Impact of Birth Control Pills on Pregnancy: What You Need to Know - Obstetrics and Gynecology

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Hello Doctor: I had been taking Yaz birth control pills for over 5 years, then stopped for almost a year.
Recently, in July, I took emergency contraception once, and then started taking Yaz again for 3 months.
After stopping the medication for 2 months, my menstrual cycle did not come, and I found out I was pregnant after taking a pregnancy test.
Will this have any impact on the fetus?

Cindy, 30~39 year old female. Ask Date: 2015/12/28

Dr. Lin Wenbin reply Obstetrics and Gynecology


Please schedule an appointment with a physician for a prenatal check-up and also address this issue.

Reply Date: 2015/12/28

More Info


The use of birth control pills, such as Yaz (悅姿), has been a common practice for many women seeking to prevent unintended pregnancies. However, concerns often arise regarding the potential impact of these medications on pregnancy, especially if they are taken shortly before conception.
When a woman takes birth control pills, they work primarily by preventing ovulation, thickening cervical mucus, and thinning the uterine lining to make it less suitable for implantation. If a woman stops taking the pill and becomes pregnant shortly thereafter, as in your case, there are several factors to consider regarding the health of the fetus.

Firstly, research indicates that the use of hormonal contraceptives, including birth control pills, does not appear to have a significant negative impact on fetal development if conception occurs shortly after discontinuation. Most studies suggest that any potential risks associated with the use of these medications during early pregnancy are minimal. The hormones in birth control pills typically clear from the body within a few days to weeks after stopping, and by the time a woman realizes she is pregnant, the levels of these hormones are usually negligible.

However, there are a few considerations to keep in mind:
1. Timing of Conception: If you conceived shortly after stopping the pill, it is unlikely that the hormones from the birth control would have any lasting effects on the developing fetus. The critical period for fetal development is during the first trimester, and by that time, the hormonal influence from the pill would have dissipated.

2. Potential Risks: While the risk is low, some studies have suggested a slight increase in the risk of certain birth defects when hormonal contraceptives are used in the early stages of pregnancy. However, these risks are generally considered to be very low and not significant enough to warrant concern for most women.

3. Prenatal Care: It is essential to begin prenatal care as soon as pregnancy is confirmed. Regular check-ups can help monitor the health of both the mother and the developing fetus. Your healthcare provider may recommend certain prenatal vitamins, including folic acid, which is crucial for reducing the risk of neural tube defects.

4. Emotional and Psychological Factors: It is also important to consider the emotional aspect of discovering a pregnancy after a period of using birth control. Many women may experience anxiety or concern about the health of their baby. Open communication with your healthcare provider can help alleviate these worries and provide reassurance.

5. Future Contraceptive Use: If you plan to use birth control again in the future, it may be helpful to discuss with your healthcare provider the best options for your individual circumstances, especially if you have concerns about timing and potential impacts on future pregnancies.

In conclusion, while it is understandable to have concerns about the effects of birth control pills on pregnancy, the evidence suggests that any risks are minimal, especially if the pill was discontinued before conception. The most important step now is to focus on maintaining a healthy pregnancy through regular medical care and a healthy lifestyle. If you have any specific concerns or symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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