No more contraception, it’s important to know when to prepare for pregnancy

No more contraception, it’s important to know when to prepare for pregnancy

Women who use contraception all year round often ask me this question, \”When is the best time to get pregnant?\” In fact, this depends on many situations, let me tell you in detail.

Use condoms for contraception, and prepare for pregnancy if you want to get pregnant

In fact, there are many kinds of contraception, and the simplest and safest method is condoms. It is very convenient for both the contraceptive effect and the preparation period for pregnancy. For friends who use condoms for contraception, if they want to get pregnant, they just need to stop using condoms from the right time.

Use an IUD for contraception, and prepare for pregnancy about six months to a year after removal

Using an IUD for contraception is relatively troublesome. The intrauterine device is a contraceptive device placed in the uterine cavity. Because the devices used in the early stage are mostly ring-shaped, they are usually called IUDs. The IUD has less interference with the whole body, acts locally, and does not affect fertility after removal. It is safe, effective, reversible, simple, and economical, and is one of the most commonly used birth control devices.

If you want to get pregnant, you must first go to the hospital to remove the IUD. In the past, it was believed that in pregnancy with a ring, the ring would have no effect on the fetus and would not cause fetal malformation. There was no need to terminate the pregnancy at this time, and the ring would not be removed. The ring could be expelled with the placenta after the fetus is delivered. In recent years, it has been discovered that the probability of ectopic pregnancy in pregnancy with a ring is slightly higher than in normal pregnancy. Moreover, women with IUDs have a contraceptive success rate of up to 90%, so they should remove the IUD first.

After the IUD is removed, its effect of interfering with the union of sperm and eggs disappears, and the endometrium returns to normal. Studies have confirmed that 75% of women can conceive within 6 months after having the ring removed; 90% of women can conceive within 1 year after having the ring removed. Moreover, there is no impact on fetal development after conception after the ring is removed. However, in order to allow the endometrium to repair well, after removing the ring, other methods of contraception should be used for 1 to 3 months before becoming pregnant.

Use oral contraceptives and prepare for pregnancy after half a year

For women who take oral contraceptives, there is a lot of homework to do if they want to prepare for pregnancy.

The more common one is the emergency contraceptive pill, also called the morning-after pill, which refers to a remedial measure used to prevent pregnancy during a period of time after unprotected sex or contraceptive failure. It is valid within 72 hours after sexual intercourse. If you have sexual intercourse while taking the medicine, the time must be recalculated.

Nowadays, many young couples often takeEmergency contraceptive pills to achieve contraceptive effect. In fact, this approach is very unreliable, because the main ingredient of the most common emergency contraceptive pills on the market is generally a large amount of progesterone. After one use, the amount of hormones consumed is the same as that in an 8-day regular short-acting oral contraceptive pill. quite. Large doses of hormones can easily cause endocrine disorders and changes in menstrual cycles in women. Therefore, it is recommended that emergency contraceptive pills be used no more than three times a year and no more than once a month.

So how long does it take to start getting pregnant after taking emergency contraceptive pills? Take the most common emergency contraceptive pill on the market as an example. Some women take emergency contraceptive pills without knowing they are pregnant, and it does not increase the risk of birth defects or other problems for the baby. In fact, even if there are such cases that make people think that emergency contraceptive pills will not affect the fetus, many experts will still express concerns about this.

Because the pharmacological effect of some emergency contraceptive pills is to increase the viscosity of vaginal mucus to prevent sperm from entering the uterus and achieving contraceptive purposes, it will increase the probability of ectopic pregnancy. Therefore, to be on the safe side, it is best to wait six months before getting pregnant before using emergency contraceptive pills to avoid ectopic pregnancy and adverse effects on the fetus.

Secondly, there is the long-acting contraceptive pill. The main principle of long-acting contraceptive pills is to inhibit ovulation and resist implantation. Long-term use of contraceptive pills has a certain impact on women\’s bodies, especially for nulliparous women. Its advantages are that it is highly effective, long-acting, reversible, does not require daily medication, is easy to use and distribute, and does not affect sexual life. The disadvantage is that after some women take long-acting contraceptive pills, their menstrual flow will increase, their menstrual periods will be prolonged, and it may also cause amenorrhea. Long-acting contraceptive pills cannot be stopped suddenly. When stopping the pills, you must switch to short-acting contraceptive pills and then stop taking them for 3 months to allow the hormone levels in the body to slowly drop and avoid major bleeding. So there is still controversy about whether long-acting contraceptive pills can cause fetal malformations and chromosomal aberrations. In order to avoid the potential harm of contraceptive pills to the fetus, it is usually required not to become pregnant within 6 months of stopping taking the pill. Therefore, if you become pregnant while taking birth control pills, doctors will often recommend terminating the pregnancy. Therefore, couples planning pregnancy must avoid the possibilities mentioned above. Once contraception fails, you need to consult a doctor for solutions based on the situation at that time, whether to retain or abort.

Finally, there is the short-acting contraceptive pill that young people prefer, which is taken in a complete cycle of 28 days. Short-acting oral contraceptives are compound drugs formulated with estrogen and progesterone. They achieve the purpose of contraception by inhibiting ovulation, changing the endometrial environment, changing the properties of cervical mucus, preventing sperm penetration, and resisting implantation. , the contraceptive effectiveness rate is over 99%, and it is a conventional contraceptive method suitable for healthy women of childbearing age.

According to a recent observational study on nearly 60,000 female fertility in Europe, the pregnancy rates in the first and second years after discontinuing combined oral contraceptive pills were similar to those of those who did not take the pill, and in the past The duration of combined oral contraceptive use has no significant effect on fertility.

In addition, like long-acting contraceptive pills, short-acting contraceptive pills may cause pregnancy immediately after stopping the pill.Or mistakenly taking compound oral contraceptives during early pregnancy does not increase the risk of neonatal defects, but it is still controversial whether it will definitely not cause fetal malformations and chromosomal aberrations. Therefore, I still recommend that young couples stop taking medicine for at least half a year before preparing to conceive.


This article is provided by Baidu Reading. It is excerpted from \”Very Good Pregnancy: You Can Get Pregnant by Doing This\” Author: Yu Yue\’e

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