and again on February 5th after having unprotected intercourse. The fact that you had your period from January 27th to February 1st suggests that your body was likely in the luteal phase of your menstrual cycle during the time of your unprotected intercourse on February 3rd. The luteal phase typically occurs after ovulation, which usually happens about 14 days before your next expected period. If you had ovulated around the time of your suspected ovulation pain on February 7th, there is a possibility that sperm from the intercourse on February 3rd could have fertilized an egg.

Regarding your question about whether you should take another emergency contraceptive pill, it is generally recommended to take EC as soon as possible after unprotected intercourse. However, since you have already taken EC on February 5th, taking another one may not be necessary unless you have further unprotected intercourse after that date. It's also important to note that taking multiple doses of emergency contraception in a short period is not typically harmful, but it may lead to more significant side effects such as nausea or changes in your menstrual cycle.

If you are experiencing unusual symptoms, such as abnormal discharge or pain, it is advisable to consult with a healthcare provider. They can perform a pregnancy test and provide guidance based on your specific situation. Additionally, if you find yourself frequently needing emergency contraception, it may be worth discussing long-term contraceptive options with your healthcare provider to prevent unintended pregnancies in the future.

In summary, while there is a possibility of pregnancy due to the timing of your unprotected intercourse and ovulation, the emergency contraceptive pills you have taken should significantly reduce that risk. If you have further concerns or experience any unusual symptoms, please seek medical advice for personalized care.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the effectiveness of emergency contraceptive pills is not 100%. It is recommended to use regular contraception beforehand. The chances of pregnancy should be low. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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