the Effects of Birth Control Pills During IVF Treatment - Obstetrics and Gynecology

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Hello, Doctor.
Since I have decided to undergo in vitro fertilization, my doctor advised me to start taking the contraceptive pill, Mesitron, from February 16.
I would like to know if my body temperature will remain elevated during this period (I started measuring on February 19, and my temperature has been around 37.7 degrees Celsius).
Additionally, I am experiencing slight cramping from my lower abdomen to my groin; is this a normal phenomenon? Thank you for your assistance, Doctor.

SW, 30~39 year old female. Ask Date: 2020/02/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it should not be related to taking birth control pills.
Wishing you good health.

Reply Date: 2020/02/20

More Info


When undergoing in vitro fertilization (IVF) treatment, the use of birth control pills, such as the one you mentioned (美適儂), is a common practice. These pills are often prescribed to help regulate your menstrual cycle and to suppress ovarian function temporarily. This allows the fertility specialists to have better control over the timing of ovarian stimulation and egg retrieval.


Effects of Birth Control Pills During IVF
1. Hormonal Regulation: Birth control pills contain hormones that can help regulate your menstrual cycle. By taking them before starting IVF, your doctor can synchronize your cycle with the IVF protocol, which is crucial for timing the stimulation medications and the egg retrieval.

2. Ovarian Suppression: The primary purpose of using birth control pills in the IVF process is to suppress the natural ovarian function. This suppression helps prevent premature ovulation, ensuring that the eggs can be retrieved at the optimal time during the IVF cycle.

3. Body Temperature: Regarding your concern about maintaining a high body temperature (around 37.7 degrees Celsius), it is important to note that hormonal changes can affect your basal body temperature. While it is common for women to experience slight increases in body temperature due to hormonal fluctuations, a sustained elevated temperature could also indicate other factors, such as an infection or other physiological changes. It is advisable to monitor your temperature and discuss any significant changes with your healthcare provider.

4. Abdominal Discomfort: Experiencing mild cramping or discomfort in the lower abdomen and groin area can be a normal side effect of hormonal treatments, including birth control pills. These symptoms may arise from the hormonal changes your body is undergoing as it prepares for IVF. However, if the pain becomes severe or is accompanied by other concerning symptoms (such as heavy bleeding or fever), you should contact your doctor immediately.


Additional Considerations
- Monitoring: During IVF treatment, your healthcare provider will closely monitor your response to the medications, including any side effects you may experience. Regular ultrasounds and blood tests will help assess your hormone levels and the development of follicles in your ovaries.

- Communication: It is crucial to maintain open communication with your healthcare team. If you have any concerns about your symptoms or the medications you are taking, do not hesitate to reach out to your doctor. They can provide personalized advice based on your specific situation.

- Emotional Support: IVF can be an emotionally taxing process. It is essential to seek support from friends, family, or counseling services if you find yourself feeling overwhelmed. Emotional well-being is an important aspect of the IVF journey.

In conclusion, the use of birth control pills during IVF is a standard practice aimed at optimizing your treatment. While some side effects, such as elevated body temperature and mild abdominal discomfort, can occur, it is essential to monitor these symptoms and communicate with your healthcare provider for guidance. Your health and comfort are paramount during this process, and your medical team is there to support you every step of the way.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you are taking birth control pills, you should not be pregnant. I'm not sure why artificial insemination is being considered. Wishing you good health.

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It may be related to the effects of birth control pills; please consult the prescribing physician for discussion.

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