Can pregnancy occur if sperm is inserted and then flows out?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting fertility, and I'm also extremely sensitive to cold and coldness. Can you please tell me if pregnancy can occur if sperm is inserted and then flows out?

Doctor's answer:

Ejaculate leakage from the vagina after intercourse is a common phenomenon. In fact, although each ejaculation releases about 2-5 milliliters of semen containing billions of sperm, only a very small number of sperm can pass through the cervix, into the uterine cavity, and reach the fallopian tubes to await fertilization. Generally, only 15-50 sperm make it, with the maximum not exceeding 200. Among these, only the fastest and highest-quality sperm is selected by the egg and combines with it to complete the great task of life continuation. The rest of the sperm are rejected and are expelled from the vagina along with the semen.
To prevent semen leakage and increase the chances of conception, the woman's hips can be elevated during intercourse, and she should lie flat for two hours afterward to ensure the semen covers the cervix and reduces leakage. As for the remaining semen expelled from the vagina after intercourse, it is a natural phenomenon and generally has no impact on conception.

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