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Birth Control Pills Cause Delay in Re-establishing Ovulation

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February 17th, 2006
I have a question that I wanted to ask you all. Okay, I have been taking birth control for five years and now I have been off of them a year because me and my husband decided that we were ready to start a family. Nothing seems to be working after trying for a whole year and we are having trouble trying to conceive. I recently went to the doctor for a pap smear and everything was normal. How can you help us. We have tried everything. I heard that taking vitiams can help speed up the process.


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replied March 20th, 2006
Getting Pregnant Answer A497
One of the normal, expected side effects of hormonal contraception is a delay in the return of ovulation. It may take some time to re-establish ovulation after coming off birth control pills (up to two year). You may also have irregular periods or no periods at all (amenorrhea). These conditions are caused by a lack of ovulation. Ovulation is usually established 6 months after ceasing consumption of the pills... but the maximum waiting period is 2 years. In your case, the most important thing is to find out if you are ovulating, or not. A Pap-test can not determine that. Hormonal analyses (FSH, LH, estrogen, progesterone) and an ultrasound have to be done. Vitamins have no connection with ovulation. If necessary, ovulation stimulators (clomifen) will be recommended. You can go to a gynecologist for these follow up examinations and to more closely monitor your fertile cycle.
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