Frequently asked questions about
getting pregnant after birth control:
How soon can you get pregnant
after stopping birth control?
Getting Pregnant after Taking
Birth Control Pills
This is probably the most asked question about trying
to conceive after taking birth control. The answer to
this depends on what type of birth control you were
using. You can get pregnant as soon as your body is
ovulating again. If you were taking birth control pills,
you may begin to ovulate as quickly as two weeks after
discontinuing the pill. It is hard to say how long it
will take for you to start ovulating again. Some women’s
fertility returns as soon as they stop taking the pill
and others take a few months. It is not uncommon for
the first two to three cycles after going off the pill
to be long or irregular. Once your period returns to
normal and you are ovulating again, it shouldn’t
take you any longer to get pregnant than it would any
other woman.
Getting Pregnant after Taking
Depo-Provera
If you were using Depo-Provera it may take longer for
your cycles to return to normal. Keep in mind that Depo-Provera
is designed to be a long-lasting form of birth control.
Even though it is intended to help you avoid pregnancy
for up to three months, it may actually prevent pregnancy
longer. Depo-Provera is a synthetic hormone similar
to progesterone. It is designed to keep your body from
ovulating, but it also keeps your cervical mucous thick
and thins the lining of your uterus to prevent implantation.
Because Depo tends to keep the lining of the uterus
thin, this is one of the reasons women generally have
lighter periods while taking it. In order to get pregnant
though, you need to not only be ovulating but you also
need to be producing fertile cervical mucous and a thick
uterine lining after you ovulate. The reason Depo-Provera
is so long lasting is because of the way it works. The
levels of DMPA (the synthetic hormone in Depo-Provera)
gradually increase over a three week period, at which
time they reach their peak levels. After three weeks
the DMPA levels begin to decrease exponentially. It
may take as long as 200 days before DMPA is completely
at of your bloodstream. It may take up to a year after
discontinuing Depo-Provera before your menstrual cycles
return to normal and it may take as long as two years
to get pregnant after stopping Depo-Provera.
Getting Pregnant after Using the Mirena
IUD
The Mirena IUD works by releasing levonorgestrel (a
synthetic form of progesterone) into your uterus. This
causes your cervical mucous to become thick. Thick cervical
mucous is difficult for sperm to swim through and blocks
sperm from reaching the egg. The IUD also makes the
lining of your uterus very thin which keeps the egg
from implanting if fertilization should occur. It may
also prevent ovulation but in most cases it works by
blocking sperm from reaching the egg and by stopping
implantation. After having the IUD removed your fertility
should return fairly quickly. Most women begin having
regular cycles immediately after having the IUD removed,
but it is not unusual to have a few irregular cycles
before your cycles return to normal. Once you start
having regular cycles, your chances of getting pregnant
are comparable to women who had not been using any birth
control.
How long should you wait to start trying
to conceive?
You will be happy to know that it is
safe to start trying to conceive as soon as you stop
taking birth control; however, you may want to wait
until you start having regular cycles before you start
trying. This is not something that you have to do and
it doesn’t put your pregnancy at risk, but it
is often recommended. Waiting until you have a few regular
cycles makes it easier for your doctors to date your
pregnancy. Likewise, it is also easier to predict ovulation
if you have a regular cycle.
Should you finish the pack
of birth control pills first or is it okay to stop mid-cycle?
This is entirely up to you. You can
stop taking the pill at any time but you may want to
finish the pack you are taking first before trying to
conceive. Any time you stop taking the pill mid-cycle
it can cause you to have breakthrough spotting. This
can be annoying to deal with and you may find it easier
to just go ahead and finish the pack you are taking
and then start trying to conceive.
What if your periods don’t
return?