Dr. Obinna Ugwuoke
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Me and my fiance never engaged in intercourse or penetration. During an incident last month, I wore a condom for safety while dry humping with my fiancée. While on her back, my penis touched the top side of her buttocks, and when I realized ejaculation was imminent, I withdrew, discovering that the condom had broken. This led to some semen coming into contact with the top side of her back, and she mentioned feeling some near her anal area. We are concerned that sperm might have reached her vagina, potentially causing a pregnancy. As a precaution, she took an emergency contraceptive (Unwanted 72) within a few hours.
Her menstrual cycle usually lasts around 29 to 30 days, with her last period before the incident. Here are additional details:
Post the emergency contraceptive, she experienced brown spotting for several days around the time of her expected period. This was unusual for her, prompting us to seek advice. A gynecologist conducted a check and found everything normal except for a normal cyst in her left ovary.
The doctor prescribed CRINA NCR 10 MG and advised her to take it for five days to induce bleeding. However, due to certain reasons, she delayed taking the medication. A blood test during this time revealed low hemoglobin and iron levels. She later followed the doctor's instructions and took the medication on the prescribed dates. However, after stopping, she experienced on-and-off brown spotting for a few days. Unsatisfied with the initial gynecologist's response, we sought a second opinion, and the new doctor diagnosed her with PCOD.
We are both worried and uncertain about the possibility of pregnancy, especially considering the spotting she experienced. Despite several negative pregnancy tests conducted after the incident, we are seeking advice regarding her irregular bleeding. Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
I read your query and understand your concern,
It sounds like you have been through a lot lately. The slight contact between sperm cells and her buttocks typically will not lead to pregnancy, which aligns with the negative pregnancy test results you have seen. It is possible that your girlfriend might have higher progesterone levels from a persistent corpus luteum cyst following ovulation. This might be preventing a drop in progesterone levels needed for ovulation, explaining the brownish spotting post the synthetic progesterone (CRINA NCR). The scan does not distinctly indicate features of Polycystic Ovary Syndrome (PCOS), raising doubts about that diagnosis.
My suggestion would be to halt any medication for now. If her period has not resumed naturally after five weeks, it might be worth considering re-inducing menstruation. By then, most corpus luteum cysts should have resolved, and using CRINA NCR could potentially help induce her period in a more typical manner. Take some rest and this does not seem to be a major issue at hand.
I hope this helps. Feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply
I just wanted to know that there is no penetration in the Entries Act and for safety purposes, my girlfriend took an unwanted 72 (emergency contraceptive) within four hours. And is there any chance of pregnancy after getting continuous UPT negative results after two months of that act? Kindly help.
Thank you.
Hi
Welcome back to icliniq.com.
No, there is no chance of pregnancy.
Thank you.
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Obstetrics and Gynecology
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