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Ryzyko zajścia w ciąże przy nieregularnych cyklach
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Sexual Health & Wellness
Question #19927
57 days ago
148

Ryzyko zajścia w ciąże przy nieregularnych cyklach - #19927

Jam

Dzień dobry, proszę o ocenę ryzyka ciąży w następującej sytuacji: doszło do bardzo krótkiej penetracji pochwy (~30 sekund), bez ruchów i bez wytrysku, tylko preejakulat. Wcześniejszy wytrysk miał miejsce 5 h wcześniej i po nim oddawałem mocz kilka razy. Partnerka ma 17 lat, nieregularne cykle, okres spóźnia się 7 dni, pojawił się biały śluz i uczucie “jak przed okresem”. Jakie jest realne ryzyko ciąży?

Age: 18
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
57 days ago
5

In this situation, the real risk of pregnancy is very low to nearly negligible. The contact involved only very brief vaginal penetration without thrusting and without ejaculation, and the exposure was limited to pre-ejaculate. Since the previous ejaculation occurred several hours earlier and urination took place multiple times afterward, the likelihood of viable sperm being present in pre-ejaculate is extremely small. In addition, irregular menstrual cycles can commonly cause delayed periods, and symptoms such as white discharge and a “pre-period” feeling are more consistent with hormonal changes before menstruation rather than early pregnancy. Overall, while no sexual contact is ever absolutely zero risk, this scenario does not represent a realistic pregnancy risk; a pregnancy test can be done after 14–21 days only for reassurance if anxiety persists.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
56 days ago
5

Hello dear See as per history pre ejaculation was there so chances of pregnancy exist. However for exact clarification please get pregnancy strip test blood HCG test for better clarity and share result with gynaecologist in person for better clarity Regards

1847 answered questions
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Ryzyko zajścia w ciążę w opisywanej sytuacji jest teoretycznie niskie, ale nie można go całkowicie wykluczyć. Preejakulat może zawierać niewielką ilość plemników, choć ich obecność jest niepewna i nie w każdym przypadku występuje. W sytuacjach, gdzie doszło do wcześniejszego wytrysku, jednak po nim oddawałeś mocz, prawdopodobnie niewiele z tych plemników pozostaje, ale nie ma stuprocentowej gwarancji. Preejakulat sam w sobie bez wcześniejszego wytrysku zwykle nie zawiera plemników. Nieregularne cykle mogą również utrudniać dokładne ocenienie momentu owulacji, co dodatkowo komplikuje oszacowanie konkretnego ryzyka. Zdarza się, że objawy takie jak opóźnienie miesiączki czy biały śluz mogą być częścią naturalnych fluktuacji hormonalnych. Żeby wykluczyć ciążę, najlepiej wykonać test ciążowy, który można zrobić już po 7–10 dniach od stosunku. Jeśli wynik testu będzie pozytywny lub istnieje niepewność co do wyniku, warto skonsultować się z ginekologiem. W przypadku dalszych opóźnień czy nietypowych objawów, również wizyta u lekarza może pomóc w wyjaśnieniu przyczyn zaburzeń cyklu. Być może warto rozważyć stosowanie metod antykoncepcyjnych, które mogą zapewnić większy spokój psychiczny i mniejsze ryzyko nieplanowanej ciąży w przyszłości. Proszę także mieć na uwadze, że doradztwo antykoncepcyjne jest kluczem do zapobiegania takim sytuacjom.

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