Can you get pregnant without ejaculation inside the vagina?

Patient's question:

I would like to ask, my boyfriend and I often have intimate contact, but he has never gone inside. He just rubs against me externally, and then he ejaculates. We clean up afterward.
However, this time my period hasn’t arrived yet. It usually comes early every month, but this time it’s delayed by 4 days. Plus, I’m experiencing some breast tenderness and mild soreness. Could I be pregnant? Urgent! Urgent! Urgent!
Thank you all for your guidance....

Doctor's answer:

Hello, if you can be sure that you did not have intercourse inside the vagina, it is impossible to get pregnant.
Factors affecting your menstrual cycle may be related to psychological and emotional stress.
A gynecological examination not only affects a patient's health but also leads to the occurrence of gynecological diseases. Therefore, it is best to visit the gynecology department of a hospital for a check-up. After identifying the cause, symptomatic treatment should be administered. In daily life, it is important to drink more water and pay attention to personal hygiene.

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