What are the chances of pregnancy after a condom breaks?

Question

Hello doctor,

My husband broke a condom while having sex and ejaculated inside me, what should I do now to prevent pregnancy?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Since the condom broke and ejaculation occurred inside, taking action as soon as possible is key to preventing pregnancy. If it has been less than seventy-two hours, taking an emergency contraceptive pill (ECP) like levonorgestrel as soon as possible is recommended, as it works best the sooner it is taken. If it has been between three to five days, ulipristal acetate is a more effective option than levonorgestrel. Another option is a copper intrauterine device (IUD), which is the most effective form of emergency contraception, with over ninety-nine percent effectiveness. It can be inserted by a doctor within five days to prevent pregnancy.

There are a few important considerations. If you are already using birth control or have Nexplanon (etonogestrel implant), you may not need emergency contraception. Additionally, if you experience nausea within two hours of taking the pill, you may need to take another dose.

If more than five days have passed, emergency methods will not work. If you miss your next period, take a urine pregnancy test (UPT) at home. If the result is positive, consult a doctor early in pregnancy for medical abortion pills, if necessary.

I hope this helps.

Thank you.