Can semen reaching the abdomen cause pregnancy?

Patient's question:

Last month, there was a one-time sexual encounter, but the semen was released onto the abdomen. Could the sperm travel into the uterus, causing an ectopic pregnancy? Since December, my period hasn't arrived, but I sometimes feel a sense of pressure in the lower abdomen. I don't know what this could be.

Doctor's answer:

Although you belong to the withdrawal method, there may be a small amount of pre-ejaculate fluid leakage before male ejaculation. In this case, the possibility of pregnancy cannot be ruled out. If there is a delay in menstruation, it is recommended to use an hCG test strip to rule out the possibility of pregnancy.

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