Am I at risk of pregnancy after unprotected sex during hormonal therapy?

There’s a possibility of pregnancy whenever you engage in unprotected sex, even if ejaculation didn’t occur inside you. This is due to the potential presence of sperm in pre-ejaculate fluid. Being on hormonal therapy for irregular periods doesn’t specifically prevent pregnancy unless it’s a contraceptive like the birth control pill, and since it seems you only started the treatment recently, it wouldn’t offer full contraceptive protection immediatelay. Given your situation, it would be wise to consider using emergency contraception, if it’s within 72 to 120 hours of the unprotected intercourse—effectiveness decreases the longer you wait, so it’s advisable to act quickly. Meanwhile, at the five-day mark after starting hormonal treatment, it’s possible to experience cramping as your body respondsto the medication, which might also cause some irregularities in your bleeding or cycle at first. If your period doesn’t start as expected, or if you’re worried about pregnancy, taking a home pregnancy test 2-3 weeks after the unprotected sexual encounter can provide more clarity. It’s also smart to use condoms or another reliable form of contraception in future encounters to mitigate risk of pregnancy and sexually transmitted infections. If you have concerns about obtaining emergency contraception or require further guidance, reaching out to a healthcare provider for confidentiality and advice would be a good next step.