There are many questions on the webboard related to sexual intercourse and contraception, which many people might want to know about. Dr. Ruangkit Sirikanchanakul has provided answers. Let’s look at the questions–answers.
1. After using a condom and finishing intercourse with my partner, semen was found to have leaked to the base outside the condom. Is there a chance it could enter ❓
Answer There is a high possibility that sperm has already entered the vagina because the penis softened and the condom slipped off. The penis was withdrawn slowly (when it should have been withdrawn while still erect) so there is a chance of pregnancy. It is better to take emergency contraception as a precaution.
2. I just took emergency contraception 2 days ago and had intercourse again today. Should I take it again❓
Answer The truth is, one set of emergency contraceptive pills 1 known as Postinor or Madonna 2 pills, each containing levonorgestrel 0.75 mg, cannot cover more than 1 instance of intercourse. Simply put, it can only prevent pregnancy from one instance of intercourse
Therefore, you need to take emergency contraception again. However, the doctor recommends that next time, if planning to have intercourse, you should use condoms or abstain until the woman is on a 21 or 28-day contraceptive pill or has received a contraceptive injection. This is because these methods are more effective in prevention.
Emergency contraception works by inhibiting or delaying the development of the ovarian follicle or its rupture If taken during ovulation, it may not prevent pregnancy, or you might be lucky not to get pregnant because intercourse occurred more than 24 hours after ovulation. If you have intercourse 2 times in one day, you can take emergency contraception 1 time afterward
Currently, there is a new type of emergency contraception that combines the 2 pills into 1 pill containing levonorgestrel1.5 mg, which is as effective as the 2 pill version but more convenient as it doesn’t require timing. If your period doesn’t come as usual within three weeks after taking the pill, you should take a urine pregnancy test to ensure you are not pregnant.
3. Had intercourse with my partner last week without a condom. After intercourse, I bought the new single-pill emergency contraception and took it 30 minutes later. But it’s been 1 week and my period hasn’t come. Could I be pregnant ❓
Answer Out of one hundred women who have unprotected intercourse (without any protection) 8 will become pregnant. But if emergency contraceptive pills are used, the number of pregnancies reduces to 1-3 people. However, it should only be used in emergencies, not for long-term, regular, or repeated contraception. This is emphasized because the pill only reduces the chance of pregnancy. The sooner it is used, the more effective it is, as in this case where it was taken 30 minutes after intercourse. It can be used within 5 days or 120 hours after intercourse and provides pregnancy prevention effectiveness of 52-94%
4. After taking emergency contraception, how many days will it take for my period to come ❓❓
Answer After taking emergency contraception 1 week later, there may be spotting from the vagina. Many people often mistake this for a period, but it is actually a side effect that can occur, which is due to levonorgestrel, a synthetic progestin hormone in emergency contraception The period may come slightly earlier or later than usual, but it usually coincides with the usual date. Regarding the period after taking emergency contraception
5. Had intercourse when my period was almost over, meaning there was only a little period left after taking emergency contraception. Ejaculated outside, did not use a condom. After intercourse, there was a little blood like a period. Now it’s been 3-4 weeks and my period hasn’t come. Is there a chance of pregnancy❓
Answer This question involves understanding 2-3 issues. The first issue is having intercourse when the period is almost over, but there was very little bleeding and it wasn’t mentioned how many days after taking emergency contraception the bleeding occurred. The very light bleeding is likely not a period. Many people will have bleeding about 7 days after taking the pill, which is a common side effect and is usually spotting. If intercourse occurs during this time, it is not during the menstrual period, and ovulation may occur during or after this time.
The second issue is having a little bleeding after intercourse, which is likely due to pre-existing bleeding and is not abnormal. However, if there is heavy bleeding, abdominal pain, continuous bleeding, or yellowish discharge, it is abnormal. Please see a doctor to find the cause for appropriate treatment.
The third issue is that 3-4 weeks have passed and the period hasn’t come. Could there be a pregnancy? After taking emergency contraception, the next period may come on time, later, or earlier than usual by 1-2 days, but not more than 1 week. The amount of the period may increase, and the duration may shorten. Therefore, after taking the pill, the period should come within 3-4 weeks.
In summary, there is a chance of pregnancy. Take a urine pregnancy test. Many women are still unaware or unsure of which days they can get pregnant after intercourse. If they are not ready to become pregnant and cannot care for a newborn, Dr. Ruangkit has explanations for women who are curious and want to be cautious. Here are some example questions that have been asked.
6. I started my period on the 18th and had sex on the 1st and ejaculated inside. Could I be pregnant, and when can I start testing my urine to find out❓❓
Answer According to the question, intercourse occurred on the 13-14th day of the menstrual cycle. If the cycle is 28 days, there is a very high chance of pregnancy because it is likely the exact day of ovulation! Urine pregnancy testing should start 2-3 weeks after intercourse. However, if it is past the 13-16th day or within 12-24 hours after ovulation, even if there is sex, fertilization may not occur, and the egg will disintegrate. On the 28th day, progesterone and other hormone levels will decrease, and the thickened uterine lining will shed as a period.
But !!! women with irregular periods, meaning cycles that are sometimes short and sometimes long, will find it difficult to know when ovulation occurs and are at risk of pregnancy >>>>>The important thing is that ovulation can occur even without a period, and a period can occur even without ovulation<<<<< It’s better to be sure and prevent pregnancy by using contraception and wearing condoms every time. This prevents both pregnancy and sexually transmitted diseases.
Source: Questions from the webboard answered by Dr. Ruangkit Sirikanchanakul, RSA Volunteer Network Coordinator