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What about precum at the tip of his penis? #291/8
I had sex for the first time on Tuesday, Feb.26 @ around 1pm during which I stopped in the middle of intercourse. I told him to stop, he pulled out and discovered that the condom broke. He didn't ejaculate or have an orgasm, neither did I. I washed immediately and I don't think I was ovulating. I didn't know what to do so I called my doctor, I didn't get to take the morning after pill until 8:40 am , Friday Feb.29. I want to know if I took the pill in time before the cut-off point of 72 hrs. or not. It was nearing the time for my period when we had sex. Does that play a role in the chances of conception? I should be getting my period around the beginning of March but sometimes it varies a little by a few days. How look should I wait for my period before I should begin to worry about pregnancy?

He said he didn’t come when we were having sex but what about the precum at the tip of his penis?  I don’t know how long the condom was broken before we discovered it.  Could I have gotten pregnant from the precum?  Also, I had bleeding after the intercourse for about a day (it wasn’t much, most likely my hymen being breached since I was a virgin, but I’m not sure).  Does my “cherry” being popped, increase my chances of getting pregnant or are they unchanged?

  



You are going to be concerned about pregnancy until your period starts whether it begins early, on time or late.  In fact, your anxiety could quite possibly cause your period to be delayed.  So let me try to allay some of your anxiety by telling you that your risk of pregnancy is very low.

 

You were protected against pregnancy in FIVE ways:

 

1. You were at a time in the cycle when the risk of pregnancy is very, very low

 

2. You practiced withdrawal very well

 

3. You used a condom

 

4. Plan B can be used for up to 5 days and you used it within time span

 

5. He didn't come at all

 

So spend some of your energy on the following questions, but first reach over behind your shoulder and pat yourself on the back. And give your boyfriend a hug too.  You both did just great.

 

1. How old are you.

 

2. How old is he

 

3. For how long have you been going out together?

 

4. What do you do to have pleasure/orgasms other than traditional vaginal intercourse?

 

5. When would you like to first have vaginal intercourse?

 

6. Is he someone whom you would consider marrying?

 

7. How old would you like to be when you first become pregnant?

 

8. What else about you would you like for me to know?

 

9. When you start having intercourse are you going to feel very comfortable using condoms?

 

10. Where are you along your educational journey?

 

I know this: you did a very good job of protecting yourself and I will be very surprised were you to become pregnant from the act of intercourse you described.

 

Good luck!

 

          The precum is very unlikely to cause pregnancy, very, very unlikely. 

 

          Below is the paragraph on pre-ejaculation fluid, written by Deborah Kowal for the 18th edition of Contraceptive Technology:

             

            “Some concern exists that the pre-ejaculate fluid may carry sperm into the vagina.  In itself, the pre-ejaculate, a lubricating secretion produced by the Littre or Cowper’s glands, contains no sperm.  Two studies examining the pre-ejaculate for the presence of spermatozoa found none.  However, a previous ejaculation may have left some sperm hidden within the folds of the urethral lining.  In examinations of the pre-ejaculate in one small study, the pre-ejaculate was free of spermatozoa in all of 11 HIV-seronegative men and 4 or 12 seropositive men.  Although the 8 samples containing spermatozoa revealed only small clumps of a few hundred sperm, these could theoretically pose a risk of fertilization.  In all likelihood, the spermatozoa left from a previous ejaculation, could be washed out with the force of a normal urination; however, this remains unstudied.”

 

The bleeding from your hymen being broken does not increase in any way your risk of pregnancy

 

          Second email on 3-1: “I wrote you before and you answered my questions and I know you told me that the chance of my becoming pregnant is very low, given the methods that were taken before and after the discovery of the broken condom, but I still have concerns.  The first concern is that my last period began on February 2nd and ended on February 7th.  I had sex for the first time on February 26th.  Could I have been ovulating at that time or not?  Also, my period in January was on the 9th and ended on the 14th.  The proceeding period before that was December 14th and ended on the 19th.  I’m waiting for my next period to begin and it hasn’t yet.  My period starts vary, so I don’t know whether to start panicking or not.  I am scared and I wish my period would start.  Is it possible that I am pregnant?”

  

            Email received 3-2: “If the Plan B emergency contraceptive can be used, as you said, within 5 days, why does it say on the box, that you must use it within and no later than 3 days (72 hours) after intercourse?”

 

            RAH reply on 3-2:  It costs millions of dollars to change a package insert from 3 to 5 days or to make any other change.  The data demonstrate that Plan B works for up to 5 days.

  

Key Words:  sex, intercourse, stopped, broken condom, ejaculate, orgasm, withdrew, ovulating, morning after pill, period, conception, pregnancy, Plan B, pre-ejaculation, vagina, penis

 

Robert A. Hatcher MD, MPH
Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA
---2008-03-13


Managing Contraception for Your Pocket 2010-2012 #9005
  


Managing Contraception for Your Pocket 2010-2012 #9005
  

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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