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Query about emergency contraceptive pills cause pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello
Doctor :   hi
Doctor :   How can I help you?
User :   i have a question, my boyfriend and i were in bed and we were having dry sex but naked and he came onto my vagina but it was on the outside, can i get pregnant this way?
Doctor :   May I know your age?
User :   20
Doctor :   Ok
Doctor :   Chances of pregnancy are high, if there is deposition of sperms in the vagina.
User :   even if his penis did not go inside my vagina at any point?
Doctor :   The chances are further enhanced if your ovulation is around.
Doctor :   If your menstrual cycle dates are not close to ovulation days, and if there was are no sperms in the vaginal tract, the chances of pregnancy are remote.
User :   would you recommend it if i took the plan b pill?
User :   ?
Doctor :   In this circumstances, I would suggest you to consider the use of plan b, if your ovulation days are close by.
User :   how effective is the plan b pill
Doctor :   It's better to be safe, then worry about this.
Doctor :   Plan b pills effectivess depends on how much you take and how long it has been since your sexual act.
User :   the sexual act was a couple hours ago and i will take it in the morning which will be within 24 hours
Doctor :   The effectiveness of the pills are better, if you are using emergence contraceptive pills(the recommended dosage is 1.5mg one tablet or 705microgram 2 pills, 24 hours). And
Doctor :   if its taken with the 72 hours following sexual act.
User :   what about the plan b onestep?
User :   its only one pill
Doctor :   Plan b one step contains 1.5mg, hence one pills withing 72 hours is sufficient.
User :   by your experience, knowing my sexual act, do u think my chances of pregnancy are high?
Doctor :   Practically, the chances are very very remote. Pregnancy chances are higher only if there was an vaginal intercourse and there was deposition of sperms inside the vaginal tract.
Doctor :   I can answer this better, if you can provide me with the details of your menstrual cycle and
Doctor :   your the date of last menstrual period.
User :   well i usually get my menstrual cycle from about the 8th- 15th of every month, last month i got it on the 12th
Doctor :   Ok.
Doctor :   Are you expecting your periods now?
User :   yes i should get it any day now since im getting a few cramps as i usually do before im expecting
Doctor :   Ok
Doctor :   If your periods are close by, then according to the calculation method of contraception, its very unlikely that your act(even if there was entry of sperms into the vagina) will lead to pregnancy.
User :   if you were in my shoes, would you take plan b or not
Doctor :   This is a diplomatic question, but I shall answer this. I would take the plan b to give me more added precaution.
Doctor :   The chances of pregnancy, is very unlikely.
Doctor :   close to impossible.
Doctor :   You can use the plan b though, if you want to be doubly safe.
Doctor :   Have you followed what I have suggested?
Doctor :   Hi
Doctor :   Are you there?
User :   but if i am not pregnant
User :   and i use plan b
User :   will it cause any side effects
Doctor :   Side effects of plan b doesn't depend on if you are pregnant or not.
Doctor :   Few side effects are reported with plan b medications.
Doctor :   The reported side effects are headaches, nausea, vomiting, menstrual irregularities, breast tenderness, weakness and so on.
Doctor :   Basically you can have symptoms similar to ones that feel when you one is pregnant.
User :   because i have read online that pregnancy is likely and that is why i am worried, knowing the circumstances, knowing that his sperm was outside of my vagina, youre opinion is that it is very unlikely to get pregnant?
Doctor :   However these effects are not permanent.
User :   his sperm touched the lips of my vagina
Doctor :   Theoretically, there are chances of pregnancy if there is deposition of sperms close to the vagina. As sperms have the capability to swim across.
Doctor :   But practically very few to almost nil number of pregnancy are reported with such as act.
Doctor :   You also have the addition advantage, that your period are close by
Doctor :   this means,
Doctor :   that there is no ova inside. Even if the sperms enter, it can fertilize it
Doctor :   and plus if you are going to have the periods in the next few days, its expected, that all the contents are shed off.
Doctor :   You have all this points that will not favour the pregnancy.
User :   ok so as a physician, what is your final suggestion
User :   plan b or no plan b?
Doctor :   There is not going to be any major disadvantages in taking the plan b.
Doctor :   hence you can consider taking this to give you an additional prevention.
Doctor :   Hence go ahead and use the plan B.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes i will use the plan b in the morning
User :   thank you
Doctor :   Do you have any other query?
User :   no
Doctor :   Thanks for consulting me. Bye for now.
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