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    Could We Be Pregnant? Best answer on the web
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  • A very quick question, but it'll take a minute to explain. Keep in
    mind I'm seventeen and my girlfriend is fourteen, as I've heard it has
    a lot of bearing on the situation.

    On homecoming, the twenty-fourth of last month, my girlfriend and I
    had unprotected sex. It was less than three days after the end of her
    menstruation, and I came nowhere near orgasm, but our fears didn't
    abate until very very recently after two negative pregnancy tests and
    even MORE recently when she had her period on schedule -- and heavy.

    The MAIN concern now is last Wednesday, when we were committing an act
    of mutual masturbation. In short, I penetrated her at length with a finger that
    might have had semen on it -- although a good deal of it was licked
    off during sexplay I understand there might be a chance the sperm
    would have still been viable. We have already passed the point that
    emergency contraceptives would work, being more than five days since
    Wednesday. Although she's not worried I get the feeling I SHOULD be.

    QUESTION:
    Considering this happened two days before her period started, what are
    the chances that my girlfriend could be pregnant from this encounter?

    BONUS QUESTION:
    After our FIRST pregnancy scare, we decided that oral contraceptives
    would be a very good idea. She began her first 28-day regimen of
    Ortho Tricyclen on Sunday, the day her period ended. How early would
    Ortho Tricyclen begin to delay my girlfriend's ovulation? How would
    this affect our chances of becoming pregnant from Wednesday?

    A quick reply would be much appreciated and my eternal gratitude will
    go toward the person with the best answer. Thanks muchly.

    Merthedil


  • I?ve not seen any studies that indicate how much contraceptive must be ingested or metabolized before the maximum effect can be expected. I do know that in clinical trials 1,651 women participated in one study alone and took Ortho Tri-Cyclen a total of 24,272 times and in the end only 8 of them got pregnant. Mathematically that is equivalent to a typical user efficacy of 0.96 pregnancies per 100-woman years.
    In four other clinical trials involving almost 5,000 women only 42 got pregnant. This registered an efficacy range from 0.68 at best to 1.47 at worst. In simpler terms, the drug proved to be a reliable means of contraception at a rate of about 98.53% to 99.4% effectiveness in all clinical trials conducted.
    On page 2 of this document (item #11) you will also note that Ortho-McNeil Pharmaceuticals, the manufacturer of Ortho Tri-Cyclen, warns that heavy vaginal bleeding can also be present in some patients, especially in the first three months of use. Maybe this will help to allay your fears where that issue of your question was concerned. ?Breakthrough bleeding?, as it is called, is mentioned again under ADVERSE REACTIONS on page 3, and a third time under SIDE EFFECTS on page 5.
    Page 6 will give you instructions for the Sunday Starter and the Day One Starter. The Sunday starter should use a backup method of birth control in the first few days. The Day One Starter does not need to. The insert will explain further. Here?s the insert for the drug. Everything mentioned in this follow-up clarification can be read about and verified here:
    ORTHO-MCNEIL PHARMACEUTICALS
    http://www.ortho-mcneil.com/products/pi/pdfs/cycltri.pdf

    I hope this helps. I look forward to your final comments.

    Regards;
    Tutuzdad-ga


  • Being a qualified gyanecologist, I would add : 1. It is always advisable to start the first pack of oral pills from the first day of menstrual cycle, and to start another pack 7 days after the last pill is over. 2. It is not safe to have unprotected sex during the first 15 days of a new pill cycle after which the protective effect of oral pill is well established. 3. It is extremely extremely improbable to have a pregnancy if sexual intercourse is done 2-3 days prior to the initiation of menses since menstrual period begins 14 days after the ovulation- which in turn is the key event of pregnancy intiation. So as a rule of thumb: 1. Avoid unprotected sex- use condoms- to protect against sexually transmitted disease and pregnancy- flip side - it has a notoriously high failure rate in preventing pregnancy and also use oral pills - is extremely effective in preventing unwanted pregnancy. Will save u 20 dollars in asking questions as well. :) Just kidding regards


  • Thank you, sir! Your answer really helped me think out what my risk factors were and what precautions I need to take in the future. You managed to assail my fears without mollycoddling me. Well done! (I apologize that I cannot tip any more than I am; I'm running rather low on money lately. You certainly deserve more!)


  • Your answer really is top-drawer, destined for a five-star review. The only reason I ask for a clarification is if you found anything during your previous search -- have there been any studies that indicate when oral contraceptive hormone levels are usually high enough to prevent conception? For that matter, how much SHOULD one stress the one-week rule for a Sunday starter? (Meaning a woman who started taking Ortho Tricyclen on the first Sunday after her period.)
    I for one know my girlfriend and I will respect the seven-day rule to the utmost, especially in light of recent events. I doubt we have much of a chance of being pregnant, but I will still ask if she wishes to take a pregnancy test in three or so weeks. Yes, I know I shan't take advice on Google Answers as being professionally mandated, but your advice sounds pretty fair -- and probably no more sophisticated than a professional opinion, given how little information we have to present.
    If these questions fall out of the line of a simple clarification, the last thing I want to do is finagle any more answers out of you; you've gone above and beyond the call of duty. I think a tip is very much in order for this one, sir!


  • Dear yamathan-ga;

    Thank you for allowing me to answer your interesting question. We cannot provide medical advice in this forum so please keep in mind that this is not the intent of my answer. Also, it would be irresponsible of anyone to say to you that they are sure (to any degree of percentages) with absolute certainty, of your girlfriend?s likelihood to conceive given this, or any scenario, even under the best of circumstances.
    So with that aside I?ll answer the bonus question first:

    The drug ORTHO TRI-CYCLEN begins working upon taking the first pill. That is not to say that pregnancy has not already occurred and that the first pill will prevent pregnancy to a predictable degree (the operative word here is ?starts? working). Even so there is still a small chance that pregnancy can occur even though the patient is taking ?the pill?, however, under normal circumstances, the chances are generally in the 1-2% range. The information insert in the prescription package should outline the ?maximum? effectiveness period for you in greater detail. Keep in mind that no contraceptive method is proven to be 100 percent effective, even at the maximum effective dosage and so it is with Ortho Tri-Cyclen.
    THE PILL
    http://www.thepill.com/ortho-tri-cyclen-lo/when-does-the-birth-control-pill-start-working.html
    As for your concerns, a heavy menstruation cycle is not indicative of pregnancy in most women. I wouldn?t be too concerned about that it she isn?t (after all, she would know if this was an unusual event for her and she seems to be unalarmed by it).
    There is no way to predict the ?chances? that your unsafe foreplay will lead to pregnancy. What is certain is that such activity is not the wisest thing to do if you are trying to avoid one. Any time there is close vaginal contact or vaginal penetration, however slight, and the contact or penetration involves even the most remote exposure to semen, there is a probability that she could become pregnant, no matter what activity or object the contact or penetration involves. Along that same line, the lack of male climax is no assurance against pregnancy, so the fact that you did not reach a climax during your encounter cannot be relied upon as a determining factor of risky vs. non-risky behavior/activity. Furthermore, age (where it applies to youth) really doesn?t matter in terms of fertility and how likely one is to become pregnant because a menstruating teen is generally as capable of conceiving a child in the same way and with the same associated risks that any other mature, healthy, fertile woman is capable.
    How likely is it that your girlfriend got pregnant during your risky foreplay encounter? Well, its hard to say exactly with a specific number value but suffice it to say that according to the sources I consulted one has only about a 20% chance of becoming pregnant even if there the parties are COMPLETELY unprotected and they are TRYING to become pregnant.
    BARNARD COLLEGE STUDENT HEALTH SERVICES
    http://www.barnard.edu/health/morningafterpill.htm

    INVERNESS MEDICAL INNOVATIONS
    http://www.invernessmedical.com/LCPlanningPregnancy.cfm

    Considering the activities you mentioned and the possibility of that type of semen contaminated penetration resulting in pregnancy, relax, I think the chances are remote at best (but there?s always that chance, isn?t there?). If you?re worried pick up a pregnancy test that detects the presence or an early hormonal indicator and do the test. There are some out there on the market that can supposedly detect pregnancy immediately. You can also, of course, consult a physician. In the relatively unlikely scenario that she has become pregnant, she should (obviously) discontinue taking the drug IMMEDIATELY and contact her doctor.
    I want to close by saying this: It would also be irresponsble to suggest that while statistically the probablility of pregnancy in your case is probably small, my research in no way condones risky behavior, nor does it suggest that the probability of pregnancy is remote in all cases. I won?t play ?Dad? to you, though my name implies that I might. Just do yourselves a favor and don?t push your luck. Do the test and consider both of yourselves lucky ? this time.
    I hope you find that my answer exceeds your expectations. If you have any questions about my research please post a clarification request prior to rating the answer. Otherwise I welcome your rating and your final comments and I look forward to working with you again in the near future. Thank you for bringing your question to us.
    Best regards;
    Tutuzdad-ga ? Google Answers Researcher



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