January 23, 2020/Pregnancy & Childbirth

This May Surprise You — But You Can Get Pregnant on Your Period

It’s probably not your most fertile time, but it’s possible to get pregnant if you have unprotected sex during your period

woman in bathroom holding pregnancy test

People have all kinds of misconceptions about when it’s possible to get pregnant.

  • They may tell you that you can’t get pregnant the first time you have sex. False.
  • You may have heard that you can’t get pregnant if you’re breastfeeding. False.
  • You might be led to believe that you can’t get pregnant when you’re on your period. Also false.

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Let’s say it again, because your high school health teacher may have told you otherwise.

You can get pregnant if you have unprotected sex during your period. It’s not likely to be your most fertile time. But it can happen.

We talked with Ob/Gyn Amy Stephens, MD, about the risk of getting pregnant during your period. Why does it happen? And what do you need to know to protect yourself?

Why you can get pregnant on your period

The most fertile time of your cycle — the timeframe when you are most likely to get pregnant — is when you ovulate, or release an egg, Dr. Stephens explains. That typically happens midway between periods.

“You have the highest chance of getting pregnant if you have unprotected sex during the few days before and after you ovulate,” Dr. Stephens explains.

The most textbook case of an “average” menstrual cycle looks something like this:

  • Days 1-5: You have your period.
  • Day 14: You ovulate.
  • Days 12-16: You’re at your most fertile.
  • Day 28: You’re due for your next cycle.

In this scenario, no, you probably wouldn’t get pregnant by having sex during your period. Your period and ovulation don’t line up.

But your cycle doesn’t necessarily follow hard-and-fast rules. Your experience may (very likely) not follow that calendar.

Many people don’t follow that classic example of an average cycle. There’s a lot of give and take. And that’s OK. It doesn’t mean there’s anything “wrong” with you.

But it’s that fluctuation can makes it possible to get pregnant on your period.

Short cycles

If your period comes more frequently than average, that whole idea of ovulating 14 days after your period starts is thrown out the window. Because ovulation typically (but not always) happens in the middle of your cycle, regardless of the number of days it’s been since your last period.

Let’s consider an example for someone with shorter-than-average cycles and midpoint ovulation:

  • Day 1: You start your period.
  • Day 5: You have unprotected sex.
  • Day 6: Your period ends.
  • Day 9: You ovulate.
  • Day 18: You’re due for your period again.

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Here’s where the problem is: Sperm can live in your reproductive tract for up to five days. So even after you have sex, they can hang around and wait for an egg to fertilize.

So in this case, a small number of sperm can still be available when you ovulate, even though you had sex during your period. If a sperm finds that egg and wiggles its way in — BAM — conception.

But, you may be thinking, I’m in the clear. My cycles are never that short.

That could be. But that doesn’t mean that you can’t have a cycle that comes surprisingly off-cycle.

“Things like weight loss, weight gain, stress, medications and uterine fibroids can cause a sudden change in your menstrual cycle, even if you’re normally very regular,” Dr. Stephens shares. “So never say never.”

Long periods

The average period lasts between two and seven days. But, again, that’s just an average. Plenty of people have periods that last longer than that.

That can be particularly true if you’re living with high levels of stress, take certain medications or have a condition like endometriosis, uterine polyps or polycystic ovary syndrome(PCOS).

The longer your period lasts, and the later in your period you have unprotected sex, the more likely you are to bump up against your ovulation window.

For example:

  • Day 1: Your period starts.
  • Day 10: You have unprotected sex.
  • Day 11: Your period (mercifully) ends.
  • Day 14: You ovulate.

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Even though you had sex on your period, you can still get pregnant. Because you’re well within the five-day window between unprotected sex and ovulation. So sperm are still available. And they’re eager to fertilize.

Early ovulation

The idea that you’ll ovulate at the midpoint of your cycle is more of a guideline than a rule. Some studies even suggest that only about 30% of people ovulate between days 10 and 17 of their cycle. Some ovulate earlier, some later.

So even if you do follow an average cycle of 28 days or so, it’s possible you could ovulate much earlier than day 14. That means that if you have unprotected sex during your period and you ovulate early in your cycle, you can get pregnant by the sperm that are waiting around for their opportunity to fertilize an egg.

Spotting

Breakthrough bleeding — that is, spotting between periods — isn’t uncommon for a lot of people. And while not all vaginal bleeding isn’t the same as having your period, you might not recognize it for what it is.

“When you have your period, your entire uterine lining is shed, including an unfertilized egg or eggs,” Dr. Stephens shares. “But you can have vaginal bleeding that isn’t the same as a period. Not all bleeding clears out unfertilized eggs.”

Let’s play out that scenario.

You started bleeding and thought you were on your period. You had unprotected sex, because, hey, bleeding is birth control (or so you thought).

But, the bleeding stops a day later.

It wasn’t your period, after all. You were spotting.

Now you’re ovulating, and sperm from the night before are swimming around looking for love. It’s the perfect storm for conceiving.

How likely is it to get pregnant on your period?

It’s certainly possible to get pregnant if you have unprotected sex during your period.

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But is it probable? Likely not.

Chances are a fertility specialist isn’t going to recommend your period as the best time to have unprotected sex if you’re trying to conceive. But it’s not impossible that you could conceive on your period.

“During your period is most likely the lowest risk timeframe to have unprotected sex if you want to avoid pregnancy,” Dr. Stephens shares. “But if you truly don’t want to get pregnant, there are much more reliable ways to prevent pregnancy than timing up sex to happen on your period. Because there’s always a risk of pregnancy if you’re not using contraception.”

The only way to prevent unwanted pregnancy is to abstain or to use reliable birth control reliably, Dr. Stephens emphasizes.

If you take birth control pills, that means taking them every single day at the same time. If you rely on the birth control shot (Depo-Provera®), keep your appointments. If you use condoms, be sure to use them properly to avoid a tear.

And to be extra careful (and avoid sexually transmitted infections), double up.

“It doesn’t hurt to use a condom in addition to birth control pills, IUDs or other methods,” Dr. Stephens points out. “And it can help to ensure you’re really protected.”

If pregnancy isn’t your goal, your period isn’t a dependable form of birth control. Talk with a healthcare provider, like an Ob/Gyn or primary care provider, about the best birth control for you.

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