Stopping and Resuming Birth Control Pills: What You Need to Know

Q: Stopping and Resuming Birth Control Pills: What You Need to Know

Hello, in response to your inquiry：<br>1. <br>Long-term use of contraceptive pills may have a temporary impact on fertility when trying to conceive. <br>The components of contraceptive pills suppress ovulation to prevent pregnancy. <br>When the ovaries are in a suppressed state f

Discontinuation of contraceptive pills and resuming their use?

Hello, Doctor.

1.
I have been taking Diane contraceptive pills for about a year.
Can I stop taking the contraceptive pills on my own? Do I need a doctor's evaluation?
2.
If I need to take them again later, will it have any impact on my body (such as the risk of unintended pregnancy)? Do I need to have a doctor's assessment before resuming the contraceptive pills?
3.
I experience nausea and dizziness for the first one or two days after starting the contraceptive pills, but then it goes away.
Do I need to switch medications? Thank you.

lai, 20~29 year old female. Ask Date: 2020/06/27

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, in response to your inquiry:
1.
Long-term use of contraceptive pills may have a temporary impact on fertility when trying to conceive.
The components of contraceptive pills suppress ovulation to prevent pregnancy.
When the ovaries are in a suppressed state for an extended period, stopping the medication may lead to anovulation.
Therefore, it is recommended that women who have been on contraceptive pills for a long time should discontinue use at least six months prior to attempting to conceive, allowing the ovaries time to recover and resume normal ovulation, which can facilitate pregnancy.
If ovulation does not resume after a significant period (ovulation can be monitored through basal body temperature measurements), it is advisable to consult a gynecologist for methods to restore ovulation.
Thus, it is suggested that the duration of contraceptive pill use should not be excessively long, and it is best to have an evaluation with a trusted physician every year after one year of use to determine the next steps, rather than self-purchasing the medication each time.
Although long-term use followed by cessation may temporarily affect ovulatory function, it is generally possible to restore it through ovulation-inducing medications.
2.
Common side effects of contraceptive pills include headaches, dizziness, heavy or irregular menstrual bleeding, nausea, vomiting, edema, increased cervical mucus, cervical hypertrophy, increased appetite, weight gain, skin itching, acne, fatigue, depression, flushing, feelings of weakness, breast tenderness, and increased risk of yeast infections, among others.
If symptoms are severe, it is advisable to discuss management options with a physician.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2020/06/27

More Info

When considering stopping and resuming birth control pills, there are several important factors to keep in mind. Birth control pills, such as the one you mentioned (Diane), are a common form of hormonal contraception that can effectively prevent pregnancy when taken as directed. However, the decision to stop or resume these pills should be made with careful consideration and ideally in consultation with a healthcare provider.

1. Stopping Birth Control Pills: You can generally stop taking birth control pills at any time. However, it is advisable to consult with your healthcare provider before doing so, especially if you have been on them for an extended period. Stopping the pill can lead to a return of your natural menstrual cycle, which may take some time to regulate. Some women may experience changes in their menstrual cycle, such as irregular periods or heavier bleeding after discontinuation. Additionally, if you stop taking the pill and are not using another form of contraception, you may become pregnant shortly after stopping, as ovulation can resume quickly.

2. Resuming Birth Control Pills: If you decide to resume taking birth control pills after a break, it is important to consult with your healthcare provider. They can evaluate your health history and any changes that may have occurred during the time you were off the pill. Resuming the pill can be done, but it may take some time for your body to adjust again to the hormones. It is also crucial to discuss any concerns regarding potential side effects or risks associated with hormonal contraception, especially if you have experienced any adverse effects in the past.

3. Side Effects: You mentioned experiencing nausea and dizziness in the first couple of days after starting the pill, which is not uncommon. These side effects often subside as your body adjusts to the hormones. However, if these symptoms persist or worsen, it may be worth discussing with your healthcare provider. They might suggest trying a different formulation or type of birth control pill that may be better tolerated. It is essential to communicate any side effects you experience, as they can help your provider determine the best course of action for your contraceptive needs.

4. Pregnancy Concerns: If you are considering stopping the pill because you want to become pregnant, it is generally recommended to wait until you have had at least one normal menstrual cycle after stopping the pill before trying to conceive. This allows your body to regulate its hormones and can help in determining your ovulation cycle. However, many women conceive shortly after stopping the pill, so it is essential to be prepared for that possibility.

In summary, while you can stop and resume birth control pills, it is best to do so under the guidance of a healthcare provider. They can provide personalized advice based on your health history and any side effects you may be experiencing. Remember that your health and comfort are paramount, and open communication with your healthcare provider will help ensure that you make informed decisions regarding your contraceptive options.

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