Coming off the Pill: You should pay attention to this

Anyone who has been on the pill for years and now wants to stop taking it must expect some physical changes. Even a desired pregnancy does not come about immediately with every woman. We explain what you should pay attention to when coming off the pill.

When is the best time to stop taking the pill?

There is no best time. But there are many good reasons for this. In the meantime, not only women who want to pursue the desire to have children are off the pill. The pill, which in the 1960s was still the symbol of women’s self-determination, continues to fall into disrepute because side effects such as thrombosis, malaise and depressive silences are increasing. If you’re considering getting off the pill, read more about the pros and cons and how your body changes here.

Benefits and side effects of the pill

The most common reasons that women choose to stop taking the pill are on the one hand the desire to have children, on the other hand the numerous side effects and the need to feel their own body more again or because there is no reason for contraception.
Read the pros and cons of the pill here:

advantagesside effects
nicer skinbleeding disorders
Fuller Hairbloating, nausea
regular periodweight gain
less painDepressive moods
no/less mood swingsbreast tenderness, headache
very safe contraceptive*Vaginal dryness & decreased libido

Dangerous side effects
The disadvantages mentioned above are side effects that can also occur with a normal cycle. Much more interesting are the side effects that cause health problems: while taking the pill, the risk of thrombosis is increased and a heart attack and sudden circulatory disorders (apoplexy) can occur. In addition, the pill promotes uterine and breast cancer, as well as the decrease in bone density, so that the risk of osteoporosis increases.
The side effects increase with obesity and smoking .

*Pearl Index:
The Pearl Index indicates how many women become pregnant each year despite contraception. The pill has an index from 01 to 0.9. That is 1 to 9 women in 1000 women who become pregnant each year. For comparison: the condom has an index of 2 to 12. With this contraceptive, 2 to 12 out of 100 women become pregnant every year.

What do I have to consider when coming off the pill?

If you have decided to stop taking the pills, finish the blister (pill strip) you have started. After the pill break, you just don’t start a new strip. The mini-pill, on the other hand, can be stopped at any time. However, if the pill was prescribed by a doctor, talk to him beforehand.
Before you stop, you should also be aware that you are going to stop taking the pill for a longer period of time and will not start again after three months. The stress is too high for the body and the risk of thrombosis is also significantly increased when you start taking it again.
Also important: think about new contraceptives beforehand. For example, the IUD can be inserted before you stop taking the pill.

What happens after stopping the pill?

Physical consequences:

  1. Cycle and cycle length
    After weaning, the body starts producing its own hormones again and adjusts to a normal cycle. After about 6 weeks, all of the pill hormones in the body are broken down. However, it can sometimes take months for the body to adjust and the first period to come. It can vary in strength. If you are still unsure, going to the doctor is always the right way to
  2. Pimples and hair loss
    After weaning, the body falls into a kind of hormonal hole, since the supply of estrogens is now absent. These are the ones that ensure beautiful skin and full hair while taking the pill. Since there is now less estrogen and more testosterone in the blood, pimples, acne and hair loss have an easy time. Don’t panic: once the hormones have leveled off again, pimples and hair loss will quickly disappear.
  3. General Changes
    Many women report that they lose weight after weaning because the water retention that estrogen has bound in the body is flushed out. The sense of smell and taste can also change.
Psychological Consequences:
  1. Say goodbye to mood swings
    When taking the pill, mood swings and depressive moods often occur, which are said to even promote a risk of suicide. After weaning, these often only occur due to the menstrual cycle (premenstrual syndrome, PMS) or no longer occur at all.
  2. Choosing a partner
    Women who use the pill are less concerned about their partner’s appearance than women who don’t use the pill. This is probably due to the fact that the pill fools the body into being pregnant and therefore there is no need for further reproduction. Theoretically, the altered sense of smell can also result in the woman no longer being able to smell her partner and no longer finding him attractive and appealing.
  3. Increased Libido
    As the natural cycle is put on hold with the pill and testosterone levels are low, sexual pleasure also decreases. However, this comes back most quickly after stopping the pill.

How soon can I get pregnant after stopping the pill?

A question that cannot be answered in general terms. Theoretically, there is a possibility of an immediate pregnancy after stopping the pill. Nevertheless, it can even take years before the desire to have children is fulfilled. If you are planning to have children, pay particular attention to good nutrition and a healthy lifestyle . Watch your body. Some women feel a tightening in their abdomen around ovulation, others become moody or have a particularly strong desire to have sex.
An examination by a gynecologist can also be helpful. Any abnormalities can be dealt with. The gynecologist is also the right contact person to clarify the current state of health. It is important not to exert any pressure. Mental stress can prevent conception, or at least make it more difficult. By measuring your body temperature regularly, you can determine your fertile days. Of course, the basalt method can also be used for contraception – if you know when you have your fertile days, you also know when you have to be particularly careful with contraception.

Crystal Waston MD

Crystal Waston has a degree in Cross Media Production and Publishing. At vital.de she gives everyday tips and deals with topics related to women's health, sport, and nutrition.

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