Patient's question:
Detailed medical condition and consultation purpose: Will I have children? My last menstrual period was on the 17th, and I didn't use contraception immediately after sexual intercourse this time (on the 29th). We don't plan to have a child right now, but I don't want to take birth control pills either. People say it's not good to take too many of them. I've already taken them three times in the past two months, and I'm afraid to take them this time for fear of affecting future fertility. But if I don't take them, I'm afraid of getting pregnant. What should I do? I'm very worried. If I don't take them today, tomorrow will be the fourth day, and I've already missed the best time. Please reply as soon as possible. Thank you!!!Doctor's answer:
Hello, approximately 20% of women who take steroid contraceptives regain fertility within 2 to 3 months after stopping the medication. Within 2 years after stopping the medication, 85% of primiparous women and 93% of multiparous women become pregnant, which aligns roughly with the natural infertility rate of 10% in humans. The overall miscarriage rate after stopping the medication and attempting pregnancy is 8% to 10%, similar to the natural miscarriage rate in humans. Additionally, there is no significant difference in the incidence of congenital malformations among infants born after pregnancy and delivery following medication discontinuation compared to the control group. Therefore, it can be said that the fertility after stopping contraceptive medication is normal and has no adverse effects.However, taking contraceptive medication during pregnancy increases the likelihood of congenital malformations. If there is no withdrawal bleeding during medication use, pregnancy should be considered. If pregnancy is suspected, the medication should be stopped immediately. For couples who do not wish to conceive temporarily, oral contraceptives have no impact on future fertility and can be used confidently.