the Use of Contraceptive Pills: Key Questions Answered

Use of emergency contraceptive pills?

Hello, Doctor.
I have a few questions to ask you:
1.
I have been using the contraceptive pill, Yaz, for several months.
I already have one child and currently have no plans for more children.
Should I continue using it without stopping, or do I need to take a break for a month every year? (I am 30 years old and actively tried to conceive for six months after marriage but was unsuccessful.
Then I relaxed my efforts, and unexpectedly, I became pregnant (including two instances of abnormal embryos), so I am unsure if I am considered to have fertility issues.)
2.
Additionally, I am now 43 years old, and I know that the chances of pregnancy significantly decrease with age.
However, I have friends of the same age who have been fortunate enough to conceive.
I would like to know until what age I should continue taking the contraceptive pill.
If I stop at 45 and rely on condoms for contraception afterward, will the chances of pregnancy be low? Or should I continue taking the contraceptive pill until I reach menopause? I am concerned about the long-term effects of taking contraceptives on my body.
Thank you for taking the time to clarify these issues for me.

Niming, 40~49 year old female. Ask Date: 2023/12/28

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is generally recommended to take a break for one month after taking medication for a year.
If there are no significant discomforts, it is advisable to continue until the age of 47 or 48.
Wishing you good health!

Reply Date: 2023/12/28

More Info

When it comes to understanding the use of contraceptive pills, particularly in the context of your questions, there are several important factors to consider regarding their use, effectiveness, and the implications of age on fertility.

1. Continuous Use of Contraceptive Pills: If you are currently using a contraceptive pill like "Yaz" (悅姿), it is generally safe to continue using it as long as you are not planning to conceive. Many women use hormonal contraceptives for extended periods without needing to take breaks. The idea of taking a break from the pill (such as stopping for a month each year) is not a requirement for most women, especially if they are using it for contraception and are not experiencing any adverse effects. However, some healthcare providers may recommend periodic breaks for personal health reasons or to assess menstrual cycle regularity. Given your history of pregnancy challenges, it may be beneficial to discuss your specific situation with your healthcare provider to tailor a plan that suits your needs.

2. Age and Fertility: At 43 years old, it is true that fertility generally declines due to age. The chances of conceiving naturally decrease significantly as women approach menopause. However, it is important to note that some women in their early to mid-40s can still conceive, albeit with lower probabilities. If you plan to stop taking the pill at 45, it is wise to consider that while the likelihood of pregnancy decreases, it is not eliminated until menopause is reached. If you are using condoms as a backup method after stopping the pill, it can further reduce the risk of unintended pregnancy.

3. Duration of Contraceptive Use: There is no strict age limit for stopping contraceptive pills. Many women continue to use them until they are close to menopause, which typically occurs between ages 45 and 55. If you are concerned about the long-term effects of hormonal contraceptives on your body, it is worth discussing these concerns with your healthcare provider. They can help you weigh the benefits of continued use against any potential risks or side effects you may be experiencing.

4. Health Considerations: Long-term use of contraceptive pills can have various effects on health, including potential risks for blood clots, especially in women over 35 who smoke or have other risk factors. It is essential to have regular check-ups with your healthcare provider to monitor your health while on the pill and to discuss any concerns you may have about long-term use.

5. Transitioning Off the Pill: If you decide to stop taking the pill, it is advisable to do so under the guidance of your healthcare provider. They can provide you with information on what to expect regarding your menstrual cycle and fertility after discontinuation. Additionally, they can discuss alternative contraceptive methods if you are still concerned about pregnancy.

In summary, the decision to continue or discontinue contraceptive pills should be based on your personal health, family planning goals, and discussions with your healthcare provider. It is essential to consider your unique circumstances, including your age, fertility history, and any health concerns, to make an informed decision that aligns with your lifestyle and reproductive goals.

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