Can a condom falling outside the vaginal opening lead to pregnancy?

Patient's question:

Last night when I had sex with my husband, I noticed that the condom had fallen off at the opening of my vagina. I don't know how this happened. I am very worried that I might be pregnant because I just had a child only one year ago. Could I really get pregnant?

Doctor's answer:

Using a condom for contraception, the penis will gradually return to its flaccid state after ejaculation. If it's not withdrawn in time or if the condom is too loose, it may leak. If the condom leaks near your vaginal opening, there is a possibility that semen could drip into the vagina, potentially leading to pregnancy. However, whether pregnancy occurs is not guaranteed. If you are still concerned, you can consider taking emergency contraception to correct the situation.

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