(Closed) coming off the pill before pregnancy, experiences? endometriosis?

posted 6 years ago in Pregnancy
Post # 2
6415 posts
Bee Keeper

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ccc_red:  Hi there 🙂

Endo is definitely a possibility given that your mum had it (it is thought to run in families) and you have some symptoms (pain). Because of that, I would be careful with having too long of a break from hormones before TTC, as if you do have endo, the pill will have been suppressing it (or at least helping to) and when you come off it that will no longer be the case (meaning it could worsen). The general advice for women with endo is to switch to a method pre TTC that leaves the body straight away: options include the progestogen-only/mini pill, the copper IUD, and the Mirena IUS. Doing this basically means that the endo will be kept suppressed, as it is at the moment, but that when you are ready to TTC the hormones will leave your system almost immediately and so you don’t have a period of reduced fertility to deal with as your body adjusts (which you do with the combined pill, the injection, etc; it can take 6 months plus for fertility to return to normal). From what you’ve said in your post, you might already be on the progestogen-only pill, but it’s unclear; obv if you’re already on it then yes you can just stop it and TTC. Does that make sense?

The main reason they suggest that you wait to get back into a regular cycle post hormonal contraception is that it makes it easier to date the pregnancy. However given that endo is a possibility in your case I woldn’t do this and would TTC as soon as you come off it.

Hope that helps!

Post # 4
1417 posts
Bumble bee
  • Wedding: September 2014 - Turf Valley

I also had terrible periods (pain, nausea, vomitting, etc), and was also on the pill for 9 years.  I came off of the pill in September and my periods are fairly regular (30 – 34 days).  I haven’t had any pain during my periods either, which was a huge relief for me!

I wouldn’t say that you have to wait, but to PPs point, it’s easier to date your pregnancy.  But that can always be done in other ways, too, if necessary. 🙂

I can’t speak on the endo, since I don’t know much about it.

Post # 5
3716 posts
Sugar bee
  • Wedding: City, State

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ccc_red:  I was the same way. I went off in early November with the hope of conceiving right way (mainly because I didn’t want a period). I had to wait 47 days for a withdrawal bleed and am now having a 40+ day cycle. 

It’ll be at least 3 months before we conceive, so if you are in a narrow conception window due to work or some other reason, I’d go off now. If you aren’t dead set on getting pregnant right away, I’d go off when you’re ready in case it happens right away. There’s really no way to tell.

What’s really helped me is charting my temperature. I thought it would stress me out, but it makes it much easier to know when to expect my period and that I am returning to normal.

One bit of good news, when I got my period, it was easy peasy. No cramps, no migraines, no puking, nada. I was shocked– it was nothing like it had been in the past. I think using a menstrual cup so I could continue to exercise made a world of difference. 

Good luck!

Post # 6
9799 posts
Buzzing Beekeeper
  • Wedding: September 2013

I think pain can be an indication of endometriosis but I don’t think it means you necessarily have it.  How old are you?  I didn’t have extreme pain but I had extremely irregular cycles (short, not long) and I went on BCP for that at 13.  I didn’t go off until 29 but it seems to have regulated itself out in the meantime.  So if you did go on BCP young, you could have regulated as you got older.

BCP is supposed to help endometriosis because it doesn’t allow your body to build up much of a lining.  So if you suspect it, I’d probably start TTC as soon as you go off the pill rather than waiting a few cycles to regulate.  Some people need to regulate but it’s also just as likely that you will have normal cycles as soon as you go off the pill. 

I actually thought combo BCP leaves your system fairly quickly.  Hormones should be out of your system within a couple of days.

Post # 7
18628 posts
Honey Beekeeper
  • Wedding: June 2009

It is possible that you have endo but it really is hard to diagnose without surgery (which you might not want to have if you are trying to conceive soon).  You might want to switch to a low dose pill to be on up until you try to conceive and then start trying right away without adjustment time.  It might take you longer to realize you are pregnant this way but it could head off any endo if you do have it.

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