Rules for the abolition of hormonal contraception. How polycystic ovary syndrome (PCOS) is formed after taking ok How quickly the ovaries recover after ok

Our modern business women are accustomed to living according to a schedule, planning their lives, careers and even the birth of a child in advance. Since they believe that pregnancy is easier to prevent than to terminate, experiencing stress and injuring themselves, taking oral contraceptives (OC) has become a fairly popular method of protection. Although the problem of whether ovulation will be after the cancellation of OK at the right time and how quickly it will come when the question of conception arises worries many.

What do oral contraceptives do?

OK, having in its composition sex hormones, act depressingly on the process of cell formation, namely:

inhibit the maturation of the egg;
reduce the contractility of the fallopian tubes;
increase the viscosity of cervical mucus.

All this impedes the process of fertilization, since the cell is immature, and spermatozoa in this state of the reproductive system cannot penetrate the tube. Changes in the endometrium do not allow the embryo to attach to its wall.

If you want to get pregnant, the abolition of these drugs is easy. It is only necessary not to abruptly stop taking it in the middle of the cycle, but to drink the course before menstruation, so as not to cause too much bleeding. But the restoration of childbearing function takes a sufficient period of time. Therefore, the question of when ovulation occurs after the abolition of OK remains quite relevant.

On average, the female body is able to return to normal and regenerate the reproductive function from 6 to 12 months. In this case, the following factors play a role:

age;
the state of the immune system;
what contraceptive you took;
the presence of diseases.

So, on what day ovulation will occur after the cancellation of OK, it is difficult to say, here the bill goes for months. Since during the time of taking the pills the body received hormones in sufficient quantities, the production of its natural slowed down. And it takes time to restore the natural process. It is believed that each year of taking OK adds 3 months to the recovery period.

Features of recovery after canceling OK

Experts believe that when using contraceptives for 3 to 6 months, pregnancy can occur quickly enough. Since the ovaries, impaired in their productive function for some time, after the cessation of exposure to synthetic drugs, they begin to work on growing eggs with a vengeance.

Gynecologists even use this method of treatment for cases of failure in the process of cell formation. OK is prescribed for 3 months to stimulate the normalization of cell growth after their cancellation. According to medical observations, pregnancy in such cases occurs after about 24 months in 85% of nulliparous women and in 95% of those who have given birth.

The first ovulation after the cancellation of OK is an individual phenomenon. If impatient persons believe that the release of the egg will occur immediately after stopping the medication, then this opinion is erroneous. A woman over 23 years old who has been protected from pregnancy with hormonal pills for several years may need a year to recover. For a lady 30 years and older, the waiting period can stretch for 5 years. All processes depend on the state of the body in this period of time.

Sometimes painful ovulation is possible after the withdrawal of OK. But this is not often observed. The passage of the period without taking OK for each lady occurs in her own way, with signs and sensations inherent only to her.

Since the recovery process is different for everyone, late ovulation is also possible after canceling OK. The reproductive system of a woman should start reproducing hormones on her own when they stop coming in large quantities from OK. The first months of such adaptation pass with a violation of the rhythms of menstruation. It is significantly lengthened, thereby shifting the day of the release of the germ cell. Adjustment of this process can take 3 months or more.

Calculations at failures of rhythms of result do not give. Therefore, the moment of rupture of the follicle can be determined using saliva or urine tests, measuring rectal temperature and leading a graph of changes, as well as simply listening to your feelings. Soreness of the chest and a slight pulling pain in the lower abdomen will tell you about the onset of the desired date, albeit not at the moment you expect.

About hormonal contraceptives

Doctors prescribe oral contraceptives for the treatment of certain gynecological diseases:

acute premenstrual syndrome;
infertility on a hormonal background;
dysmenorrhea (painful periods);
endometriosis;
some types of uterine bleeding.

In addition to OK, the doctor may advise an injection of progesterone. They do it once a quarter in the first days (up to the fifth) of the cycle, the action lasts 200 days. The period of normalization of the menstrual cycle takes about a year.

An IUD (intrauterine device) is also used, which is placed through the cervix and vagina into the uterine cavity and protects up to 5 years, blocking the access of spermatozoa.

From the foregoing, it follows that ovulation after the abolition of OK is normalized at different rates. For some, three months is enough to restore the body's production of its hormones and the maturation of a full-fledged egg. For others, this process will take 6-12 months, and even bringing the rhythms of menstruation back to normal requires an additional length of time.

Taking oral contraceptives, like other drugs containing hormones, is a serious step. Before deciding to take them, consult your doctor, get acquainted with the reactions and consequences that await you at the time of treatment and after withdrawal, and consider whether this option is right for you or you can replace it with another method.

Oral contraceptives are ideal for preventing unwanted pregnancy and treating many gynecological problems. They affect the hormonal background of a woman, due to which there is a positive effect on the body.

While taking these drugs, many people have the question of how to cancel hormones so as not to harm themselves. In this regard, there are several rules that every woman who wants to maintain her health and not provoke serious violations must adhere to.

What are hormonal contraceptives?

To prevent unwanted pregnancy, they contain estrogen and progestin. Each manufacturer uses a special combination of these substances, which allows each woman to choose the tool that best suits her. The hormones contained in OK, in their structure and properties, are as similar as possible to those produced by the ovaries. That is why they have many positive properties.

The contraceptive effect of these drugs is provided in the following way:

the process of maturation and release of the egg is suppressed. In women taking these drugs, ovulation does not occur at all;
the mucous membrane of the uterus changes in such a way that the attachment of a fertilized egg is simply impossible;
mucus thickens significantly in the cervix, which will become an obstacle to the penetration of spermatozoa;
certain changes occur in the fallopian tubes. As a result, spermatozoa are unable to move normally there.

What other benefits of hormonal birth control are there?

Taking contraceptive hormonal drugs, every woman can experience beneficial changes in her body:

very often, menstruation becomes less painful, their duration and the amount of discharge may change down;
Menses always come on time if you follow the recommendations for taking the pills;
due to the inhibition of ovulation, the woman is protected from ectopic pregnancy, which can lead to death;
reduces the risk of developing ovarian and uterine cancer;
significantly increases the chance of a successful pregnancy after the end of the drug;

the likelihood of developing many inflammatory diseases in the pelvic organs is reduced;
reduces the risk of osteoporosis;
the natural defense of the woman's body increases, since pathogens are not very often able to penetrate through the viscous cervical mucus;
the number of rashes on the body, which had a hormonal nature of occurrence, decreases.

What is the right way to act if you need to cancel contraceptives?

According to the recommendations of all gynecologists and manufacturers of hormonal drugs, they should be canceled after the pack is completely drunk. Only in this case it is possible to avoid hormonal failure, which is sure to happen otherwise. After taking the last pill from the pack, menstrual bleeding begins.

It is also called the withdrawal reaction. Typically, such menstruation begins 1-2 days after the end of the pill. To make this process go as smoothly as possible, you must adhere to the following recommendations:

Before canceling oral contraceptives, it is imperative to consult with your gynecologist. In some cases, it is strictly forbidden to stop taking these drugs.
It is recommended to take tests to determine the level of sex hormones.
It is necessary, if possible, to drink the entire pack to the end. Interruption of oral contraceptives in the middle of the cycle leads to serious consequences for the body. In this case, the woman's reproductive system will experience tremendous stress and react with intense uterine bleeding.

When can women stop taking hormonal contraceptives mid-cycle?

In some cases, stopping hormonal contraceptives in the middle of the cycle may be a reasonable step. Doctors recommend to refuse OK until the end of the pack in the following situations:

at the onset of pregnancy;
with rapidly developing thrombosis;
in the detection of malignant tumors of any localization;
with the development of serious diseases affecting the liver;
upon detection of diabetes mellitus;
with exacerbation of arterial hypertension.

Hormonal failure after the cancellation of OK in this case is likely to occur. Therefore, after a sharp cessation of taking oral contraceptives, a woman should regularly visit a doctor in order to identify and eliminate the problems that have arisen in a timely manner.

What complications can appear after abrupt withdrawal of hormonal drugs?

If oral contraceptives were prescribed to a woman to treat certain gynecological problems (menstrual irregularities, endometriosis, uterine fibroids, and many others), after stopping their use, the so-called withdrawal syndrome develops. This means that all the symptoms of diseases that were previously disturbing can return with renewed vigor. Also, side effects that occur after the abolition of oral contraceptives include:

mood swings, the appearance of irritability, tearfulness, the development of persistent depression;
the appearance of rashes on the skin, acne;
excessive hair growth all over the body;
the appearance of inexplicable weakness, fatigue;
decrease in sexual desire;
the appearance of dysfunctional uterine bleeding;
increased functional activity of sweat and sebaceous glands. As a result, a woman's hair becomes greasy faster, and numerous comedones (black dots) form on the skin;
there are intense headaches;
intense hair loss. Sometimes even baldness occurs;
sometimes there is nausea and vomiting.

If more than 6 months have passed since the sin of oral contraceptives, and all the unpleasant signs of withdrawal persist, you should consult a gynecologist.

After what period after the cancellation of OK, the hormonal background of a woman is restored?

Most gynecologists agree that 2-3 months after the abolition of oral contraceptives, the woman's body begins to function as before. This applies to cases where these drugs were prescribed only to prevent unwanted pregnancy. In other situations, a woman's body may need more time. The term for restoring hormonal balance is very individual.

Usually, during these 2-3 months after the cancellation of OK, a woman observes some changes. For some, the menstrual cycle can be shortened, while for others it can be lengthened. If its duration does not exceed 36 days, there is no reason for concern. This is quite normal and does not require any medical intervention.

Also, in some women, after stopping the use of hormonal contraceptives, menstruation may be completely absent for some time. If this violation is not observed for more than 3 months, nothing needs to be done. This condition indicates that the ovaries need a little more time to restore their work. In this case, the gynecologist must constantly monitor the condition of the woman in order to exclude pregnancy.

How is the recovery of the woman's body after the abolition of birth control pills?

After the abolition of hormonal contraceptives, the reproductive system of a woman undergoes certain changes, which leads to the restoration of its functioning:

The processes that occur in the secretory phase of the menstrual cycle are restored.
The first atrophic changes in the endometrium (the inner layer of the uterus) begin.
The ability of the uterus to provide optimal conditions for implantation and fetal development is restored.
The microflora of the vagina also undergoes changes.
The viscosity of the cervical mucus decreases. This leads to the fact that spermatozoa can freely enter the uterus and fertilize the egg.

Planning for pregnancy after discontinuation of oral contraceptives

After the abolition of hormonal contraceptive drugs, many women begin to plan a pregnancy. Doctors recommend postponing it for about 2-3 months. This term is due to the fact that the reproductive system of a woman needs time to fully restore its work. While taking oral contraceptives, the ovaries were in the so-called sleep state. Therefore, after the abolition of these drugs, they do not begin to function immediately.

However, one should not forget that the onset of pregnancy is possible even earlier. Despite this, it may develop incorrectly. Also, such a pregnancy often ends in spontaneous abortion in the early stages. This is due to the existing hormonal imbalance in the body of a woman. Therefore, it is better to postpone pregnancy planning for several months, which will guarantee the absence of dangerous complications that are associated with taking OK.

Do I need a break during long-term use of hormonal drugs?

Many women, while taking oral contraceptives, worry about whether their use for a long period will harm them. This is due to the fact that previously many manufacturers of hormonal contraceptives recommended taking a mandatory break every 2 years. For 2-3 months, the body had to give a break in order to restore the functioning of the gonads. This was not always convenient, since during this period there was a need to use barrier methods of contraception.

At the moment, many drugs are being produced for which there are no such restrictions. They can be taken continuously for 35 years. They contain small doses of hormones, which allows you to not adhere to this rule. Many doctors do not recommend stopping taking such OK at all, and then resuming again after a few months. This will create additional stress for the body and produce an unnecessary burden on the endocrine system.

Can I gain weight after stopping birth control?

Many women complain that after stopping the use of hormonal contraceptives, they recovered significantly. But this is not the cause of this problem at all. If a woman has any endocrine disorders, then weight gain is associated with them. In most cases, the use of OK does not affect this in any way.

Moreover, one should not forget that a slight increase in weight occurs after the start of taking contraceptives. This is due to the fact that the hormones contained in their composition lead to the accumulation of fluid in the tissues. Therefore, after the abolition of OK, a woman on average can lose up to 2 kg.

Sometimes a prolonged absence of a desired pregnancy can force a woman and her doctor to turn to the most non-standard solutions to the problem. One of them is the use of the rebound effect, a condition that occurs immediately after the withdrawal of oral contraceptives (OC). It is characterized by increased work of the ovaries, which were at rest while taking such drugs. But is the cancellation of OK a guarantee that pregnancy will occur? And are there any nuances that should be taken into account? Let's talk about it right now.

How to "catch" the moment?

Firstly, not all oral contraceptives are able to cause a violent response in the work of the ovaries. This can only happen after taking combined contraceptives, such as:

Jess;
Yarina;
Jeanine;
Marvelon;
Triquilar;
Tri-Regol;
Femoden.

Secondly, in order for the withdrawal effect to take place, you need to take OK for at least three months, and in some cases a six-month course is necessary. In addition, there is a category of women whose ovaries continue to work even while taking oral contraceptives, which means that in this case, the drug can be discontinued without any consequences at all.

What happens to the ovaries after the withdrawal of OK?

Tablets are designed to "turn off" the work of the ovaries and thus stop unwanted ovulation. They can also be prescribed in order to bring the hormonal background of a woman in order. After the cancellation of OK, the ovaries begin to function intensively, the chances that ovulation will occur are significantly increased. Moreover, not one, but several dominant follicles can mature at once.

Accordingly, the “boosting” effect is fraught with the conception of multiple pregnancies, since the abolition of combined oral contraceptives can stimulate “superovulation”. It is impossible to predict exactly how many eggs will mature. It remains only to recall that the multiple pregnancies that entered the Guinness Book of Records occurred precisely against the background of artificially provoked hormonal changes in the woman's body.

Opinion of medical specialists

Doctors have different attitudes to the treatment of infertility in this way. As a rule, it is not among the first methods that a doctor can apply for successful conception, and there are several reasons for this:

Firstly, not all doctors are positive about the use of oral contraceptives, as such. Studies show that in 1/3 of the cases of taking OK, the hormonal background of a woman is so disturbed that it takes several years to restore it.
Secondly, doctors are afraid to provoke "superovulation" and get pregnant with three or more embryos. In the IVF protocol, by the way, “superovulation” is also stimulated, but there the mature eggs are completely under the control of doctors and only 1-2, in rare cases, 3 fetal eggs from the total number obtained in vitro will be planted in the woman’s uterus. During the rebound effect, it is impossible to control the number of nuclei, since the whole process takes place outside the laboratory conditions.
Thirdly, the effect of canceling OK is not considered to be particularly effective. Even if he contributed to the beginning of the maturation of the dominant follicle, this does not at all guarantee that the capsule will burst and the egg will be able to come out, or that the follicle, having reached a large size, will not begin to regress.

Therefore, most medical professionals initially prefer to use more traditional approaches to treating infertility. And, of course, you should not start “treatment” with oral contraceptives without consulting a doctor, because uncontrolled use of drugs can lead to hormonal failure instead of a long-awaited conception against the background of their cancellation.

Reviews

Anna: Don't repeat my mistakes! I read two years ago on the Internet about the miracle effect and prescribed contraceptives for myself, then I drank them, then I didn’t. The result - no conception, all the hormones knocked down, the second year I can not restore.

Irina: My daughter turned out in the second month after the cancellation of OK. Only in my case it was not a cure, I just drank them as a protection. Then the doctor advised me to take a break for a couple of months, and now, the result of the “respite” has already gone to the kindergarten.

Galina: I got both pregnancies on the next cycle after I stopped taking OK. Both times they tried to bring my hormones back to normal with these pills, since ovulation did not occur.

Alena: I also took contraceptives, I hoped for conception after the “treatment”, but, alas ... Apparently, not my method.

Valeria: No point. Although I took six months. After the cancellation, even ovulation did not occur, let alone conception.

Maria: Six years ago I decided to get off the OK reception and start planning a child. The doctor warned that we must wait at least three months, and that is the risk of multiple pregnancy. My husband and I did not heed the warnings, hoping that this would not threaten us. We got pregnant in the second month. At 8 weeks I come for an ultrasound, and there are two fetal eggs in the uterus!

Natalia: Nothing happened to me after the cancellation. Ovulation improved after three months.

Olga: On my folliculometry after the cancellation, it was clear how several dominant follicles were maturing. It was in the first month, but my husband and I decided not to risk it - with my ICI, a multiple pregnancy would not be tolerated.

Nina: The doctor advised me to drink OK for three months, and then get pregnant on cancellation. Nothing happened, although the gynecologist said that the effect works in her other patients.

Elena: We didn't succeed. There was no ovulation, the follicular cyst just matured and that's it.

is pain in the lower abdomen. The article explains why this happens and whether this state of the body is considered normal.

How do they act?

To understand why certain consequences appear after the abolition of OK, it is necessary to understand how these drugs affect the reproductive system.

Reference! OK - synthetic type hormones that suppress ovulation and change the ratio of LH and FSH. When the hormonal composition changes, the structure of the endometrium also becomes different. Cervical mucus is also affected - it becomes very dense, forming a kind of plug in the cervix that separates the sperm from the egg. Even if he manages to pass this obstacle, the zygote will not be fixed in the uterine wall.

If the patient takes OK, the key functions of the ovaries seem to be turned off, and all the work is assigned to synthetic hormones. When, after the abolition of contraceptives, discomfort in the ovaries is fixed, this means that they are engaged in the return of natural activity. Before drawing conclusions, it is recommended to observe your condition for several cycles.

Causes of pain after withdrawal

Many complain that after stopping oral contraceptives, they experience pain in the chest and lower abdomen. It is these parts of the body in girls that react especially sharply to even minor disturbances in the functioning of the whole organism. Any such medication contains a huge amount of hormones that affect the mammary glands and the reproductive system in general.

Important! When additional substances cease to flow, the woman feels pain.

This situation is considered normal. Pain indicates that the body tuned in to provide stable protection, but then abruptly abandoned it. Now the production of hormones will occur naturally, and this often leads to stress for the body.

Doctors emphasize that taking OK on a regular basis is also unfavorable for health, because:

there is an addiction to the unnatural production of hormones;
there is a negative effect on the mammary glands and ovaries;
the composition of cervical mucus changes;
the fallopian tubes begin to malfunction;
pathology of the endometrium develops;
infertility occurs.

Important! Regular intake of such drugs can eventually completely extinguish one's own fertility. Therefore, the doctor should choose medicines based on the clinical picture.

To minimize negative consequences, it is recommended to drink tablets according to a predetermined schedule at a given time.

What happens to the body

After stopping OCs, women begin to notice that their bodies function differently.

Initially, the course of the menstrual cycle changes.

If its duration goes beyond 21-35 days, then it is better to inform the gynecologist about this.

Some 2-3 cycles do not have periods. This is the time when the body adjusts to the natural production of hormonal substances. There are also other side effects:

causeless bleeding;
nausea and headaches;
acne, blackheads, comedones appear on the face;
change in emotional state;
decreased sexual desire;
increased sweating.

If these factors do not disappear on their own, but continue to cause discomfort for 5-6 months, then the girl needs an additional examination.

Pain while taking birth control

Women taking oral contraceptives should be prepared for the fact that replacing her hormones with synthetic ones will not go unnoticed. As a rule, in the first month after the start of taking, a daub is observed, similar in color and consistency to the discharge in the last days of menstruation. This is quite normal, as the body is rebuilt to new "conditions" of work.

However, some women, when taking birth control, are worried about pain in the ovaries and appendages. In this case, you should immediately go to the doctor for a consultation. Most likely, pain signals that the selected OK is not suitable for a woman.

But in no case should you stop drinking contraceptives on your own, there are special exit schemes that the doctor prescribes in each case.

One of the most common consequences of self-abrupt OC discontinuation is vaginal bleeding that won't stop on its own.

What to do?

Soreness of the appendages can be felt if the drug is chosen incorrectly by the doctor, or the woman began taking it without consultation, that is, on her own.

When the discomfort is temporary, it is better to monitor your condition, but constant pain should be a mandatory reason to go to the hospital.

A comprehensive examination will help clarify the situation. It includes such activities:

chair examination during which the doctor performs palpation. Sometimes this is enough to understand the causes of pain;
passing an ultrasound. This method is considered informative. The transvaginal method is suitable for analyzing the work of the ovaries, since the introduction of an ultrasound probe into the vagina will allow the diagnostician to examine in detail the paired gland and the retrouterine space;
passing general tests blood and urine;
hormone tests.

Attention! Based on the results of the examination, the doctor must decide whether to cancel OK or prescribe another drug that is more suitable for the patient.

Basic Cancellation Rules

For some women, the withdrawal of OK may be undesirable. There are certain reasons for this:

age;
exacerbation of certain pathologies;
some type of drug.

Before giving up pills, you need to weigh the pros and cons. The main decision here is made by the doctor. The following factors should be taken into account:

with the development of anemia increase in blood secretion secreted during menstruation;
the viscosity of the mucus will decrease, and this is fraught with multiple inflammatory processes;
during menopause significantly increased risk of developing osteoporosis;
may be observed increased hair growth on the body and face;
after canceling OK woman not immune from ectopic pregnancy if she is inclined to it;
decreased sexual desire because the lady is afraid of an unplanned conception.

You can't stop taking pills on your own. It is recommended to finish the pack to the end.

How safe are contraceptives?

Statistics say that 70 million women around the world tend to sacrifice their figure, perfect skin and a favorable emotional state in order to take OK.

It is believed that if a drug in this category caused severe side effects, it would not be prescribed so often.

According to pharmacists, there is no other group of drugs, like contraceptives, that would be subjected to such detailed clinical studies.

Combination tablets are already on sale, in which the hormonal dose is reduced. This category of drugs has much fewer side effects and, as a result, better tolerability.

Not everyone is allowed to take OK. Contraindications include:

the presence of diseases associated with thrombosis;
migraine, which contributes to impaired speech and vision;
numbness of body parts;
general weakness of the body;
diabetes mellitus with vascular complications;
pancreatitis;
liver damage;
oncology of the mammary glands;
unexplained bleeding from the vagina;
pregnancy;
breastfeeding period;
hypersensitivity to a particular drug.

Important! If there is a genetic predisposition to the above diseases, then it is better to choose a different method of contraception.