Pregnancy Chances After Unprotected Intercourse: Key Insights - Obstetrics and Gynecology

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Regarding the chances of pregnancy and the desire to have a child?


On February 1, after having intercourse, I went on a business trip and won't return to Taiwan until the end of February.
However, my wife mentioned this morning (February 21) that she took a pregnancy test, and it showed only one line, but her period hasn't arrived yet (the last one was on January 18).
Does this mean there is no chance of pregnancy this time? Is it possible that there was no chance from the February 1 encounter, or could she still be pregnant but the test is not showing it yet?

Cao Xiansheng, 30~39 year old female. Ask Date: 2016/02/21

Dr. Lin Wenbin reply Obstetrics and Gynecology


Please have your wife come to the clinic for an examination.
Based on your description, it seems that the likelihood of pregnancy on February 1st is relatively low.

Reply Date: 2016/02/21

More Info


When it comes to understanding the chances of pregnancy after unprotected intercourse, several factors come into play, including the timing of ovulation, the lifespan of sperm, and the sensitivity of pregnancy tests.
In your case, you mentioned that the last menstrual period (LMP) was on January 18, and you had unprotected intercourse on February 1. Given that the average menstrual cycle is about 28 days, ovulation typically occurs around 14 days after the first day of the last period. This means that ovulation would likely have occurred around February 1 or 2, which coincides with the date of intercourse. Sperm can live inside the female reproductive tract for up to five days, so if ovulation occurred shortly after intercourse, there is a possibility of pregnancy.

However, you also mentioned that your wife took a pregnancy test on February 21, which showed a negative result (one line). Most home pregnancy tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg implants in the uterus. This typically occurs about six to ten days after conception. If the test was taken too early, it may not have detected the hCG levels yet, leading to a false negative result.

Given that your wife’s period has not yet arrived, it is possible that she could still be pregnant, but the test may have been taken too early to confirm this. If her period does not start in the next few days, it would be advisable to take another pregnancy test or consult a healthcare provider for a blood test, which can detect pregnancy earlier and more accurately than home tests.

In summary, while the chances of pregnancy from the intercourse on February 1 are plausible, the negative pregnancy test on February 21 does not definitively rule out pregnancy. It is recommended to wait a few more days and retest or seek medical advice if menstruation does not occur.
Additionally, if you are considering future family planning or have concerns about pregnancy, it may be beneficial to discuss contraceptive options with a healthcare provider to prevent unintended pregnancies. Understanding your menstrual cycle and ovulation can also help in planning for pregnancy if that is your goal.

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