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Failed birthcontrol and pregnancy risks - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   If a condom breaks during intercourse but the semen seems to be visible outside the vagina, what are the chances that it will result in a pregnancy?
Doctor :   hi
Doctor :  
ok
Doctor :  
the semen or trace of it near vagina can result in pregnancy
Doctor :  
as due to the wet conditions, sperms swim up in the genital tract
Doctor :  
when was the last menstrual period?
User :   about a month ago
Doctor :   what is the menstrual cycle length? is it 28 days? 30 days? or more?
User :   around 30
Doctor :  
and which day after the first day of bleeding did this incident occur?
User :   it just happened today
User :   she hasn't started her period yet
Doctor :  
if the cycles are of 30 days, then the ovulation will occur anytime between 8th to 16th day taking day1 as the first day of bleeding
Doctor :  
so any intercourse at that time (ovulation time) without protection can lead to pregnancy
User :   ok she recently switched her birth control about a month ago but we arent sure if its active or not and if it is ...how active?
Doctor :  
if she is not starting her periods in next 5 days, get a urine pregnancy test done or a beta HCG levels in blood done
Doctor :  
have you followed what i have said?
User :   yes
Doctor :  
Is there any thing else I can help you with?
User :   and also we have thought about taking the plan B contraceptive pill but she has taken in a couple times already this year...are they bad for you?
User :   I have heard that they can cause infertility
Doctor :   the plan B contraceptive is to be used in emergency

Doctor :  
which does not mean that th emergency is happening every now and then
Doctor :  
either you should follow a correct and strict method of contraception
Doctor :  
or follow safe sex measures
User :   by this year i meant the past 12 months
User :   but i understand
Doctor :  
popping up pills every now and then will result in undue side effects
Doctor :  
so tell her to follow her BCP strictly
Doctor :  
for now wait for next 5 days, get a pregnancy test done
User :   we don't want to risk it. is that the best option though?
Doctor :   if you do not want the pregnancy to happen, then its best to follow a contraceptive method strictly
Doctor :  
such that further similar situations are avoided
Doctor :  
Is there any thing else I can help you with?
User :   should we get the plan B pill or not though?
Doctor :   Please fill the feedback form and comment box, and say done when done while I answer your next query
Doctor :  
since she has changed her BCP recently, it is advised that you go for plan B within 72 hours of the incident
User :   done
Doctor :  
as we do not know her ovulation status at present
User :   ok but since she is almost at the beginning of a new cycle, and you said that ovulation would approximately occur between the 8th and the 16th then it is unlikely that she is ovulating am i correct?
Doctor :   if she was on her regular pills then this is correct

Doctor :  
but since she has changed it so it might vary
Doctor :  
see, ovulation occurs when there is a hormonal surge in th body
Doctor :  
when you are on pills, then this does not happen, and so the ovulation does not happen
Doctor :  
when on BCP regularly, then ovulation is suppressed
Doctor :  
when there is tim egap in betwenn, again the cycle is disturbed
Doctor :  
when there is change of BCP, using a different hormone combination or a differnet hormone itself, then also there might be changes that are not easy to predict
Doctor :  
have you followed what i have said?
User :   ok that makes sense...now lets say at worse case scenario her birth control fails or is ineffective, so she did ovulate would it still be through the 8th or 16th?
User :   and*
Doctor :  
well, that also depends onm when the new pack was started, and whether it was similar to the old one
Doctor :  
*on
User :   ok
User :   I think I understand now
Doctor :  
ok
User :   thank you for your help
Doctor :  
Is there any thing else I can help you with?
User :   no i think that is it thank you
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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