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Hormonal contraception: myths and truth 
Getting Pregnant

Hormonal contraception: myths and truth 

2 min read
Key takeaways
2 min
  • Stop taking birth control pills immediately when ready to conceive - no waiting period is needed for a healthy pregnancy.
  • Expect normal fertility after discontinuing COCs, with 87% of women conceiving within one year and 20% in the first cycle.
  • Understand that modern birth control pills don't cause weight gain or fertility problems that could affect your healthy pregnancy journey.
  • Know that oral contraceptives don't increase miscarriage risk and may actually provide health benefits like reducing certain cancer risks.
  • Consider that COCs can help regulate cycles and treat conditions like endometriosis, supporting overall reproductive health before pregnancy.

Birth control pills do not affect fertility or prevent healthy pregnancy. Women can conceive immediately after stopping COCs, with 87% achieving pregnancy within one year and normal fertility returning quickly without any waiting period required.

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When it comes to hormonal contraceptives, the most popular are what are known as combined oral contraceptives (COCs). But despite their popularity, many women are wary of birth control pills because of the myths associated with them. Let’s debunk some of them.

Myth: It’s difficult to get pregnant after using COCs

Oral contraceptives do not affect fertility or lead to infertility [1]. Most women can conceive shortly after suspending birth control pills. On average, this process takes from one to six months. A lot depends on age, health status, and individual response to hormones. The chances of getting pregnant within a year after stopping COCs are 87% [2]. In fact, the likelihood of conceiving in the first cycle is about 20% [3].

Myth: After stopping oral contraceptives, you need to give your body a break from hormones for 3 to 6 months

If you are ready to start or grow your family, there is no need to wait. If all else is in order, you are likely to conceive as soon as you begin to ovulate. 

Myth: Birth control pills make you fat, and excess weight can make it difficult to conceive

Scientists have not found a link between weight gain and hormonal contraception [4, 5, 6].

Weight gain is more likely related to a high-calorie intake and limited physical activity.  

Contraceptives are improved constantly. Modern COCs contain low doses of hormones, and the risk of side effects is minimal. Aside from protecting against unwanted pregnancy, they can provide additional benefits. For example, they help normalize the menstrual cycle, improve skin condition, are used to treat uterine fibroids and endometriosis, and may reduce the risk of certain types of cancer (uterine, ovarian, colon) [7].

Myth: Oral contraceptives increase the risk of miscarriage

There is no evidence to support the belief that oral contraceptives increase the risk of miscarriage, ectopic pregnancy, or preeclampsia.

Frequently asked questions

You can start trying to conceive immediately after stopping birth control pills. Most women can achieve a healthy pregnancy within 1-6 months, with 87% conceiving within one year of discontinuing COCs.

No, birth control pills do not affect long-term fertility or reduce your chances of a healthy pregnancy. Your natural fertility returns quickly after stopping hormonal contraceptives, typically within one cycle.

Studies show no direct link between birth control pills and weight gain. Any weight changes are more likely due to diet and lifestyle factors, not hormonal contraceptives affecting your healthy pregnancy preparation.

No break is necessary between stopping birth control and trying for a healthy pregnancy. You can start trying to conceive as soon as you stop taking the pills and begin ovulating naturally.

No, there is no evidence that previous birth control pill use increases the risk of miscarriage, ectopic pregnancy, or other complications. Your chances of maintaining a healthy pregnancy remain normal after discontinuing COCs.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 5, 2024

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