Broken Condom

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Broken Condom (Written by Dr. Pluhar)
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HTHGS: Broken Condom (Written by Dr. Pluhar)

Ask Erika,
Recently, my girlfriend and I (both virgins) tried experimenting with penetration. we used a condom, even though I didn't cum inside her. When I took the condom off, I realized that it had ripped. My question is, how worried should I be about her getting pregnant. I know the body sends fluid through the urethra before ejaculation to clear the passage, and that fluid contains some sperm, but I am not even sure that happened, I can usually feel it. I just need to quell some fears. thank you very much,
Worried

Dear Worried,
Thank you for your question. You are right--it is possible for preejaculatory fluid ("precum") to contain sperm that could have entered the vagina through the ripped condom. Thus, there is a risk of pregnancy. If you and your girlfriend want to do everything you can to make sure that doesn't happen, you need to act FAST.

You may have heard of something called emergency contraception. This is contraception that is used *after* sex in order to prevent pregnancy from occurring. There are several options: your girlfriend can take a larger-than-normal dose of the hormones that are found in birth control pills WITHIN 72 HOURS after the unprotected act of intercourse. She can take pills with estrogen and progestin in them or pills that only contain progestin. Although side effects for both possibly include nausea and vomiting, studies have shown nausea and vomiting to be much less when using progestin-only pills than when using combined pills. They are also more effective (98.9% vs. 96.8%). **NOTE: It is important to speak with a health care provider about the correct dosages and to get a prescription. Do not attempt to dose the pills yourself.

Your girlfriend may also have an intra-uterine device (IUD) inserted in her uterus to prevent pregnancy and provide on-going long-term contraception. This method is 99.9% effective and has to be initiated WITHIN 5 DAYS of the unprotected act of intercourse.

Either way, it is very important to call the emergency contraception HOTLINE at 1-888-NOT2LATE to get information and the names and phone numbers of clinicians in your area who will prescribe emergency contraception.

If you want to do everything you can to prevent a possible pregnancy, remember that you need to ACT FAST. Call 1-888-NOT2LATE to get started. Good luck and thanks for your question and concern. Erika

This tip was originally written by Erika Pluhar, PhD (c))

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The Founder: "Alex" Caroline Robboy, LCSW, QSW, CAS "Alex" Caroline Robboy is a certified sex therapist through the American Association of Sex Educators, Counselors and Therapists and an American Board Certified Sexologist. In addition, she is a clinical member of the American Association of Marriage and Family Therapists and a member of the North American Society for Psychological Obstetrics and Gynecology.
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