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The Pill and Depo chat
continued from page 3
Irregular bleeding after the injection
Q: I came off the Depo injection at the beginning of the year and was told not to expect periods for around six to 12 months. Literally a month afterwards I had bleeding but this has been irregular spotting and at one stage was happening every two weeks. In the last eight weeks I have had no bleeding whatsoever. I'm a little confused and wondered if anyone had similar problems?
brit2001
A: Irregular bleeding can occur after stopping Depo. Research suggests that women trying to conceive after stopping Depo take at least four months longer to become pregnant compared with women stopping other methods of contraception (for example, ten months instead of the average of six). In some cases, fertility may take up to a year or longer to return. As you are concerned, make an appointment to talk to the nurse or doctor who usually provides your contraceptive advice.
Is PCOS or the Pill affecting my cycle?
Q: I'm 31 and came off the Pill after 12 years in January in order to start trying to conceive in October after my wedding. I was diagnosed with PCOS in 1996 but an ultrasound scan in August 2003 showed no cysts on either ovary. Since coming off the Pill my initial cycles were 28 days, but for the last two months they have been 33 and 35 days. I'm getting increasingly worried about what is going on - should I start trying for a baby now?
petals2004
A: Studies have shown that the different causes of lack of menstruation or changes in menstrual patterns are the same between women who have recently taken the Pill and those who have not, and that they occur with the same frequency so it is likely to be the PCOS rather than the Pill that is affecting your cycle.
One study looking at women aged 30 to 35 years who had not previously had a child suggested that, after stopping the Pill, 50 per cent took up to a year longer to conceive compared to those of the same age who had previously used a diaphragm. Conception rates were almost identical after 72 months, suggesting no permanent impairment to fertility. However, few women aged 30 to 35 would want a delay of up to six years before conceiving once they decide to start a family.
Only you and your partner can decide whether or not to start trying to conceive. If there is no desperate hindrance to starting to try now, then it may be worth going for it. If you get pregnant straight away, great! If you do have difficulty in conceiving, at least you will have had brought forward the time when investigations and assisted fertility techniques can be started.
Irregular bleeding after the injection
Q: I came off the Depo injection at the beginning of the year and was told not to expect periods for around six to 12 months. Literally a month afterwards I had bleeding but this has been irregular spotting and at one stage was happening every two weeks. In the last eight weeks I have had no bleeding whatsoever. I'm a little confused and wondered if anyone had similar problems?
brit2001
A: Irregular bleeding can occur after stopping Depo. Research suggests that women trying to conceive after stopping Depo take at least four months longer to become pregnant compared with women stopping other methods of contraception (for example, ten months instead of the average of six). In some cases, fertility may take up to a year or longer to return. As you are concerned, make an appointment to talk to the nurse or doctor who usually provides your contraceptive advice.
Is PCOS or the Pill affecting my cycle?
Q: I'm 31 and came off the Pill after 12 years in January in order to start trying to conceive in October after my wedding. I was diagnosed with PCOS in 1996 but an ultrasound scan in August 2003 showed no cysts on either ovary. Since coming off the Pill my initial cycles were 28 days, but for the last two months they have been 33 and 35 days. I'm getting increasingly worried about what is going on - should I start trying for a baby now?
petals2004
A: Studies have shown that the different causes of lack of menstruation or changes in menstrual patterns are the same between women who have recently taken the Pill and those who have not, and that they occur with the same frequency so it is likely to be the PCOS rather than the Pill that is affecting your cycle.
One study looking at women aged 30 to 35 years who had not previously had a child suggested that, after stopping the Pill, 50 per cent took up to a year longer to conceive compared to those of the same age who had previously used a diaphragm. Conception rates were almost identical after 72 months, suggesting no permanent impairment to fertility. However, few women aged 30 to 35 would want a delay of up to six years before conceiving once they decide to start a family.
Only you and your partner can decide whether or not to start trying to conceive. If there is no desperate hindrance to starting to try now, then it may be worth going for it. If you get pregnant straight away, great! If you do have difficulty in conceiving, at least you will have had brought forward the time when investigations and assisted fertility techniques can be started.
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Created: 19/07/2004 Updated: 05/10/2007
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