Fertility After Stopping Birth Control

What to expect after the pill, IUD, implant, or shot, and how long fertility takes to return.

Stopping contraception is one of the most common steps in planning a family. But how quickly fertility returns depends a lot on which method you were using. Some people ovulate within weeks; others wait several months. Here is what to expect for each method.

Return Times by Method

The Pill (combined or progestogen-only)

Most people ovulate within 1-3 months of stopping the pill. Some ovulate within weeks. The hormone clears your system quickly, and cycle regularity typically returns within 1-3 months. Duration of use does not affect how quickly fertility returns.

Hormonal IUD (Mirena, Kyleena, etc.)

Fertility usually returns within 1-2 cycles after removal. The hormonal effect is local, so once the device is out, your body adjusts quickly.

Copper IUD

No hormonal delay at all. The copper IUD works mechanically, so fertility can return immediately after removal. It is possible to conceive within days.

The Implant (Nexplanon)

Usually 1-3 months after removal. The implant releases a steady low dose of progestogen; once removed, hormone levels drop quickly.

Depo-Provera (the shot)

This is the outlier. The shot can delay the return of fertility for 6-12 months, sometimes longer. If you are planning to try to conceive soon, this is worth factoring in when you stop.

The Patch or Ring

Similar to the pill. Fertility typically returns within 1-3 months of stopping.

What "Normal" Looks Like

Irregular cycles for 1-3 months after stopping birth control are common and not a cause for concern. Your body is re-establishing its own hormonal rhythm. Tracking your cycle during this time with an app like Bloom can help you recognize when your pattern is returning.

When to Talk to Your Doctor

If your period has not returned within 3 months of stopping most hormonal methods (or 6 months after the last Depo shot), it is worth a conversation with your doctor. This is particularly important if you had irregular cycles before starting contraception.

What to Do While Waiting

  • Start a prenatal vitamin with folate now, before you conceive.
  • Track your cycle to recognize your returning pattern. Bloom makes this easy.
  • Reduce alcohol and smoking if applicable.
  • Check our ovulation signs guide so you know what to look for when your cycle returns.

Track Your Cycle After Stopping Birth Control

Bloom helps you see patterns and spot your returning fertile window, all in a private, ad-free app.

Frequently Asked Questions

Does long-term pill use delay fertility return?

No. Duration of pill use does not affect how quickly fertility returns. The hormone clears your system at the same rate whether you have used it for 1 month or 10 years.

Can I get pregnant immediately after IUD removal?

Yes, it is possible within days of removal. The copper IUD has no hormonal delay, and the hormonal IUD typically allows fertility to return within 1-2 cycles.

Should I wait a cycle before trying to conceive after stopping birth control?

It is not medically necessary, but some people prefer to wait one cycle to have a clear last menstrual period date for pregnancy dating. Talk to your doctor about what makes sense for you.