Is Pregnancy Possible After Protected Intercourse? Symptoms - Obstetrics and Gynecology

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When it comes to the possibility of pregnancy after protected intercourse, it's important to understand the effectiveness of contraception methods and the timing of sexual activity in relation to the menstrual cycle. In your case, you mentioned using a condom during intercourse on January 29, and that your menstrual period started on January 31. This indicates that you likely were not in your fertile window at the time of intercourse, as ovulation typically occurs around the midpoint of the menstrual cycle, which for a 28-day cycle would be around day 14. However, since you have a longer cycle averaging 34 days, ovulation may occur later, around day 20.
The use of condoms is generally effective in preventing pregnancy when used correctly. According to the Centers for Disease Control and Prevention (CDC), condoms have a typical use effectiveness rate of about 85%. This means that while they are a reliable form of contraception, there is still a small chance of pregnancy due to factors such as breakage, slippage, or improper use.
You also mentioned an incident on February 9 where there was friction but no ejaculation inside the vagina. This is known as the withdrawal method, which is not a reliable form of contraception on its own. Pre-ejaculate fluid can contain sperm, and if any sperm were present, there is a slight chance of pregnancy, although it is generally low.

Regarding your symptoms of lower abdominal pain, breast tenderness, and increased vaginal discharge, these can be associated with various conditions, including premenstrual syndrome (PMS), hormonal changes, or even early pregnancy. However, given that you had a menstrual period shortly after the protected intercourse, it is less likely that these symptoms are due to pregnancy.
If you are concerned about the possibility of pregnancy, the best course of action is to take a home pregnancy test. These tests are most accurate when taken after a missed period. If your symptoms persist or worsen, or if you have any concerns about your reproductive health, it would be advisable to consult a healthcare provider for further evaluation.
In summary, while the chances of pregnancy after protected intercourse are low, especially with the use of condoms and the timing of your menstrual cycle, it is not impossible. Monitoring your symptoms and taking a pregnancy test if your period is late will provide clarity. Additionally, if you have ongoing discomfort or unusual symptoms, seeking medical advice is always a prudent step.