The combined oral contraceptive pill and future fertility.

The short answer is no. At one time it was thought that the combined oral contraceptive pill could cause 'post-pill amenorrhoea (absent periods after stopping the combined oral contraceptive pill -Q16.13) and this was associated with anovulatory (failure of egg release) infertility. Subsequent studies showed that those who developed post-pill amenorrhoea had similar cycle problems before commencing the combined oral contraceptive pill. The pill was not the cause but it had been masking the underlying problem.

It seems likely that, if anything, the combined oral contraceptive pill may conserve fertility by reducing the incidence of pelvic inflammatory disease (Q 20.2) and endometriosis (Q9.11). Pregnancy termination (abortion), which should be prevented by the combined oral contraceptive pill, can have complications leading to infertility (Q19.14). Modern contraceptive methods are extremely effective. There is a danger that one can assume that when the combined oral contraceptive pill is discontinued a pregnancy will occur quickly. With increasing age, fertility decreases if you want a child, you should not leave it too long (Q9.6).

Related Medical Abstracts - Click on the paper title:-

Post-"pill" amenorrhoea--cause or coincidence? (1977-01)

Please click on the required question.

Q16. 1 What are the different types of combined oral contraceptive pills?

Q16. 1a What is the new Evra? Patch?

Q16. 2 What are the benefits and problems of the phasic pills?

Q16. 3 How will my doctor help me to decide which is likely to be the best pill for me?

Q16. 4 Whilst I am taking the combined oral contraceptive pill, what monitoring should I receive?

Q16. 5 A member of my family has a history of a deep venous thrombosis (DVT) or pulmonary embolism (thromboembolism). Should I have a screening blood test?

Q16. 6 Does an aeroplane journey increase the risks of taking the combined oral contraceptive pill?

Q16. 7 Are there times when the combined oral contraceptive pill should be prescribed only with special caution?

Q16. 8 Are there any contraindications to taking the combined oral contraceptive pill?

Q16. 9 On which day of my menstrual cycle should I start my first course of the combined oral contraceptive pill?

Q16. 10 Can I start the combined oral contraceptive pill whilst I am breast-feeding?

Q16. 11 Can I take the combined oral contraceptive pill if I have had episodes when I did not see my periods (amenorrhoea)

Q16. 12 Can I start the combined oral contraceptive pill if I am not currently seeing my periods?

Q16. 13 Does it matter if I do not see a period whilst taking the combined oral contraceptive pill?

Q16. 14 What is the advice when my changing pill preparation?

Q16. 15 What should be done if breakthrough bleeding occurs whilst I am taking the combined oral contraceptive pill?

Q16. 16 Can my pill withdrawal bleed be planned to avoid weekends?

Q16. 17 Can I take the combined oral contraceptive pill without a seven-day pill-free gap?

Q16. 18 What should be done if a pill is missed?

Q16. 19 Could I conceive whilst I am taking the combined oral contraceptive pill?

Q16. 20 Can combined oral contraceptive pills interact with other medication?

Q16. 21 I am taking the combined oral contraceptive pill. Will this reduce my future fertility?

Q16. 22 I have been on the combined oral contraceptive pill for sometime. Is there any need to take a break from it?

Q16. 23 I am due to have an operation. Should I stop taking my pill?

Q16. 24 What is the advice with regard to third generation combined oral contraceptive pills?

Q16. 25 Until what age can I take the combined oral contraceptive pill?

Q16. 26 I have taken the combined oral contraceptive pill. Will this change the time when I will go through the menopause?

Q16. 27 I am taking the combined oral contraceptive pill. How will I know if I have reached my menopause?

Q16. 28 In what circumstances should the combined oral contraceptive pill be stopped immediately?

Q16. 29 What symptoms are commonly associated with taking the oral contraceptive pill?

Q16. 30 Should the combined oral contraceptive pill be discontinued if I develop headaches?

Q16. 31 If I have varicose veins can I take the combined oral contraceptive pill?

Q16. 32 I have developed vomiting and diarrhoea. How does this affect my pill taking?

Q16. 33 How long before starting a pregnancy should I stop taking the combined oral contraceptive pill?

Q16. 34 Family Planning Support Groups.

Q16. 35 Support Groups.

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