Can a woman get pregnant if she has irregular periods and has sexual intercourse?

Patient's question:

These last two months, my menstrual cycle has been quite irregular. It might be because I often stay up late every night. Also, I had sexual intercourse recently. I'm a bit worried about getting pregnant, so I want to ask if irregular menstruation can lead to pregnancy after having sex?

Doctor's answer:

Although you have irregular menstruation, it cannot be said that you cannot go through menopause, because the ovulation period cannot be calculated. Therefore, there is a possibility of pregnancy if you have sexual intercourse without using contraception. Although the probability is slightly lower compared to others, it cannot be guaranteed that you will definitely not get pregnant. Therefore, it is not acceptable to think that because your menstruation is irregular, you do not need to use contraception and will definitely not get pregnant. This is not possible. Irregular menstruation requires a careful examination of six hormones.

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