How Long to Pause Birth Control Pills Before Trying to Conceive? - Obstetrics and Gynecology

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Oral contraceptives


How long should one stop taking oral contraceptives before trying to conceive, and how many months should the break last? Will the break period be irregular? Thank you.

frank, 40~49 year old female. Ask Date: 2009/03/19

Dr. Huang Jianxun reply Obstetrics and Gynecology


Dear Frank,
Oral contraceptives can be used continuously for several years.
In the United States, 82% of women aged 15-44 who use oral contraceptives have been using them continuously for more than one year, with an average duration of 13 years.
Literature has suggested that physicians should be aware of the cardiovascular risks associated with long-term continuous use.
After discontinuation, most women find that their menstrual cycles return to normal within 1-2 months.
Wishing you peace and health.
Sincerely,
Dr.
Huang Chien-Hsun
Director, Department of Obstetrics and Gynecology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2009/03/19

More Info


When considering the transition from oral contraceptive pills (OCPs) to attempting to conceive, it's important to understand both the timing and the physiological changes that may occur. Generally, it is recommended that women stop taking birth control pills at least one full cycle (about one month) before trying to conceive. This allows the body to return to its natural hormonal rhythm, which can help in regulating ovulation and increasing the chances of conception.

Most women will find that their menstrual cycles return to normal within a few months after discontinuing OCPs. However, some may experience irregular cycles for a short period. This irregularity can be attributed to the body adjusting to the absence of synthetic hormones that were previously regulating the menstrual cycle. For some women, it may take a few cycles to establish a regular pattern again, while others may find that their cycles normalize quickly.

In terms of fertility, studies have shown that most women can conceive shortly after stopping the pill. In fact, many women become pregnant within the first three months after discontinuation. However, it is essential to note that individual experiences can vary significantly. Factors such as age, overall health, and any underlying reproductive issues can influence how quickly a woman can conceive after stopping OCPs.

If you have been on OCPs for an extended period, it may be beneficial to consult with a healthcare provider before trying to conceive. They can provide personalized advice based on your health history and any potential concerns. Additionally, they can help you understand your fertility window and the best times to try for conception.

It's also worth mentioning that while stopping OCPs can lead to a return of fertility, some women may experience side effects such as mood swings, acne, or changes in libido as their bodies adjust. These symptoms are typically temporary and should resolve as the body readjusts to its natural hormonal balance.

In summary, while it is generally advisable to stop taking oral contraceptives for at least one full cycle before trying to conceive, many women can conceive shortly after discontinuation. Irregular cycles may occur initially, but most women find their cycles normalize within a few months. Consulting with a healthcare provider can provide additional guidance tailored to your specific situation and help ensure a healthy transition to conception.

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