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Can I get pregnant immediately after stopping the pill?
Do you release more eggs after stopping birth control?

Tips for Getting Pregnant after Stopping Birth Control

Posted on: 15-Oct-2020

You’ve got the job, the house, and the partner. Finally, the time feels right. You are ready to start trying to conceive. Now what? How long before trying to conceive should you stop using your birth control? Will using birth control in the past make it harder to get pregnant now? What can you do to get your body ready for pregnancy?

The first step in trying to conceive is to stop using your current birth control. Each birth control method acts a little differently on the body to prevent pregnancy. You will need to know how and when to stop the specific type you use. Here is when you can expect fertility to return for these common types.

Pills. There are two types of birth control pills. Both work by using hormones in the body to prevent pregnancy.Combined pills work by usingtwohormones, estrogen and progestin,to suppress ovulation (the release of an egg from the ovary.)The hormones in these pills leave the body within a couple of days after you stop taking the pill. Once the hormones are gone ovulation can resume. At that time, you are fertile and pregnancy can occur. It is recommended to finish the month’s worth of combined pills to keep from confusing the body by sudden change in hormones. Mini-pills contain only progestin and work bypreventing sperm from reaching the egg. Progestin leaves the body in around 24 hours allowing fertility to return quickly. Mini-pills can be stopped at any time.
Intrauterine device (IUD) and Implants. There are two types of IUDs, copper and hormonal. Both types must be removed by your doctor. Once your IUDis removed,it is possible to ovulate within the first month. Like an IUD, your doctor must remove your implant. Once removed, you can get pregnant right away.
Patch and Vaginal Ring. Ovulation usually returns 1-3 months after removal for both patches and vaginal rings at which point it is possible to get pregnant.
Injections (Depo-Provera). This type of birth control requires longer than others for normal fertility to return. Since hormones are released gradually, it takes longer for them to leave the body. This can take anywhere from 3-18 months for fertility to return. Therefore, it is not recommended for those who are trying to conceive in the near future.

In addition to stopping your birth control, you will want to take steps to prepare your body for pregnancy. Start taking a prenatal vitamin three months before trying to conceive. Vitamins, along with a healthy diet, are crucial to help ensure that your body is ready tosupport a healthy pregnancy. Lifestyle choices like exercising, reducing stress, quitting smoking, and cutting back on alcohol intake are all very important as well. These will help increase fertility as well as give you a healthy start to your pregnancy.

The third step as you try to conceive, is learning more about your body so that you can recognize when you are fertile. Timing sex during your fertile window (the five days before ovulation and the day you ovulate) increases your chances of becoming pregnant quickly. Tracking your menstrual cycle with apps that note changes in your cervical mucus and basal temperatures can help you determine your fertile window. Ovulation tests are another option to help recognize when you are most fertile.

The good news is that long-term fertility is not negatively affected by birth control use. If you have decided the time is right to get pregnant, most forms of birth control allow you to become fertile again within a few days to a few months. It is then safe to get pregnant right away. Most women will become pregnant within a year of stopping birth control. However,the time it takes to conceive will depend on your individual body so if at anytime you have questions or concernsabout your fertility check with your doctor.

Dr. Anil Pinto is board certified in Obstetrics and Gynecology and the subspecialty of Reproductive Endocrinology and Infertility. Dr. Pinto has a special interest in the treatment of Polycystic Ovarian Syndrome (PCOS), recurrent pregnancy loss, and advanced reproductive technologies, such as IVF. His peers recently selected him as one of the Best Doctors in Dallas in the field of reproductive endocrinology and infertility. Dr. Pinto is married to Karen Pinto, M.D., a pathologist at Baylor University Medical Center. They live in Dallas with their son and daughter. Dr. Pinto enjoys fly fishing, classical music, and playing the flute.

Overview

How long it takes for a woman's full fertility to return after stopping birth control varies for each woman. It also depends on the birth control method she is using. Your ability to get pregnant gradually decreases as you age, starting at age 25. After you stop any form of birth control, you may have a harder time getting pregnant simply because you are older than when you started using birth control. Poor health and irregular periods may also make you less fertile.

Barrier methods. These include the diaphragm, cervical cap, male condom, female condom, and spermicidal foam, sponge, gel, suppository, and film. You can get pregnant the next time you have sex when you stop using any barrier method.
Combination hormonal methods. These include pills, skin patches, and vaginal rings. They contain both estrogen and progestin (synthetic progesterone). You can get pregnant right away after you stop regular-dose or low-dose hormonal birth control. About half of women get pregnant in the first 3 months after stopping the pill. Most women get pregnant within 12 months after stopping the pill. Specific information about how quickly a woman's fertility returns after stopping use of patches or rings isn't available. But experts believe the delay may be similar to or shorter than with pills.
Progestin-only hormonal methods. These include pills, the implant (such as Nexplanon), and the shot (such as Depo-Provera). With the implant, you can get pregnant as soon as it's removed. It may take 3 to 18 months after your last shot to get pregnant. The progestin-only pill, also called the "mini-pill," doesn't seem to delay fertility. Most women will get pregnant within 6 months after they stop the mini-pill.
Intrauterine devices (IUDs). For both the copper IUD and hormonal IUD, fertility usually returns with the first menstrual cycle following IUD removal.

If you get pregnant shortly after stopping birth control pills, don't worry. Using the pills just before a pregnancy doesn't increase the risks of miscarriage or fetal problems.

Credits

Current as of: November 22, 2021

Author: Healthwise Staff
Medical Review:
Sarah Marshall MD - Family Medicine
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Femi Olatunbosun MB, FRCSC - Obstetrics and Gynecology

Can I get pregnant immediately after stopping the pill?

The contraceptive pill stops your body from ovulating, but as soon you stop taking the pill this process kicks back into action. So, it's possible to get pregnant as soon as you come off the pill. As many as 84 out of 100 couples will get pregnant within a year of starting to have regular sex without contraception.

Do you release more eggs after stopping birth control?

While using birth control pills, ovulation is suppressed. When they're discontinued, it's thought that the ovaries may superovulate, releasing more than one egg in a cycle and increasing the opportunity to conceive dizygotic or fraternal twins.