How Long Should You Stop Birth Control Pills Before Trying to Conceive? - Obstetrics and Gynecology

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Oral contraceptives


Hello Doctor: I am currently 26 years old and have been taking birth control pills for over three years, specifically Yaz.
I would like to ask if I need to stop taking the pills for a period of time before I can conceive.
If I need to stop, how long should I discontinue the medication?

yi qian, 20~29 year old female. Ask Date: 2016/10/18

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss Qian: After stopping birth control pills, you can conceive naturally right away without any impact, so there is no need to worry.

Reply Date: 2016/10/18

More Info


When considering the transition from using birth control pills to trying to conceive, it's important to understand how hormonal contraceptives work and their effects on your body. Birth control pills, such as the one you mentioned (Yasmin), contain hormones that prevent ovulation, regulate menstrual cycles, and can also provide other benefits like reducing menstrual cramps and acne.

Generally, it is recommended that women stop taking birth control pills at least one month before trying to conceive. This allows your body to return to its natural hormonal rhythm and can help in the regulation of ovulation. However, many women may find that they can conceive immediately after stopping the pill, as some may ovulate as soon as a few weeks after discontinuation.

Here are some key points to consider:
1. Return to Fertility: After stopping the pill, most women will regain their fertility quickly. Some may experience a delay in the return of regular menstrual cycles, but this is typically temporary. Studies show that the majority of women will ovulate within three months after stopping the pill.

2. Timing: If you are planning to conceive, it is advisable to stop taking the pill at least one month prior to trying to conceive. This allows for the hormones to clear from your system and for your menstrual cycle to normalize, which can help in tracking ovulation and timing intercourse for conception.

3. Health Considerations: Before trying to conceive, it is a good idea to have a preconception check-up with your healthcare provider. This can help ensure that you are in good health and can address any concerns you may have regarding your fertility, lifestyle, or any medical conditions.

4. Folic Acid: It is also recommended to start taking prenatal vitamins, particularly folic acid, at least one month before conception. Folic acid is crucial in reducing the risk of neural tube defects in the developing fetus.

5. Monitoring Your Cycle: After stopping the pill, keep track of your menstrual cycle. This will help you identify when you are ovulating, which is the best time to conceive. You can use ovulation predictor kits, monitor basal body temperature, or track changes in cervical mucus to help identify your fertile window.

6. Emotional and Physical Readiness: Consider your emotional and physical readiness for pregnancy. Transitioning off birth control can sometimes lead to emotional fluctuations due to hormonal changes, so being prepared for this can be beneficial.

In summary, while you can technically conceive immediately after stopping the pill, allowing your body some time to adjust—typically one month—is advisable. This not only helps in regulating your cycle but also prepares your body for a healthy pregnancy. Always consult with your healthcare provider for personalized advice based on your health history and circumstances.

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Hello, how long should I stop taking the oral contraceptive pill before trying to conceive?


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