Birth control pills after marriage: Do they cause infertility? A consultant explains
Modern societies are undergoing significant social and economic transformations that have directly impacted family formation decisions, with postponing childbearing in the early stages of marriage becoming a strategic choice for many newlyweds. This trend stems from a desire to complete education, achieve career and financial stability, or even to foster mutual understanding between the couple before taking on the responsibility of children. Given this reality, pressing medical questions arise regarding the safety of using contraceptives, particularly birth control pills, immediately after marriage and their potential long-term effects on fertility.
Medical opinion on the use of modern contraceptives
In this context, Dr. Nabil Brasha, a consultant in infertility, IVF, and gynecological endoscopy at King Abdulaziz Medical City of the National Guard in Jeddah, settled the debate surrounding this issue. Dr. Brasha confirmed that the use of birth control pills by newly married women is a common and healthy phenomenon and not a cause for concern, provided it is based on health awareness and specialized medical consultation. He explained that regulating pregnancy at the beginning of marriage does not threaten fertility; rather, it can be a contributing factor in improving the mother's mental and physical health, giving the couple a golden opportunity to optimally prepare for parenthood.
The truth about the relationship between pills and infertility
The consultant emphasized an important medical fact: birth control pills do not cause permanent infertility under any circumstances. The mechanism of action of these pills lies in regulating hormones and only temporarily preventing ovulation. Once they are discontinued, ovarian function returns to normal, and the vast majority of women regain their ability to conceive within a short period, the duration of which varies relatively from woman to woman depending on their individual physiology and overall health.
The difference between causing infertility and concealing problems
Dr. Brasha highlighted a crucial point often overlooked: using the pill for years without interruption does not cause infertility, but it can mask the symptoms of pre-existing health problems, such as polycystic ovary syndrome (PCOS) or ovulation disorders. The pill artificially regulates the menstrual cycle, which can give a woman the illusion of regularity while the underlying problem persists. Therefore, regular medical checkups and necessary tests to ensure the health of the reproductive system are always recommended, and women should not rely on the pill without medical supervision.
The importance of awareness and combating rumors
The discussion touched upon the impact of social media in spreading misinformation that causes panic among newlyweds. Dr. Prasha emphasized that the fear of infertility due to contraceptive pills often stems from isolated, non-generalized experiences or rumors lacking scientific basis. He stressed the importance of obtaining information from reliable medical sources and choosing the most suitable contraceptive method (whether pills, IUDs, or other methods) based on a joint decision between the couple and under the supervision of a qualified physician, to ensure a stable and healthy family life.
