Can long-term use of the Pill make it harder to conceive?

No — there’s no evidence that long-term use of the birth control pill interferes with fertility. Some women experience a disruption in their menstrual cycle for several months after going off the Pill (a condition called post-pill amenorrhea). But this is usually caused by an underlying problem that’s unrelated to the Pill — for example, being significantly underweight, or even being under severe stress.

In fact, taking the Pill can protect you from diseases — such as ovarian and uterine cancers — that can lead to infertility. Researchers have also found that long-term Pill use may improve the symptoms of endometriosis, a condition that can cause abnormal menstrual bleeding and result in infertility. Finally, the Pill has been shown to reduce the incidence of ectopic pregnancy — when a fertilized egg is implanted outside the uterus, typically in one of the fallopian tubes. (Unfortunately, an ectopic pregnancy can’t result in a successful birth.)

Some doctors advise trying to get pregnant as soon as you go off the Pill, but I recommend that you wait until after you get your first period — usually four to six weeks after going off the Pill. That way, you’ll know you’re ovulating. If you still haven’t gotten your period two months after stopping the Pill, it’s a good idea to check with your healthcare provider. There may be an underlying problem that needs to be addressed.

But don’t be concerned if you do get pregnant right after going off hormonal contraception. Research suggests that there’s no need to worry about the effects of any lingering hormones on your baby.

Remember that it’s always a good idea to talk to your healthcare provider before going off any hormonal contraceptive.


—-Was just wondering….

So on the subject of marriage.

I got into a lengthy discussion with a 40-year-old Venetian expat in Honduras. He said he has “kind of a girlfriend.” I laughed. Oh ok. Not my business. We agreed the modern notions of marriage are whacked and very strange. He said when some women get engaged, they act as if they won the lottery. With a winning lottery ticket they knowingly purchased themselves. It’s true. I see a lot of focus being put on “a ring.”

Just the ring.

A piece of metal.

Congratulations, you’re someone’s potential wife. You are now a complete human being. You’ve accomplished the be all and end all to our collective societal gender conditioning of things you must do before you’re worth a damn in this world.

It’s so reductive. And so unappealing. I blame Beyonce. And all of you.

This is a freakin life-long commitment. FOR LIFE. Your whole life. You’ll be married for longer than you’re not. Why are you rushing forever? My parent’s chimed in on this tirade to interject that it’s easier to find a life partner young because you can grow and build together, ain’t nobody trying to budge on their set ways when they’re in their 30s. It’s harder to compromise when you’re older. That made sense but I pointed out that’s not reason enough to put a time clock and rush marriage just as potential complications from a late 30s pregnancy isn’t reason enough to quickly get knocked up just for the sake of it. That would be stupid.