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Can pre cum cause pregnancy?

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HI, My boyfriend and I had sex last night and the condom broke. It happened before he ejaculated but there was pre-cum in it. Apparently some sperm can be left in the pre-cum from a previous ejaculation. He had just ejaculated about 20 minutes before during oral sex and didn't use the bathroom in that period. I am on day 11 of my menstrual cycle so I will ovulate soon and since sperm can survive up to five days, I'm worried I may be pregnant and am hoping you could tell me if I should take the morning after pill. Thank you so much.

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Category: Family Physician-GP
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Hello, I understand your concern. Pre cum contains sperms that can cause pregnancy without ejaculation directly into the vagina. During pregnancy there is a hormone produced known as the Human chronic gonadotropin (HCG), which is seen in blood and urine. This is produced immediately after fertilization of the egg and gradually increases and reaches optimum levels during 4- 6 week of pregnancy. There are two types of tests to determine pregnancy:

a) Urine tests: here since HCG is also seen in urine, a convenient method is known as Home pregnancy test can be done where the urine sample can detect the levels of HCG and confirm the pregnancy. However sometimes there is a small percentage of false negative where it is seen in three conditions:

a)You have tested 6-7 days after ovulation using a home kit. In such a case, the test appears negative, as there is not enough HCG in the urine.

b)Urine is diluted as the patient as had a lot of water, so the test appears negative.

c)Sensitivity of the test is low as seen in home kits.

The other available test is the blood test where HCG levels are measured in the blood and is more accurate than the urine test and can detect much earlier than the urine test. I would suggest you to use a morning pill like Ella which gives protection for 120 + hours. Thank you.


Dr. John Monheit
Category: Family Physician-GP
Experience: 
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

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