Can a woman get pregnant with pre ejaculation fluid

  • Pre-ejaculate, or pre-cum, is a fluid the penis produces during sex to help with lubrication.
  • It can contain some sperm, but has much less than semen, meaning its less likely to cause pregnancy. 
  • To avoid pregnancy and STIs, wear a condom before engaging in penetrative sex. 

During sexual activity, the penis produces a lubricating liquid called pre-ejaculate before climax. While this fluid — also called pre-cum — isn't the same as semen, it can contain sperm, says Sherry Ross, MD, an OB-GYN with her own practice. If you have unprotected sex, pre-cum can cause pregnancy even if your partner doesn't ejaculate inside of you, says Ross. 

Here's what you need to know about pre-cum and the risks of pregnancy.

What is pre-cum?

Pre-cum and semen are different fluids released by the penis.

  • Semen is the white fluid that is released during climax; this fluid typically contains millions of sperm designed to swim up through the vagina and fertilize an egg.
  • Pre-cum is a thin, clear fluid that is produced during sexual arousal and in rare cases it may contain sperm. 

Pre-cum and semen both exit the body via a tube in the penis known as the urethra. If any sperm cells from a previous ejaculation remain in the urethra, they can get picked up by the pre-cum as it passes through the urethra.

Pre-cum rarely contains sperm and even when it does, it doesn't contain nearly as much semen as sperm does (where semen contains millions of sperm, pre-cum contains only a few thousand )

A small 2013 study examined 40 samples of pre-ejaculate fluid and found that 41% of them contained sperm. The study notes that some people are more likely to have sperm in their pre-cum than others, because some participants' had sperm in all their pre-cum samples whereas some didn't have sperm in any of their samples. Researchers have not been able to pinpoint why some people have sperm in their pre-cum and others don't.

Can you get pregnant from pre-cum?

Pre-cum can definitely cause pregnancy if you have unprotected sex around the time of ovulation even if your partner pulls out before they climax, says Ross. In fact, you can even be at risk if you have had unprotected sex in the week leading up to ovulation, because sperm can survive in your reproductive tract for up to five days.

That's mainly why pulling out, also known as the withdrawal method, isn't a fail-safe method of pregnancy prevention. Approximately 27% of people who use the withdrawal method regularly as a form of contraception get pregnant. 

It's also worth noting that contact with genitalia or pre-ejaculate fluid without a barrier like a condom can put you at risk for sexually transmitted infections (STIs) as well, even if there's no ejaculation involved. 

When does pre-cum occur during sex?

Unlike semen, it can be difficult to realize when pre-cum is released. It is also secreted involuntarily, so you or your partner cannot control when or how much is released.

Several factors play a role in how much is produced, including age, level of arousal, and duration of sexual activity. Some people may not produce any, or just produce a few drops, whereas others may produce quite a bit, all of which are normal. 

Therefore, Ross recommends using a condom during sex, to prevent the possibility of pregnancy. "The penis should never enter the vagina without a condom," says Ross. Putting on the condom before penetration, as soon as your partner is aroused, can help reduce the risk of STIs, like chlamydia.

Insider's takeaway

While the likelihood you'll get pregnant from pre-cum is lower than semen, it still poses a risk. 

"If your partner did not wear a condom during vaginal intercourse and you are concerned about pre-cum, you should take an emergency contraceptive within 72 hours to avoid an unplanned pregnancy," says Ross. 

Sanjana has been a health writer and editor since 2014. She has written extensively for platforms like Livestrong.com, Verywell Mind, and Times Internet. Her work spans various health-related topics, including fitness, nutrition, mental health, and wellness. Sanjana balances her love for chocolate with a penchant for fun workouts like aerial yoga and kickboxing.

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What are the Chances of Getting Pregnant from Precum?

The common answer is your chances are very low. However, there are rare cases where living sperm can be present in the precum and conception subsequently possible. Precum is one reason that we suggest that all couples who are not trying to get pregnant use a condom the whole time there is penetration (when the penis enters the vagina).

What is Precum?

Precum is more accurately known as pre-ejaculate fluid. This is a bodily fluid that is released from the penis during intercourse. Most men don’t even notice discharging precum when it happens. More importantly, men do not have any control over it.

Are There Sperm in the Precum?

Studies indicate the majority of pre-ejaculate fluid has dead or no sperm at all. But, it is possible for small amounts of sperm to exit his reproductive system and make its way into the precum or pre-ejaculate.

Can You Get Pregnant Without Penetration?

For all practical purposes, you cannot get pregnant without penetration. However, if ejaculate fluid/semen comes in contact with the vagina even without penetration, it is possible that sperm could enter and fertilize an egg.

Can I Get Pregnant if He Pulls Out?

Anytime there is a possibility of sperm in the vagina there is a risk of sperm fertilizing an egg. That’s why it’s wise to wear a condom the whole time there is genital contact.

How Long Does Sperm Survive?

Sperm will live 3-5 days in the vagina. That’s why, whether you want to get pregnant or avoid pregnancy, it’s important to know your ovulation cycle and your fertility window. Our free Ovulation Calendar can help you discover your most fertile days.

Should I Take Plan B?

Plan B is similar to birth control pills. Its single tablet delivers 1.5 mg of levonorgestrel to delay or prevent the release of an egg from the ovary.  Because it uses such a high dosage, Plan B is not meant to be used as a regular birth control method. From pills to patches and IUDs, there are many choices when considering types of birth control.
If you have questions, we’re happy to talk with you on our chat line or helpline, 1-800-672-2296.  

Want to Know More?

  • How to Get Pregnant
  • Can You Get Pregnant on Your Period?
  • What is Ovulation?

Can pre seminal liquid get you pregnant?

Pre-cum doesn't usually have any sperm in it. But some people may have a small amount of sperm in their pre-cum. If there is sperm in someone's pre-cum, and that pre-cum gets into your vagina, it could possibly fertilize an egg and lead to pregnancy.

How much sperm is in pre ejaculatory fluid?

The secretion from the Cowper's gland does not contain any sperm. However, the pre-ejaculate collected at the tip of the penis shows the presence of sperm. Some studies have shown that more than 40% of men have sperm in their pre-ejaculate fluid.