What is the percentage of getting pregnant after hormone drips? Pregnancy after birth control pills

Many girls prefer hormonal contraception. Despite the chosen method of protection against unwanted conception, the girls plan to have children in the future. And pregnancy after contraceptives is a very individual issue. How quickly can you get pregnant after taking hormonal contraceptives, and how safe is it?

The effect of birth control on future pregnancies

Contraceptive drugs have become extremely popular in our time, and their number has increased significantly. The opinions of gynecologists regarding planning pregnancy using contraceptives often do not coincide. Therefore, many women are interested in the question: is pregnancy safe after taking birth control pills, and how soon can you try to conceive a child?

A competent gynecologist will be able to specifically answer this question and, depending on the existing problems and the chosen drug, will be able to give recommendations.

First of all, it all depends on the drug taken, as well as on the health of the girl planning to conceive, her age and lifestyle. Most modern hormonal drugs make it possible to get pregnant approximately 3-4 months after stopping contraceptives.

All oral or hormonal contraceptives have same way effects on the body. The hormones they contain - estrogen and progestin - have a suppressive effect on the egg. As a result, ovulation does not occur, and the process of the egg being released fallopian tube stops. Second protective effect Such means are changes in the structure of the endometrium. Due to this, the egg cannot attach to the endometrium due to its size, since it becomes too thin, that is, unsuitable for the attachment of a fertilized egg.

In addition, another obstacle to pregnancy appears - increased volume slime layer cervix. In this regard, it is quite difficult, and sometimes even impossible, for sperm to penetrate into the uterine cavity.

It turns out that oral contraceptives provide triple protection against unwanted conception. However, this protection is valid only if the woman drinks the drug strictly according to the regimen indicated in the instructions, without skipping pills, and taking them at the same time every day.

It is worth noting that oral contraceptive drugs have their own side effects:

Severe headaches, migraines and dizziness may occur;
the appearance of nausea and vomiting;
before and during menstruation, pain may increase, the cycle may be disrupted;
it is possible that there is a decrease in libido;
weight gain is possible, regardless of food consumed and lifestyle;
emotional representatives of the fair sex can note mental disorders, depression, constant stress and mood changes;
possible aggravation vascular diseases, the risk of thrombosis increases.

There are a number of contraindications, which include hypertension, malignant formations, diabetes mellitus and so on. Doctors strongly advise against using OCs for long terms, this is especially true for women over 35 years of age. Girls with bad habits, since alcohol and smoking are incompatible with OK.

Interesting fact:

Scientists in the process of research have proven that the older a woman is, the lower the likelihood have a safe pregnancy after cancellation hormonal contraception.

Therefore, before you start using such serious drugs, you need to weigh the pros and cons, and also consult with your doctor. Usually the ability to become pregnant and give birth healthy child after discontinuation of OK, it is restored immediately or within several months.

If a girl stops taking the drug, but the desired pregnancy does not occur, then the question immediately arises: when can you get pregnant after stopping contraceptives, and is it safe?

Video “Cancellation Rules OK”

Information from a specialist that will help you conceive a child with the help of proper withdrawal and rebound effect.

Rebound effect - what is it?

Some girls interested in the issue of pregnancy after birth control pills have heard more than once about the rebound effect. In recent decades, gynecologists quite often prescribe a course of treatment oral contraceptives for the purpose of rebound effect. Typically, such appointments are necessary for girls who are sexually active, but cannot conceive a child for several months.

What is the rebound effect, and what is the basic principle of its operation? The rebound effect is pregnancy due to the abolition of hormonal contraceptives. In order to provoke fertilization of the egg, the doctor prescribes a course of OK for about 2-4 months. During this time, the ovaries stop functioning, that is, they have time to rest.

After completing the course, you must stop taking birth control pills and proceed directly to conception. By stopping the use of OCs, which block the production of female hormones, a sharp release occurs, which causes active ovarian function.

However, there are some nuances here too. Some doctors do not advise getting pregnant in the first month after stopping them, since while taking the drug, the endometrium becomes quite thin and incapable of attaching a fertilized egg. Other experts are confident that if the endometrium is too thin, then conception simply will not occur, but otherwise the egg will successfully implant and the desired pregnancy will occur.

This process is called the rebound effect, but this kind of treatment must be strictly controlled by the attending physician. Before starting a course of taking OK, you must undergo full examination, and also take hormone tests to choose the most suitable drug.

For the purpose of rebound effect, drugs such as Yarina Plus, Jess, Janine, and so on are prescribed. After stopping use hormonal pills Conception occurs within 1-3 months; if it does not occur, you must seek help from a specialist and repeat the course.

Under no circumstances should you start taking oral contraceptives on your own as this may cause hormonal disbalance and serious health problems.

Consequences after discontinuation of hormonal contraceptives

Despite the fact that drugs for hormonal contraception have become much more modern, their quality has improved, and the variety allows you to choose the most suitable option However, after discontinuation of the OC, possible side effects and consequences cannot be excluded.

These include:

disruptions in the menstrual cycle - its lengthening or, conversely, shortening, possibly complete absence menstruation;
complication of existing and emergence of new diseases of the cardiovascular system;
metabolic disorders;
significant weight gain.

That is why only a gynecologist should select contraceptives, after a series of diagnostic procedures.

Rules for canceling OK for conception

To prevent complications and possible consequences, and also to successfully become pregnant, you need to take it, and also adhere to some rules. Most often, they are mentioned in the instructions for the drug or they are usually reported by the attending physicians.

You can’t abruptly interrupt the reception

The course must be completed according to the scheme described in the instructions. Otherwise, bleeding, pain in the uterus may occur, the cycle may be disrupted, or next menstruation may not come at all. Therefore, it is necessary to finish the started package to the end.

Wait until the cycle is restored

On average, it takes from 1 to 4 months to restore the cycle after stopping OCs. If your period does not start during the expected period, you should take a pregnancy test or consult a doctor. Sometimes ovulation does not occur in the first cycle after withdrawal or occurs at the wrong time - too early or late. In this case, it is usually impossible to conceive a child.

Go through a full diagnostic

Even in the process of planning pregnancy, it is recommended to undergo a full examination, which will help to exclude the presence of serious pathologies, interfering with conception, as well as possible infections and diseases of the genitourinary system.

Gynecologists also advise taking necessary tests and pass diagnostic ultrasound during tapering.

If, after stopping taking OCs, pregnancy does not occur within several months, you need to be examined again. You may not be able to get pregnant due to inflammatory process or other diseases. Also, some girls cannot get pregnant after taking birth control pills simply because they were chosen incorrectly.

Truths and myths about the influence of OK

There are several opinions about the effect of hormonal contraception on female body. Some of them are myths and some are facts:

After canceling OK, the chance increases multiple pregnancy- Truth. After stopping taking hormones, the ovaries work much more actively, which can lead to two ovulations or maturation dominant follicles in the amount of two or more units. This leads to multiple births.
Long-term use of OK suppresses reproductive function- myth. Undoubtedly, this opinion used to be a fact, but with the development of pharmacological products and medicine, this fact has become a myth. But it is worth noting that after the age of 30 you need to be more careful with OK, and still take breaks periodically.
Hormones are dangerous for the unborn child - a myth. They cannot accumulate enough to harm the baby. Moreover, modern drugs are safe and completely eliminated from a woman’s body.

To protect yourself and your unborn child, adhere to two basic rules - hormonal contraceptives should be selected only by a gynecologist, and your task is to follow the instructions and regimen for taking the drug. If you cannot conceive a child for a long time (more than a year), you need to seek help from a gynecologist, perhaps contact a fertility center.

Video “Gynecologist’s opinion on oral contraceptives”

Information from a gynecologist who will tell you her opinion about OK and give useful tips about taking such drugs.

Often girls choose oral contraceptives to avoid unplanned pregnancy. But, before using them, you should find out whether it is possible to get pregnant after taking birth control pills in general and when you can get pregnant after taking birth control pills without causing damage to the unborn baby and yourself. In our article we will examine the issue in detail.

How effective are birth control pills?

Regular contraceptives recommended by doctors contain a small dose of sex hormones, sufficient to block the ovulation process, without which pregnancy is impossible. The tablets are taken throughout the entire cycle strictly according to the instructions. Skipping at least one of them increases the likelihood of getting pregnant after taking birth control pills.

Chances of getting pregnant while taking birth control pills

When faced with choosing a method, a woman looks for the safest one, finds out which birth control pills can help her get pregnant, and which ones provide a greater degree of guarantee. But today it is difficult to solve this problem, since all new generation contraceptives, according to the instructions, should protect against conception in almost 99% of cases.

When taking pills does not guarantee results

To avoid an unforeseen situation, you need to know in what situation hormonal drugs can act with deviations:

at the beginning of the course in the first 7-9 days it is necessary to use protection additional funds;
if you miss a pill, take it immediately, and if more than 12 hours have passed, take the medicine emergency contraception;
for long periods uterine bleeding is decreasing contraceptive effect;
antibiotics weaken the effect of contraceptives;
vomiting 3-4 hours after taking the tablet or diarrhea contribute to the rapid withdrawal of the drug, which has not yet had time to have the desired effect.

If one of these events happened to you, then fertilization can occur while taking any contraceptive.

The body's recovery process

If you decide that the time to conceive has come, you should stop taking oral contraceptives only at the end of the cycle, after drinking last pill from the packaging. How long before you can get pregnant after taking birth control pills and how long will it take to get pregnant again? female function, the timing is purely individual.

Why pregnancy does not occur

How quickly a girl can get pregnant after taking birth control pills depends on the ability of her reproductive system to recover. During the course of taking the drug, the body relaxes, it does not need to strain and produce its hormones, since it receives them from the outside in sufficient quantity. The ovary seems to fall asleep, the follicles do not ripen, and if one appears that lasts through the first phase, it will not burst due to the action of the medicine.

How to get pregnant quickly after taking birth control pills

When a course of contraception is stopped, the ovaries begin their function from the beginning of the cycle. Several rhythmic periods can pass by inertia without the release of an egg, and sometimes ovulation is observed in the first cycle.

The normalization of the menstrual cycle will show you how quickly you can get pregnant after taking birth control pills. Usually after withdrawal there are 2 irregular cycle. If the cyclic process fluctuates within 6 months, you need to undergo an examination and identify the causes of the deviation.

When can you get pregnant after taking birth control pills?

When is conception possible?

To numerous questions from women about when it is possible to become pregnant after taking birth control pills, experts call 2-3 months, and in some cases up to 6. Therefore, before conception, it is usually recommended to spend about six months preparing for bearing a child, as well as:

organize your rhythm of life;
eat healthy foods;
take vitamins;
take folic acid.

Reproductive system expectant mother During this period it will return to normal and improve menstrual cycle and ovarian function, and endocrine system normalizes.

How to get pregnant after taking birth control pills is not big problem. Conception can occur immediately after stopping the course of taking these drugs, when ovulation occurs. Such cases are not uncommon.

This property of this group of drugs is used by gynecologists in the treatment of certain types of hormonal disorders to get pregnant on cancellation, the so-called rebound effect, when a contraceptive is prescribed for 3 months from therapeutic purpose, to stimulate the function of the ovaries, which, after resting certain time, produce full-fledged eggs very zealously. Therefore, you can immediately get pregnant after taking birth control pills, if you have not been taking them for years.

How long after birth control pills can you get pregnant?

The recovery of the body and how quickly you can get pregnant after taking birth control pills directly depends on the period of their use and the age of the woman. If you use this group of contraceptives for several years without a break, it will take about a year to normalize the processes, and for women over 30 years old, this period can stretch up to 5 years. Pregnancy after a year of taking it occurs after 3 months.

Conclusion

As you can see, it is quite possible to get pregnant after stopping birth control pills. The main thing is to prescribe and cancel them in consultation with your doctor. And if you want to conceive, give them up at least six months in advance.

Today, oral contraceptives (OC) are recognized as one of the most effective means protection from unwanted pregnancy. This scheme suits many women who are accustomed to keeping their entire lives under control. After stopping hormonal pills, it is possible to conceive and bear a child without any significant restrictions. How does pregnancy proceed after using OK?

Mechanism of action OK

All oral contraceptives work on the same principle. They suppress ovulation by preventing the egg from maturing and being released from the ovary. Ovulation does not occur, which means fertilization simply cannot occur. Also, OCs increase the viscosity of cervical mucus, preventing quick sperm from penetrating into the uterus. And finally, oral contraceptives provide insurance in case of pregnancy against all odds. These drugs suppress the growth of the endometrium, so that an accidentally formed embryo simply will not be able to attach to the wall of the uterus. The latter mechanism is implemented quite rarely.

Combined oral contraceptives contain two female hormone: estrogen and progesterone. The effect of using OCs is achieved only if all rules for their administration are observed. All oral contraceptives should be taken at exactly the same time every day. You can take OK for quite a long time until you want to have a child. How quickly does pregnancy occur after stopping oral contraceptives?

Restoration of ovulation

When taking combined oral contraceptives, ovarian function is completely suppressed. Gonadotropic hormones are not produced, and the ovaries are dormant. After discontinuation of the OC, the function of the female reproductive system is gradually restored. How quickly does this process go?

Each woman’s body is individual, and it is difficult to predict in advance how taking hormonal contraceptives will affect it. For some representatives of the fair sex, the ovaries begin to work fully within the first month, while others have to wait quite a long time for results. On average, restoration of ovarian function occurs within the next three months.

The speed of recovery of the body is influenced by many factors. It has been noticed that in young women, already in the first month after stopping the OC, the menstrual cycle returns to normal and ovulation occurs, while for women after 30 this process can drag on for 6 months or more. The duration of OC use also affects the state of the reproductive system. How longer woman takes oral contraceptives, the longer it will take her ovaries to restore their functions.

Rebound effect

Every woman who takes oral contraceptives knows about the rebound effect. After stopping the pills, the hypothalamic-pituitary system begins to intensively produce hormones that affect the functioning of the ovaries. The egg matures, ovulation occurs and fertilization occurs even in those women who could not become pregnant for a long time. The “withdrawal effect” is actively used in gynecology in the case of some forms of anovulation and infertility as a fairly rapid and effective method the onset of a long-awaited pregnancy.

The maturation of two or more eggs in one cycle is another feature of taking OK. After stopping the drug, many women are surprised to learn that they are expecting twins or even triplets. This phenomenon is also associated with excessive stimulation of the ovaries. As a result hormonal attack maturation and fertilization of several eggs occurs at once. This effect disappears 3 months after stopping the drug.

Planning a pregnancy

In young people healthy women Pregnancy can occur as early as a month after stopping oral contraceptives. For women over the age of 30, it may take a little longer to conceive a child. On average, pregnancy occurs 3 months after stopping OCs. A period of up to 12 months is considered normal. If conception has not occurred within a year, it is worth undergoing examination by a specialist.

Gynecologists do not advise rushing into pregnancy after stopping OCs. Experts recommend waiting 3 months before thinking about conceiving a child. During this period, the menstrual cycle should fully recover and return to normal. hormonal background. You can use condoms or other barrier methods of contraception for three months.

Women taking OK long time, another danger awaits. Against the background of the reception hormonal drugs a shortage develops in the body folic acid. A lack of this vitamin leads to the formation of neural tube defects in the fetus. This is why all women using OCs need to start taking folic acid 3 months before their planned pregnancy. It is best to think about this immediately after stopping contraceptives.

The examination before planning pregnancy is standard and includes:

examination by a gynecologist;
examination for major urogenital infections;
Ultrasound of the uterus and appendages.

The course of pregnancy after discontinuation of OK

According to statistics, pregnancy in women taking OCs proceeds quite well. Oral contraceptives do not have a negative effect on fetal development in early and later. The course of labor and postpartum period also has no special features. Probability various complications pregnancy does not increase even after long-term use hormonal drugs.

What to do if pregnancy occurs while taking OCs? Taking oral contraceptives for early stages does not affect the development of pregnancy and does not lead to the formation of any pathologies in the fetus. In this situation, it is enough to stop taking the pills from the pack and undergo a standard examination by a gynecologist.

Content

Oral contraceptives significantly change the production of hormones in a woman’s body, which leads to a restructuring of the functioning of the entire body. Therefore, pregnancy after birth control pills is not without its own characteristics. This article is specifically for those who have been protected with hormones for a long time and have now decided to conceive a child. All about the features of planning and the course of such a pregnancy is further in the article.

Is it possible to get pregnant after taking birth control pills?

To understand the likelihood of pregnancy after stopping birth control pills, you need to understand their mechanism of action. These drugs consist of synthetic derivatives of female sex hormones - estrogens and progesterones. Due to this, the production of one’s own hormones is inhibited, which prevents the maturation of the follicle in the ovary and the release of the egg.

After discontinuation of these drugs, hormonal levels quickly return to normal, and reproductive function is being restored. However, this does not always happen. Fertility often returns over time, as the body needs to adapt to stopping the supply of the hormone from the outside and begin to produce its own.

It occasionally happens that pregnancy does not occur at all after hormonal contraception. The possibility of resumption of pregnancy, as well as the recovery time, is influenced by several factors:

girl's age;
how long have you been taking birth control?
individual characteristics of hormonal regulation.

How long after birth control pills can you get pregnant?

As noted above, the period after which you can conceive a child depends on a number of reasons. If we talk about age, the younger the girl, the sooner pregnancy can develop after taking birth control pills. A 25-year-old girl's fertility resumes, as a rule, in the second or third month after they are discontinued. A 30-year-old woman will have to wait about a year, a 35-year-old woman will have to wait 2 to 3 years.

Individual characteristics of the production of sex hormones in the body play a large role. Even if two women of the same age took the same drug for a certain time, the first may become pregnant after a couple of months, the second after a few years.

Important! If pregnancy does not occur for a long time after stopping contraceptives, you should consult a gynecologist - this may be a symptom of a concomitant pathology.

Is it possible to get pregnant immediately after stopping birth control?

In the instructions for contraception indicated that it is possible to conceive a child in the next ovulatory cycle after stopping the drug. That is, in about two weeks. Indeed, if a girl does not have diseases of the reproductive system or accompanying pathologies other organs, she took modern contraceptives By strictly following the instructions, pregnancy comes quickly.

Pregnancy after long-term use of birth control pills

The duration of contraceptive use is a significant factor influencing the timing of restoration of fertility. With short-term use, in most cases pregnancy occurs almost within the next cycle. But conception after prolonged use of birth control pills is possible after about a year and a half. Although we should not forget about individual characteristics body.

Planning a pregnancy after taking birth control pills

So that the pregnancy goes without complications and is born healthy baby, you should adhere to several rules for planning it:

Start trying at least a month after stopping contraception.
Complete the course of pills according to the instructions, since if they are discontinued incorrectly, the condition of the mother’s body suffers significantly.
Start trying only after the menstrual cycle has completely returned.
When starting to plan a pregnancy, take vitamins (groups B, C, E), minerals and folic acid, since hormonal contraceptives cause a lack of these substances in the body.

Attention! Folic acid is necessary for the formation of the fetal neural tube, so its deficiency leads to severe developmental defects.

When you start trying to conceive a child, you should undergo a medical examination, which includes the following methods:

ultrasound examination of the uterus and its appendages;
a smear from the cervix to exclude an inflammatory process;
gynecological examination;
study on TORCH infections - group infectious diseases, which provide negative effect on fetal development.

Carefully following all of the above rules significantly increases the chance of a successful pregnancy.

Effects of oral contraceptives on fertilization and the fetus

The influence of oral contraception on the health of the unborn child for a long time has been the subject of debate among scientists. Thus, a study was conducted in Norway to find out how progesterone pills affect respiratory system and baby's immunity. Scientists have concluded that maternal intake of progestins increases the risk of bronchial asthma in the unborn child. But over time, these data were refuted, citing insufficient evidence.

On modern stage scientists deny Negative influence oral contraceptives on the growth and development of the unborn child. However, research continues to this day.

When can you get pregnant after taking birth control pills?

Doctors recommend starting to try to get pregnant at least a month after the girl has completely stopped taking birth control. This is due to the fact that it takes time to recover normal ovulation. Also, the mucous membrane of the inner layer of the uterus needs some time to prepare for implantation (attachment) ovum.

After prolonged use of contraceptives (more than six months), it is better to wait another three months. After all, as noted above, long-term use Contraceptives lead to a deficiency of folic acid and vitamins. Therefore, this deficit should be eliminated within three months.

How to get pregnant after taking birth control pills

For quick recovery fertility of one proper planning pregnancy is sometimes not enough. You should also pay attention to how to take birth control pills correctly in order to get pregnant. There are factors that interfere with the fertilization of the egg, even if the girl did everything correctly. More on this later in the article.

How much to take birth control to get pregnant during withdrawal

Pregnancy while stopping birth control is indeed possible. Doctors even identify a separate term called “rebound effect.” Its essence lies in sharp increase ovarian function after discontinuation of contraceptives. They thus compensate for their “inactivity” during the intake of hormones from the outside. This effect significantly increases the chance of rapid fertilization, and even increases the likelihood of having twins.

But the “rebound effect” is possible only with short-term use of contraceptives (maximum 3 months), and also provided full health women.

Why pregnancy may not occur

There are many reasons why pregnancy does not occur after stopping birth control. But these problems are rarely directly related to taking the pills. Infertility can be caused by pathologies of both female and male body. The main ones are listed below:

violation of the quality or quantity of sperm is the main cause of male infertility;
changes in hormone levels, not only sex hormones, but also hormones thyroid gland, adrenal glands;
infectious inflammatory diseases organs of the reproductive system;
the presence of antibodies to the sperm of a sexual partner in a woman is an immunological conflict;
genetic reasons.

Taking hormones does not directly cause the development of the pathologies listed above, but can intensify their manifestation.

Important! Determination of the cause and treatment of infertility should be carried out comprehensively by several specialists: an obstetrician-gynecologist, an immunologist, an endocrinologist.

How does pregnancy proceed after birth control?

If a woman takes birth control pills for several months to become pregnant, pregnancy will continue without complications. And even after taking contraceptives for a long time, if you wait a few months, negative consequences there shouldn't be.

One of the features of pregnancy is the presence of a “rebound effect”, which was mentioned earlier. Otherwise, provided that the woman adhered to the rules for taking pills and stopping them, and also went through all necessary examinations when planning a pregnancy, bearing a child is no different from the pregnancy of girls who did not use oral contraception.

Before conceiving, you should consult a doctor, undergo all prescribed examination methods, and, if necessary, take medications. A girl must carefully monitor her health, because this is necessary for good development baby.

Conclusion

In most cases, pregnancy after birth control pills occurs quickly and is successful. If, after discontinuation, difficulties with conception are observed, a consultation is required. qualified specialist. Only a doctor can accurately determine the cause and prescribe effective therapy.

It would seem obvious that such questions should be addressed directly to the doctor. However, often future parents prefer to look for information “among the people” - from friends, acquaintances or on the Internet. Unfortunately, in this case, instead of an adequate answer to the question, there is a high risk of running into all sorts of “folk wisdom” - various myths and prejudices related to the topic of “planning pregnancy after treatment.”

Myth No. 1. After any surgical operation, you must wait at least a year before becoming pregnant!

Such a categorical statement can only be heard from a person who is absolutely ignorant of medical issues. A surgical operation is not a disease, not a diagnosis, but only a designation (and a very general one!) of the type medical intervention, in which surgical dissection of tissue is performed. For example, surgical intervention V equally is both the removal of the inflamed appendix and the opening of the boil by a surgeon in the clinic. Obviously, these two surgical interventions have completely different effects on health and, accordingly, recommendations for planning pregnancy after surgery will also clearly differ! Surgical operations there are large and small, planned and emergency, cavitary (that is, with penetration into abdominal cavity), multi-stage (when one operation is divided into several successive stages with an interval of several minutes, days or even months), plastic, cosmetic and many other types. After some interventions, it may take many years to restore function, while after others, a couple of hours or days are enough. Moreover, there are surgical interventions performed as part of the treatment of infertility, for example, restoration of patency fallopian tubes, removal of ovarian cysts or venoplasty for varicocele (varicose veins of the testicles), after which it is recommended to start trying to conceive in the next cycle! Operations are divided by area and volume of intervention, as well as by indications for intervention; from this, as well as from the course of the operation and postoperative period depends on the time frame necessary for a person For full recovery health before planning conception. Necessary recommendations further family planning information can be obtained from the doctor who performed the operation and observation in the postoperative period. If this is not possible (for example, because it has been a long time or due to moving to another city), you should discuss the issue of a planned pregnancy with a family planning specialist, providing him with a discharge postoperative epicrisis (a medical report given to the patient upon discharge after surgery).

Myth No. 2. You can plan a pregnancy only a couple of months after any treatment.

This statement is no less baseless than the previous one, but also harmful! The myth is based on the belief that all medications are harmful to the baby, so any medications previously taken should be stopped immediately before conception. Such a " folk wisdom“is not just incorrect, but also dangerous: following it, you can jeopardize the very fact of pregnancy and the health of the unborn child. If, before pregnancy, one of the future parents constantly took certain drugs, which means he has chronic diseases that require treatment. Moreover, sometimes such treatment is required constantly, for example, when bronchial asthma, eczema or arterial hypertension(tendency to increase blood pressure). At the same time, planning conception for such a chronic patient may not be contraindicated at all, but drug therapy just necessary for the successful onset and course of pregnancy. In this case, unauthorized withdrawal of drugs may cause an exacerbation of chronic pathology and lead to a general deterioration in the health of future parents. The exacerbation of the disease after sudden cessation of treatment is also facilitated by a general decrease in immunity in the event of pregnancy. It is especially dangerous to voluntarily discontinue medications that correct arterial pressure, the functioning of the heart, lungs, kidneys and liver, as well as medications prescribed by the endocrinologist (treatment diabetes mellitus, diseases of the adrenal glands, thyroid and pancreas, etc.).

The course of pregnancy and the development of the baby directly depends on the health of the expectant mother. During pregnancy, the mother's body has a double burden. Medicines prescribed by a doctor for treatment chronic diseases, help the expectant mother cope with the increased load and safely carry the baby. Therefore, under no circumstances should you voluntarily cancel therapy prescribed by a doctor before pregnancy. If you have chronic diseases, it is worth discussing in advance, at the stage of pregnancy planning, with your doctor the possibility of taking certain medications before conception and in the first days of pregnancy. And at the first sign " interesting situation»visit a specialist again to adjust the therapy and dosage of medications in connection with the onset of pregnancy. The doctor will replace some medications with analogues that are not dangerous for mother and baby, and the dosage of some medications will be gradually reduced. It is possible that the doctor will be forced to discontinue some medications in the interests of the fetus. However, only a competent specialist can make a decision to cancel, replace or reduce the dose of a previously prescribed drug; unauthorized withdrawal of medications can affect the health of the mother and fetus much worse than taking the most “harmful” drugs.

The same applies to planning pregnancy after taking antibiotics - each antibacterial drug has its own period of accumulation and elimination from the body, its own level of harmfulness with a potential effect on conception. There are antibiotics that do not cause significant harm to the germ cells, embryo and fetus. If necessary, they can even be prescribed during pregnancy. When taking such antibiotics, the interval before the planned conception is determined only on the basis of the recovery time of the body and microflora (after treatment with any antibacterial drugs needs to be restored normal flora intestines and genital tract). Other drugs in this group are strongly teratogenic (damaging to the fetus) or toxic effect, their half-life products can remain in the blood for a long time, and recovery after ingestion sometimes takes up to six months or even a year. The conclusion is obvious: the question of when to plan a pregnancy after taking antibiotics can only be decided with your doctor.

Myth No. 3. You can’t get pregnant immediately after stopping oral contraceptives.

A completely false statement. There are different types of hormonal drugs in this group. Some drugs are based on suppressing egg ovulation, others affect viscosity cervical mucus(mucous secretion that fills the lumen of the cervix), others inhibit the growth of the endometrium - the mucous membrane of the uterus, the thickness of which determines the possibility of implantation (attachment) of the fertilized egg. Most modern oral contraceptives are combined, that is, they combine hormones different types and provide a comprehensive contraceptive effect. However, regardless of the mode of exposure, these drugs affect the body only directly during regular use: when any of these drugs are discontinued, menstruation should begin, followed by a normal menstrual cycle with full maturation of the egg, growth of the endometrium and permeability of cervical mucus. Thus, after completion of oral administration there is no after-effect (for example, accumulation in the blood harmful substances or pathological changes in the functioning of the organs of the reproductive system), which could pose a danger to the planned pregnancy. Moreover, drugs in this group are effectively used to treat various types infertility of hormonal nature. In some cases, the use of oral contraceptives continues after conception - during the first trimester, drugs containing progesterone are prescribed to prevent and treat the threat of miscarriage in the early stages.

Myth No. 4. You can plan a pregnancy immediately after removing the IUD.

And in this case, everything is exactly the opposite. The advice is again wrong. IUD, or intrauterine device, is a “female” method of contraception, to achieve which a special spiral made of medical steel coated with silver, gold or even platinum is inserted into the uterine cavity for a long time (year, 3 years, 5 years) ( precious metals used for prevention purulent inflammation). Contraceptive effect based on the rejection reaction provoked by what is in the uterus foreign body(spiral). During the entire period of wearing the IUD, a process of aseptic (non-purulent) inflammation occurs in the uterus, the tone of the uterus increases, and the structure of the endometrium (the mucous membrane of the uterine cavity) partly changes: these are the factors that prevent the implantation of a fertilized egg in the uterus. Some IUDs come with a capsule containing hormonal contraceptive, constantly released in a woman’s body while wearing the IUD, but the main effect of this method is still based on inflammatory provocation in the uterus. In this regard, gynecologists do not recommend planning conception earlier than 3 months after removal of the IUD: it is necessary that the consequences of prolonged aseptic inflammation in the uterine cavity are completely eliminated. Otherwise, when conceiving, the risk of developing a threat of miscarriage or even pregnancy increases significantly. The couple is recommended to use barrier methods of contraception (condoms, vaginal membrane, cervical cap) for 3 months, and before the planned conception, consult a gynecologist again for a re-examination, collection of tests and a control ultrasound to confirm completion recovery processes in the uterus.

Myth No. 5. After an “unsuccessful” pregnancy, long-term treatment is always necessary

This statement is erroneous due to its categorical nature: long-term treatment after termination of pregnancy may indeed be necessary, but not always. The term “failed pregnancy” refers to all options in which pregnancy does not occur. There are many such options, and they differ greatly from each other in terms of the reasons for their development, course, completion and consequences for the health of the expectant mother. “Unsuccessful” options include spontaneous termination of pregnancy (miscarriage), non-developing or “frozen” pregnancy, when the growth of the embryo stops at any stage of development, ectopic pregnancy, artificial termination (abortion) or stimulation premature birth By medical indications(fetal pathology incompatible with life). Recommendations for planning period repeat pregnancy in each listed cases will differ significantly. For example, after a spontaneous miscarriage due to hormonal deficiency, plan next pregnancy possible after 3 months (provided there are no other pathologies and progesterone medications are prescribed), and in case of development ectopic pregnancy Treatment and recovery of the body may take several years. The only thing that is the same for all cases of planning a second pregnancy after an “unsuccessful” one is the need for careful medical examination which will help identify the causes of failure and avoid it in the future.

Myth No. 6. After interventions in the reproductive sphere, you cannot plan a pregnancy earlier than 5 years later.

The history of the emergence of such a myth (it should be noted that it is very persistent!) is quite clear: this is exactly the “waiting period” that doctors recommended after operations on the uterus, primarily after a cesarean section, several decades ago. Such an impressive gap between the surgical intervention and the planned pregnancy was explained by the time required for the complete resorption of the suture material used at that time, the formation of stable scars at the site of the incisions, and the duration of recovery of the woman’s body after a severe, traumatic operation. However, since then, much has changed for the better in medicine and surgical technology: operations have become much less traumatic (for example, extracorporeal C-section With vertical cut along the entire abdomen is now practically not used), modern suture material resolves within a few weeks, postoperative scars have therefore become much more elastic (this has significantly reduced the risk of uterine scar rupture during subsequent pregnancy and childbirth), the formation of a stable postoperative scar ends on average within 1 year after surgery.

Many gynecological and urological interventions are now carried out endoscopically (through the vagina and uterine cavity), endovascularly (intravascular technique) or laparoscopically (through micropunctures), which allows minimizing traumatic consequences for the body and significantly reducing the time required for complete restoration of health before planned conception. Therefore, today, to the question: “When can you plan a pregnancy after a cesarean section?” – parents can hear the doctor’s joyful answer: “Yes, come back in a couple of years!” After some purely “male” and “female” operations performed to increase the chances of conception, for example, treatment varicose veins veins and hydrocele of the testicles in men, blowing out the fallopian tubes and removing foci of endometriosis in women (benign growths of the endometrium outside the uterus) - you can plan conception already after 2 months, and sometimes almost immediately after discharge. Of course, in each specific case, recommendations for a couple will be purely individual: the type of intervention, indications, volume and features of the course of the operation and the postoperative period, as well as age and general state health of the future parent who suffered surgical intervention V reproductive sphere.