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Can Birth Control Affect My Future Fertility?

If you've been using birth control for years or are considering using it, it’s common to wonder if it could affect your ability to get pregnant later. It’s a concern, especially for women who want to plan for children in the future. The good news? For most women, birth control doesn’t cause long-term fertility issues.

Ideal Gynecology, LLC is dedicated to providing exceptional care to women of all ages in and around the Atlanta, Georgia metropolitan area. Women can rely on our skilled team to provide the support and guidance to navigate common issues such as birth control and fertility care with confidence. 

How birth control works

Most types of birth control work by preventing ovulation or creating an environment in which sperm can’t reach the egg. Hormonal methods like the pill, patch, ring, and IUDs stop the release of an egg or change cervical mucus and uterine lining. Once you stop using them, your body typically returns to its natural cycle.

What happens when you stop birth control

For most of our patients, and depending on the type of birth control, fertility returns quickly after stopping. In some circumstances, it’s possible to get pregnant as soon as your next cycle. This is an advantage for women who are seeking a rapid return of their fertility.

With pills or patches, ovulation usually resumes within a few weeks. If you’ve used a hormonal IUD or implant, it may take a bit longer, but not much.

The birth control shot (Depo-Provera) is an exception. It can delay fertility for up to 10 months after your last dose. But even in this case, your fertility should return to your normal baseline.

Birth control doesn't build up in your system

Some women worry that long-term birth control use will somehow build up in the body or "pause" fertility indefinitely. That isn’t accurate. Once the hormones are out of your system, your body will resume its natural rhythm.  Fortunately, using birth control for years doesn't mean you’ll have a harder time getting pregnant later.

Age is a stronger factor than birth control

If you’re having trouble getting pregnant after stopping birth control, it’s more likely due to age or an underlying condition than the birth control itself. Fertility naturally declines as you get older, especially after age 35. Conditions like polycystic ovary syndrome (PCOS), endometriosis, or thyroid issues can also affect fertility.

If you had irregular periods before starting birth control, you might notice those same irregularities again after stopping. That doesn’t mean birth control caused the problem.

Talk to a trusted provider

The best way to protect your future fertility is to have open conversations with your healthcare provider. The skilled women’s health providers at Ideal Gynecology assist women in choosing the right birth control method for them that aligns with their long-term goals. 

We recommend checking in before stopping birth control, especially if you want to conceive soon. We can offer guidance on timing, prenatal health, and any tests that might help.

Expert fertility care 

Birth control is safe and effective, and for most women, it doesn’t harm future fertility. If you’re thinking about pregnancy down the road, rest assured that using birth control now won’t stop you from building a family when the time is right.

If you need help choosing the best birth control for your life and future plans, get in touch with the Ideal Gynecology team today to schedule a visit.

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