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Pregnancy Risk Assessment: Anal Intercourse

Unprotected anal sex can pose risks of pregnancy and also poses high risks of sexually transmitted infections as well as a risk of bacterial infections, particularly if vaginal sex also took place. When a risk of pregnancy is posed, it is not because the anus is linked to the vagina, but rather because pre-ejaculate or ejaculate can run out of the anus and down the perineum (that space between your anus and your vagina) to the vagina. If you're worried you may have had a risk from anal sex, follow through the questions below.

Did you correctly use some form of birth control (contraception) such as the Pill, a diaphragm, Depo-Provera, or other birth control, PLUS correctly using a condom for anal intercourse?

If YES, then you have NO likely risk of pregnancy.

  • If NO, keep reading.

Did you correctly use a condom (putting the condom on before any contact between the penis and genital or anal area, holding onto the base of the condom during withdrawal, and removing the condom with the penis well away from your partner's body) for anal intercourse, and did the condom remain intact for all contact?

If YES, then you have NO likely risk of pregnancy.

  • If NO, keep reading.

Did you attempt to correctly use a condom -- only -- for anal intercourse, but had a problem with the condom, such as having the condom break?

If a condom or other latex barrier was not used for any kind of male/female sex, but another method of birth control was or is being used -- like the birth control pill, patch or ring, or like a cervical barrier -- to find your level of risk, refer to the effectiveness rating for your method of birth control in perfect or typical use. For the most part, however, when SOME reliable method of birth control has been used properly, no sexual activity is likely to pose more than a low or very low risk.

If YES, then you have a LOW risk of pregnancy. Semen can leak out of the anus and drip into the vulva and/or vagina, and pregnancy may be possible. If it has been less than 120 hours since your risk, you may obtain emergency contraception. If it has been greater than 10 days since your risk, see your health care provider as soon as possible for a pregnancy test and an STI screening.

  • If NO, keep reading.

Did you have unprotected anal intercourse (no condom, no other birth control of any kind), but including ejaculation into or onto the anus, anal area, or genital area?

If YES, then you have a LOW to MODERATE risk of pregnancy.
Whether your risk was/is low or moderate will depend on your own fertility cycle. If you chart your fertility and know this to have happened during a time when you were not likely to be fertile, the risk will be lower. If you do not chart your fertility, but the risk occurred during the second half of your cycle, it is probably lower.

If it has been less than 120 hours since your risk, you may obtain emergency contraception. If it has been greater than 10 days since your risk, see your health care provider as soon as possible for a pregnancy test and an STI screening.

What's The Risk?

Find out - click on the type of sexual activity you want to know about.