Pregnant by precum

Can you get pregnant from precum? It is often claimed that this is impossible, but precum sometimes contains sperm cells. Theoretically, you could get pregnant from precum alone. The question is how often this happens and whether it is necessary to take precautions. Because if you don’t want to get pregnant, it’s better to be careful. The chance of pregnancy is also determined by factors such as age and health.

What is precum?

Precum is the fluid that comes out of a man’s penis before he has had an orgasm. This fluid is created during sexual arousal. The purpose of the precum is to serve as a lubricant and to remove urine residues in the urethra. Close to the prostate are two glands that produce precum. The precum that comes out is often discharged just before ejaculation. However, the precum does not mean that the man will actually ejaculate.

Sperm cells in the precum

The precum sometimes contains a small amount of sperm cells. These sperm cells are just as normal as the sperm cells found in semen. Precum therefore does not contain deformed or ‘infertile’ sperm cells, at least no more or less than in semen. On average, 70 percent of all sperm cells are malformed or unable to fertilize an egg. That is a high percentage, but since approximately 250 million sperm cells are released during ejaculation, more than 75 million sperm cells will be suitable for fertilization.
Precum sometimes also contains sperm cells. This is a small amount and is left behind when the man has had an orgasm not long before. Although the number of sperm cells remains very small, there is a chance that a woman can become pregnant.

Urinate beforehand

Urine breaks down sperm cells. The purpose of pre-cum is to neutralize the pH in the urethra, so that the sperm cells that come with ejaculation can easily pass through the urethra without dying. Men who have urinated beforehand have fresh urine in the urethra. The chance that the sperm cells that were in the urethra will remain alive is zero. The precum that comes out will therefore not contain any living sperm cells due to residual urine.

Chance of pregnancy

A couple trying to get pregnant normally has the following chances of becoming pregnant:

  • Within three months, 50 percent are pregnant
  • Within six months, 70 percent are pregnant
  • Within 12 months, 85 percent are pregnant
  • Within 2 years, 97 percent are pregnant

Sometimes couples use ‘leaving church before singing’ as a contraceptive. This is also very nicely called coitus interruptus. This method consists of withdrawing the penis from the woman before ejaculation. The man must feel an ejaculation for this. Young men often do not feel this enough, so this method is certainly not suitable for ‘beginners’ or for men who cannot control themselves. The reliability of this method is 65 to 85 percent. This depends on the amount of precum with any sperm cells present and whether a man withdraws in time. On average, 15 to 35 percent of women who use this method become (unwantedly) pregnant. In theory, this method should be 100 percent reliable, but that is certainly not the case. Reliability is increased if sex only takes place outside the fertile period. Ovulation tests can be used to determine when a woman is fertile. When this is combined with coitus interruptus, the reliability can be as high as 97 percent.

Pregnant, what now?

If you have become pregnant due to precum, this is shocking. After all, you don’t expect it. An (internal) ultrasound can provide more certainty about the gestational age, in case you still have doubts about this. You can now discuss with your partner what you want and are going to do. The pregnancy can be terminated if you really do not want a child. This is called an abortion. For this you go to an abortion clinic or to a hospital. The abortion pill can also be used up to three weeks late. Another option is to allow the pregnancy to continue. You have many months to prepare for the arrival of a child. Some women choose to have the baby born and then give it up for adoption. This is a difficult choice. Fortunately, help is available, whatever choice you make. Ask your doctor for more information about this.

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