Contraceptive methods, particularly the pill, are often surrounded by myths regarding their effect on fertility. Many couples, especially those who are ready to start a family, may worry about how long-term use of contraceptives will impact their ability to conceive. However, experts assure that contraceptives do not cause a decrease or cancellation of fertility.
According to data from the Spanish Society of Contraception, over 17% of Spanish women use the contraceptive pill. A common misconception is that couples who use barrier methods instead of oral hormonal contraceptives will find it easier to conceive. In reality, many factors contribute to fertility, and the use of contraceptives does not directly affect one’s chances of getting pregnant.
Debunking Common Myths
Dr. Javier Domingo, a gynecologist and director of IVI Las Palmas and Tenerife, explains that there are several persistent myths about contraception and fertility. He frequently encounters patients who believe that long-term use of contraceptives will make it harder for them to conceive. However, this is not the case.
Some common myths include:
Starting contraception too young will make pregnancy difficult: The age at which a woman starts using contraceptives is not a predictor of future infertility. The key factor influencing fertility is the woman’s age when she starts trying to conceive, not the duration of contraceptive use.
Contraceptives deplete ovarian reserves: There is a misconception that taking the pill for years will save ovulations and postpone menopause. This is false. Contraceptives neither deplete nor protect ovarian reserves.
Length of contraceptive use affects fertility: After stopping the pill, fertility generally returns, and ovulation resumes. The duration of contraceptive use does not have a lasting impact on fertility.
Periods may not return after stopping the pill: In most cases, menstruation resumes shortly after stopping oral contraceptives. However, in rare cases, post-pill amenorrhea, a temporary condition where menstruation does not return, can last up to 3-4 months.
Rest periods are needed to "reactivate" fertility: It is not necessary to take breaks from using contraceptives to restore fertility. Ovulation typically returns immediately after stopping the pill.
When to See a Fertility Specialist
If pregnancy has not been achieved after a year of unprotected intercourse, or six months for women over 35 or with a medical history related to fertility issues, it’s advisable to consult a fertility specialist. They can help diagnose any underlying conditions that may be affecting fertility.
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