Which contraceptive method is best?
Patient's Query
Hello doctor,
Can I get pregnant three days before my period even if I used the pull-out method? I am 5 feet 8 inches, 114.6 pounds, and 19 years old. Is there a contraceptive I can use, today is the fourth day since sex.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
The chances of getting pregnant three days before your period are very low but not zero. Here is why:
1. Low likelihood of pregnancy before your period- Ovulation usually happens about 14 days before your period in a regular cycle. If you had sex three days before your period, your body was likely in the luteal phase, when pregnancy is less likely. However, if your cycle is irregular or if you ovulate late, there is a small chance of conception.
2. The pull-out method is not 100 percent reliable- Pre-ejaculate (precum) can contain sperm, and withdrawal is not always perfect. The pull-out method has about a 20 percent failure rate, meaning one in five couples using it gets pregnant each year.
3. Emergency contraception options- Since today is the fourth day after sex, you still have time to take emergency contraception:
Morning-after pill (Levonorgestrel-based, like Plan B or i-Pill) – Works best within 72 hours, but some brands work up to five days.
Ella (Ulipristal acetate) – This can be taken up to five days after sex and is more effective than levonorgestrel if you are near ovulation.
Copper IUD (intra-uterine device) – Can be inserted within five days and is 99 percent effective in preventing pregnancy.
What you should do now-
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If you are still within five days, take emergency contraception to lower your risk.
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If your next period is late, take a pregnancy test one week after your missed period.
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Consider starting a more reliable birth control method like pills, an IUD, or an implant for future protection.
Would you like recommendations on a birth control method that suits your lifestyle?
I hope this helps.
Kindly follow up if you have more concerns.
Thank you.
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