Stopping the Pill: Reasons, Methods and What Happens Next

Image of the authorWritten by Philomena Marx30 January 2024
Birth control pill

The decision to stop the pill is a significant step. The reasons for this can vary greatly: some women wish to avoid side effects, others are planning a pregnancy or simply want to feel their natural cycle again. In this article, you will receive an overview of possible motives, how to safely stop the pill, and what happens in your body afterwards.

Why Stop the Pill? Opportunities and Risks

There are many reasons to discontinue taking the pill. Commonly cited are side effects such as skin issues, weight fluctuations or mood swings. Potential health risks, for example an increased risk of thrombosis or stroke, also play a role. At the same time, more and more women perceive their bodies as “more natural” without artificial hormones and want to feel their own cycle signals again.

However, you should weigh the decision carefully. The pill is considered a safe contraceptive, and after stopping, many women need to relearn their cycle and find other methods to prevent an unwanted pregnancy.

How to Stop the Pill Correctly? Step by Step

The best time to stop is usually when you have finished your current pack. This way, you avoid unnecessary breakthrough bleeding and give your body a gentler transition. If you are taking a combined pill, finishing the blister helps you to conclude your cycle “cleanly”. With the mini pill, an immediate cessation can sometimes be less problematic.

For safety, consult your GP before stopping the pill. This is especially important if you are taking other medications or have any health conditions. Together, you can determine the best way to manage the transition and which contraceptive method might suit you afterwards.

Physical Changes After Stopping

When you stop the pill, your body shifts from a constant artificial hormone supply to a natural cycle. This can take a few weeks to months. During this adjustment phase, various side effects may occur:

  • Skin blemishes: As your hormonal balance is disrupted, you may experience a temporary increase in pimples or oilier skin.
  • Hair loss: Temporary hair loss is possible as hair follicles also react to the withdrawal of hormones.
  • Mood swings: Your psychological balance may also temporarily fluctuate.
  • Irregular cycle: Your period may initially become irregular or vary in flow.

Important: These symptoms are usually temporary and will subside once your body has adjusted to "hormone-free living." You can support this process by getting enough sleep, maintaining a balanced diet, and relaxing.

Desire for Children: When Can I Become Pregnant?

In principle, pregnancy is possible immediately after stopping the pill, as your fertility can return relatively quickly. However, many experts advise waiting for at least one natural menstruation to better understand your cycle and know when your ovulation occurs. This also makes it easier to determine the best times for potential conception.

Hormone-Free Contraception: Available Alternatives

If you do not wish to become pregnant after stopping the pill (yet), you need to consider another contraceptive method. Fortunately, there are many hormone-free alternatives that are becoming increasingly popular today. The best method depends on your personal preferences and lifestyle:

  • Condom or female condom: Additionally protects against sexually transmitted infections.
  • Diaphragm: A commonly used barrier method in combination with spermicide.
  • Temperature Method/NFP: Observing your cycle based on body signs (e.g., basal temperature).
  • Copper IUD, copper coil, copper beads: Long-term, hormone-free methods administered by a doctor.
  • Contraceptive Computer: Measures body values and calculates fertile days.
  • Sterilisation: A permanent method that should be well considered.

It is best to receive individual advice to find out what truly suits you.

Common Side Effects After Stopping: Symptoms & Tips

Various discomforts may accompany you in the first period after stopping. Commonly include:

  • Headaches
  • Irritability and mood swings
  • Breast tenderness
  • Lower abdominal cramps
  • Breakthrough bleeding
  • Heavy or irregular bleeding

These symptoms usually resolve themselves after a few cycles. A healthy lifestyle, adequate hydration, and stress management can help reduce the discomfort. If you experience severe or long-lasting problems, it is advisable to visit a doctor to rule out organic causes or receive targeted help.

Weight Gain After Stopping: Myth or Reality?

Many women fear gaining weight after stopping the pill. In reality, taking the pill can cause water retention, which disappears after stopping – some women even report slight weight loss. Others, however, may gain a little weight or feel hungrier as the body adjusts hormonally. Ultimately, each body reacts individually. With a balanced diet and regular exercise, you can largely maintain your weight.

Conclusion

The decision to stop the pill is very personal and should be well thought out. Ask yourself what your priorities are – for example regarding health, lifestyle, or family planning – and compare different contraceptive methods. Professional advice from your GP can help you take the step safely and minimise potential risks.