Pill Question

[name_m]Hi[/name_m] guys! This is my first thread in this forum, so this is sort of weird for me.

My boyfriend and I are not TTC yet. Our wedding will almost certainly be in 2020, so 2021-22 would be the earliest times we would be trying. But recently, baby fever has definitely taken over, so I’ve been reading and researching quite a bit recently since I like to plan!

I have been on [name_m]Tri[/name_m]-Sprintec, a combination pill since [name_u]November[/name_u] 2014. I originally started taking it for its acne-reducing benefits, but I have stayed on as a form of birth control. I always had very regular cycles before using the pill, so that was never a reason for birth control pills for me. I suppose I am curious as to how long it may take to conceive when I stop taking the pill? I plan on talking to OB-GYN once we get closer to TTC, but I didn’t know if anyone here had any experience with coming off of a combination pill if your periods were already regular? [name_m]Will[/name_m] coming off the pill make me irregular somehow? Does the length of time on the pill make a difference?

Thanks in advance to anyone who has any answers!

I can’t say anything about a combination pill specifically however from everything that I have read about birth control (especially oral pills) the time on the pill doesn’t really matter, most pills I think recommend somewhere between 3-6 months before you start ‘trying’ but also say you can get pregnant the moment you come off the pill and your cycle starts again. And as far as I know according to medical doctors, if you were regular before you should be regular after, it just might take sometime for your body to completely rid yourself of the hormones from the pill (though in the age of internet, I have read many stories that say otherwise)

Disclaimerthis is just what I remember from discussing with my doctors and others when I was researching different birth control options

Thank you libelluleclaire. That all sounds reasonable and makes sense. I hadn’t thought before about the time it would take to potentially clear the hormones from my body. But thank you so much for replying!

I don’t know if our pills were the same, but I had long been on a generic of Aviane (which I’m pretty sure is a combination pill) when my husband and I decided we were ready to “not-not-try,” as we put it: pulling the birth-control goalie, but not aiming to DTD in a particular window, no charting temps, no ovulation strips, etc.

I was on the Pill for so long (10-11 years; started in college) that I honestly can’t remember what my cycles were like before I started, but I’d read somewhere that it typically takes up to three months for your cycle to return to being regular and that it often takes on average around 5-6 months after stopping the Pill to conceive (like, where did I read that…?). We decided that we would start not-not-trying this [name_f]February[/name_f] and let my cycle reinstate itself; fancying ourselves pretty average, we went in with the hope to get pregnant at the end of the summer. If we weren’t, then we’d begin trying in earnest.

I finished taking a pack of pills in mid-[name_f]February[/name_f], got my normal period, and then didn’t begin a new pack. I had what seemed like a long cycle (around 34 days) before getting my period in late [name_u]March[/name_u], and at least compared with my birth-controlled periods, this one seemed light and irregular and had a long spotty tapering-off that left me unsure when it really ended. (Sorry if this is TMI!)

About two weeks ago, I was sitting at a dinner party and internally panicked, “Why are my breasts so sore?” One week ago, around when my app thought I might get my period, I took a HPT that lit up immediately with a dark, positive line. It’s obviously still so, so early (I am guessing I’m about 5 weeks), but anecdotally, I can say that you can get pregnant pretty much immediately after stopping the Pill. We are excited, but a little shocked (I admit I feel the littlest bit wistful I won’t get one last kid-free summer sipping rosé and drinking at all these weddings we have lined up this year, but oh well, haha).

My understanding now of that “it takes three months before you start trying” line is not that it necessarily means you won’t ovulate for 3 or so months (though that could happen). It’s more that you will ovulate, just maybe not quite predictably when–and if you can track your natural period for three months or more prior to TTC, you’ll get a sense of what IS regular, and it will be much easier for you to aim for a fertile window and predict when you got pregnant. I imagine since you already have a sense of what was regular before the Pill, it’ll level out soon enough back to how it was before. Most phone apps for logging your cycle (I was just starting to use Clue) will not just track your period, but make an educated guess at your ovulation window. Since I was one irregular period in before we conceived, I can’t pinpoint as easily when that period technically stopped, what my normal cycle length is, or when I ovulated, which might initially make it a little trickier for an OB to guess the due date or gauge if development is on track (I do know when we DTD that did it, haha, which helps). Anyway, I figure as long as the pregnancy sticks, that will all be revealed by future ultrasounds.

TLDR: as with any TTC journey, how long it will take is hard to know. But how long the Pill lingers in your system and might prevent ovulation/pregnancy…at least in my experience, not all that long!

Thank you ellenelle! That was all very helpful. I imagine we will start by “not-not-trying” as you did at first, and I suppose we will just see if that works out and see how long it takes for my periods to become seemingly regular again. Congratulations on your pregnancy!

I don’t know if the pill I was on was a combo, but not much changed for me when I stopped taking it after 10 years, except that it took me a little to realize the twinges of pain I had mid-cycle were from ovulation. I also tend to get baby crazy and give my FI the eye a bit more; the experience of going off the pill has truly made me in awe of the power of biology/the human body!

I’m extremely regular and my body slipped right into its normal groove within one cycle of stopping the pill. It’s a little off kilter now because I went back on for a few weeks to offset my next cycle (I was literally due the day before my wedding!). I’m back off now and am not sure if that little hiccup will mess with my regularity, but I expect it’ll taper off to normal within a month or two and I’ll be back to tracking in Clue.

We have not tried to conceive yet, but we never depended on the pill alone for birth control, anyway - we were that determined to not take any risks until after we were married. So I assumed there was a potential for pregnancy as soon as I was off it, especially because I’m so regular.

Everyone’s experience coming of hormonal birth control will be different. Some bodies heal faster than others. The thing to remember is that birth control has halted your body’s natural process and is feeding it synthetic hormones instead, so when you stop the pill your body has to learn how to run these systems by itself again… this can take time. For a lot of women, 6-12 months is the average for getting their “normal” cycle back after coming off any kind of hormonal birth control, especially the pill. You can help your body heal with various supplements, but often it is just about being patient. Some people conceive quite fast coming of birth control, but it is by no means the most common thing.

And yes, the length you are on birth control will affect how long it takes your body to heal… I was only on it for 12 months and am still healing after 14 months off it. The more time on birth control the longer the healing process is likely to be. However, again, some people are fortunate and they get their fertility back reasonably fast.

Thank you @jrave656 and @mummacat92 for your replies. I haven’t been on this board much at all recently because the whole TTC/pregnancy process has been causing me a lot of stress whenever I think about it! But I definitely appreciate your answers and I know that I’ll have to be mentally prepared for at least 6 months of adjustment time for after I stop the pill, but also understand that there is a slim chance of falling pregnant right away.

It varies person to person how long it will take to get back to a normal cycle after being on the pill. I was on a combo pill for 10 years and got off it about 6 months before my husband and I wanted to start trying so that hopefully once we were ready to try I would at least be back to normal hopefully. Well two weeks after getting off the pill we weren’t very careful and to our surprise a few weeks later I was pregnant with our son. According to my OB that isn’t the normal experience though. So maybe get off the pill a bit before you are ready, but make sure to use some other form of birth control if you really aren’t ready yet because you could also be that person who goes back to regular cycles immediately.

It will not harm you or the baby to get pregnant immediately after stopping the pill. Of course it is possible, just like how some people get pregnant because they miss one tablet.
That said, it’s generally advised to wait three months. It may take this long for your periods to return (it did for me), which means TTC could get your hopes up after 40-50 days of no period, only to find out you aren’t ovulating. Also, doctors like to know when your last period was, so waiting to it to become regular again makes t easier to conceive and to work out how pregnant you are.