Emergency contraception necessary?
Hello dear medical team,
My boyfriend and I always use condoms for contraception. Last Friday evening, we may have had a condom mishap, but we are not sure if emergency contraception is actually necessary. (I can only write today as we were on vacation abroad).
(I generally do not tolerate the pill well and had to take emergency contraception last year. I experienced strong side effects and mood swings from it. As I am currently in an exam period, I only want to take emergency contraception if absolutely necessary. If there had been an obvious condom mishap, I would have taken it already. Tomorrow (Wednesday) is the 5th day after the possible incident and I need to make a decision. Having a child is not an option for either of us yet (not for several years) as the circumstances are not right.
Now to the issue:
After intercourse, my boyfriend stayed inside me for a while (as usual), but afterwards we noticed that the sperm was not just in the reservoir as usual, but it had spread throughout the condom, with a significant amount of sperm running all the way down to the base. We then realized that the sperm can actually escape the edge of the condom with enough external pressure. However, you had to press the sperm down quite firmly. We are not sure if some may have leaked downwards. Everything was wet, but this could have also been from me. I am not sure if, after my boyfriend ejaculated, I may have continued for a very brief moment or not, which could have pushed the sperm out.
We had intercourse in the cowgirl position (very deep penetration), so if any sperm did leak out, it could have entered my vagina. However, we used a condom that was spermicidal coated from the outside.
Based on my assessment, I was in a very fertile phase. (I used to practice NFP and know the differences in cervical mucus quality). At that time, my cervical mucus quality was very good and I was in the middle of my cycle.
I am curious to know if the spermicidal coating on the condom could have killed off any leaked sperm. If some did leak out, it would have been below the condom. However, it would have to travel upwards first, right? After removing the spermicidal condom, is there still some spermicidal lubricant left in the vagina, potentially killing or immobilizing any sperm on their way up?
The condom was not broken and did not slip off.
How do you assess the risk of pregnancy in this situation? Do you recommend emergency contraception as a last resort, or do you consider hormone exposure unnecessary in my case?
Thank you for your help!
