What is the pregnancy risk after sex on day 9 with i-pill?

Question

Hi doctor,

My partner usually experiences menstrual bleeding for up to seven days. We had unprotected intercourse on the ninth day of her menstrual cycle, and she took an i-pill approximately one hour afterward.

Could you please advise us on the likelihood of pregnancy in this situation?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

The likelihood of pregnancy is exceedingly low, as indicated by the information you provided. The reason for this is as follows:

On the ninth day of her menstrual cycle, you engaged in unprotected intercourse. Ovulation typically occurs on day 14 of a typical 28-day cycle. The fruitful window typically extends from approximately days 9 to 14, as sperm can remain in the female reproductive tract for up to five days. Although there is a slight possibility of pregnancy, the risk is not significant, as intercourse on day 9 occurs at the very beginning of this window.

It is crucial to note that she administered an emergency contraceptive pill within one hour of engaging in sexual activity. Prompt use of emergency contraception can reduce the risk of pregnancy by up to 95 % and is most effective when administered as soon as practicable.

The likelihood of pregnancy in this instance is extremely low, nearly nonexistent, due to the early intake of the emergency pill and the schedule of her cycle.

Next procedures that are recommended:

Keep an eye on her subsequent menstrual episode.
Take a pregnancy test to provide reassurance if her period is delayed by more than one week.
The punctual use of emergency contraception and the timing of the cycle suggest that this is a low-risk pregnancy situation from a medical perspective.

I hope this addresses your concern.

Please provide comments and let me know if you have any more questions.

I would be pleased to assist you further.

Thank you.