Desire to have children getting pregnant after contraception: what you need to know

Have you used a contraceptive such as the pill, the IUD or the three-month injection for the last few years, but now want to have a child? Then you have to be a little patient.

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Mother with baby

Patience is the magic word

For most women today, safe contraception is a matter of course in order to avoid an unwanted pregnancy. If the desire to have a child then arises, the contraceptive of choice must of course be discontinued. Sometimes it happens quickly, until after the period of contraception a "bull’s eye" is found But sometimes it can take a frustratingly long time, and many women already fear that it won’t work.

In most cases, only a little patience is needed, because the body needs time to adjust. If you want to get pregnant after taking the pill, you must first be prepared for hormonal turbulence until the hormone level has returned to the usual level. The same applies to other hormonal contraceptives such as the IUD and the three-month injection. With this one, even the name provides information about its duration of action: if you want to get pregnant after the three-month injection, you have to wait for the three months to pass before you can fulfill your desire to have a child.

In general, when you stop taking hormonal contraceptives, you should give your body time to balance the hormone levels. The consistency of cervical mucus and uterine lining will also change over a few weeks. The more time you allow for fertilization, the better conditions the egg will find to implant if you get pregnant after taking the pill or another hormonal contraceptive.

Pregnant after contraception

Childbearing and pregnancy after the pill

Getting pregnant after the pill can take several weeks. Gynecologists advise not to stop taking the pill overnight, but to use up a month’s supply that you have started. This completes the monthly cycle, which prevents the risk of bleeding between periods.

Most women experience hormonal turbulence after discontinuing the pill, because the body initially lacks the artificially supplied estrogens and progestins of the pill. Until the hormone balance is restored, various complaints such as pimples, hair loss and headaches may occur. It takes about four to six weeks for the last artificial hormones of the contraceptive pill to wear off and for the body to find its way back to its natural rhythm.

Biologically, you can get pregnant right after you stop taking the pill. However, the risk of miscarriage is then greatly increased because the lining of the uterus is not yet ready to receive a fertilized egg. As part of the contraceptive effect of the pill, the progestogens ensure that the mucous membrane is extremely thinned. Only after a few weeks has it regained its natural consistency.

Before you get pregnant after taking the pill, you should use other contraceptives such as condoms for about four weeks after you stop taking it. Then your body is optimally ready for a new life, and your desire to have a child will hopefully soon be fulfilled.

Getting pregnant after removal of the IUD

With the IUD, a distinction is made between two different variants. The hormonal IUD thins the lining of the uterus so that no egg can implant in it. At the same time, the cervical mucus becomes more impermeable and prevents penetrating sperm from reaching the egg cell. It is almost impossible to get pregnant with the IUD, and unlike the pill, the natural cycle is maintained.

Getting pregnant after the IUD, on the other hand, is not a problem: once the IUD is removed, pregnancy is possible again. Unlike the pill, removal does not cause major hormonal fluctuations, as the body’s hormonal balance is far less affected by the IUD. You can therefore expect to get pregnant quickly after the IUD, depending on your age.

The copper IUD is not a hormonal contraceptive. It releases a tiny amount of copper, which also affects the uterine lining and the cervical mucus. As with the hormonal IUD, getting pregnant after the copper IUD is generally not a problem.

Generally, it is advisable to wait a week or two before you try to get pregnant after the IUD. During this time, the uterine lining can develop its usual thick consistency again and is then more receptive to an egg.

Pregnant after the three-month injection

If you want to get pregnant after the three-month injection, it is obvious that you have to wait for the three months to pass. With the injection, the hormone progestin is injected into the body, which thins the uterine lining to such an extent that no egg can implant itself. The cervical mucus also thickens, so that sperm can no longer penetrate.

While many women prefer this method because they only have to worry about birth control every three months, there is also no way to stop birth control in between. You must also expect that you will not get pregnant quickly after the three-month injection: Due to the high dosage of the hormone, it can take several months until your fertility is back to normal and the uterine lining is ready to receive an egg.


  • Of the hormonal contraceptives, you can get pregnant most easily after the hormonal IUD.
  • In general, you can also get pregnant easily after taking the pill, although you should give your body a little more time for hormonal adjustment.
  • It takes the longest time after stopping the three-month injection. You should only use this if you are very sure that no desire to have a child will arise in the coming months.

Desire to have children after pregnancy or miscarriage

If you want to get pregnant again after a pregnancy, a miscarriage or an abortion, this is generally possible. Read up on what you should watch out for and what the risks are.

Mother's hand and baby's hand

Pregnancy is a unique and exciting time full of changes for every woman – but it is also exhausting for the body. Nevertheless, many parents would like to have a second child directly after the first one. A new pregnancy after a miscarriage or abortion is also the wish of many women. From a purely biological point of view, there is nothing to be said against it.
It is generally possible to become pregnant again after a miscarriage or abortion.

Wanting to have children and pregnant after birth – when possible?

As a rule, women can expect another child immediately after a previous pregnancy. As soon as the hormone balance returns to normal and the first ovulation has occurred, a woman can become pregnant again. For non-breastfeeding mothers, this is the case between the fifth week and the third month. For breastfeeding mothers, ovulation can be delayed somewhat, often even up to a year after birth. The frequency and intensity of breastfeeding are major factors in this delay, because the milk-forming hormone prolactin decreases ovarian activity and thus inhibits ovulation. If a woman breastfeeds her newborn six to ten times a day, a new pregnancy in the first six months is considered extremely unlikely. When the hormone balance is restored, ovulation can be expected. The body thus gives a clear signal: It is ready for a new pregnancy, and nothing stands in the way of a renewed desire to have children from a purely biological point of view.

Pregnant with infant – joyful challenge

Being pregnant again and already having a toddler is nice, but also a challenge. A healthy and balanced diet is essential now. After all, the woman’s body is subjected to a great deal of stress during pregnancy and after birth. The past months have demanded a lot from the organism. He needs to rest and recharge his batteries. For support, it makes sense to take additional multivitamin preparations and iron. It is also important to ensure a sufficient supply of calcium and magnesium. Specially developed preparations for women, which cover the increased need for vitamins and minerals during pregnancy and breastfeeding, are then recommended. If you want to continue breastfeeding your child during pregnancy, this will not have a negative effect on the development of the unborn child. If it becomes too much for you, you should stop breastfeeding.

Pregnant after miscarriage

About 15 to 20 percent of all established pregnancies end in a miscarriage. The desire to have a child after the miscarriage is often even greater than before. This can cause a lot of psychological pressure, even though pregnancy is biologically possible with the next ovulation. The time for the first ovulation after the miscarriage depends on the week of pregnancy in which the miscarriage took place – often after about two to eight weeks. Doctors often advise a waiting period of at least three months. Here’s how you can recover physically and, more importantly, psychologically from the tragic experience. Only when you have come to terms with the miscarriage, can you get involved in the new joyful life event.

Conquer fear of another miscarriage

Fear of another miscarriage is as natural as miscarriage itself. From a medical point of view, a pregnancy after a miscarriage is considered a high-risk pregnancy. But you should not let this make you crazy. Even after several miscarriages, the risk of another unwanted abortion can be reduced with targeted cause research and individual treatment. Positive thinking is important now!

Getting pregnant after miscarriage – tips

  • Accept a previous miscarriage and look positively into the future.
  • Make sure you eat a healthy and balanced diet.
  • Refrain from stimulants such as tobacco or alcohol.
  • Avoid stress and give yourself and your body a rest.
  • Support your body with multivitamins
  • Get help from family and friends.
  • Get some exercise in the fresh air (z. B. Walking, light jogging or yoga)

Pregnant after ectopic pregnancy

Whether pregnancy is possible after an ectopic pregnancy depends on the damage to the fallopian tube and ovary. As a rule, around 70 percent of women are able to have children naturally again after a fallopian tube operation. Even after the removal of a fallopian tube, it is possible for around 50 to 60 percent of affected women to become pregnant via the fallopian tube that has been preserved. In the case of persistent infertility, there is the possibility of becoming pregnant again via artificial insemination or assisted reproduction after an ectopic pregnancy. A wish to have a child after an ectopic pregnancy can therefore basically be fulfilled. As with a miscarriage, the first thing to do is to come to terms with the tragic event and get into a positive frame of mind.

Get pregnant again after abortion

Nearly three-quarters (73 percent) of women who had an abortion in the first quarter of 2016 were between the ages of 18 and 34, according to the German Federal Statistical Office. The reasons for an abortion can be of different nature, which is why the law in Germany prescribes counseling. Once a woman has decided to have an abortion, it is possible to get pregnant again at any time. Wanting a child after an abortion is not unusual, especially at a young age. Very important: Get advice and support from friends and family. If you have had an abortion for medical reasons and do not become pregnant, there can be many reasons why it does not work out. Finally, an abortion is always a psychological burden that should not be underestimated.

Pregnant Despite Impairment

The woman embraces the baby

Do I really want to get pregnant again??

Women who have made a conscious decision not to have a child should keep in mind why they made this decision. A study from Scotland found that the likelihood of having another abortion is increased with a subsequent pregnancy. Out of the 120.000 participating women left more than 43.200 abortion even with the second pregnancy. Talking to people you trust can help. Seek counseling and, above all, don’t let yourself be pressured into it. Only you can decide when it is the right time to get pregnant again.

Pregnant despite impairments: Paths to the desired child

Pregnant after abdominal surgery? Illnesses, deformities and other impairments can make the path to the desired child more difficult. But often pregnancy is still possible.

There are physical impairments that stand in the way of conception and a smooth pregnancy. The good news is that with the right treatment, many of these complications can be successfully treated, making it possible to have a child after all.

With the right treatment, diseases, malformations and other impairments can be successfully treated.

Pregnant with one ovary

Many women who have had an ovary removed – for example, because of cysts, a tumor or an ovarian pregnancy – fear that they will have less chance of having a baby. However, this is only the case in individual cases. Ovaries "compete The ovaries do not ovulate with each other, which can send a fertilizable egg on its journey through the fallopian tube. If one ovary falls away, the chances of the remaining ovary are increased.

However, in some women not both ovaries are equally active. If the inactive ovary remains in the body, cycles without ovulation may occur.

Pregnant with one fallopian tube

It is relatively uncomplicated to become pregnant with only one fallopian tube – as long as the associated ovary produces eggs capable of fertilization. There are even cases in which the healthy fallopian tube not only catches the eggs of its own ovary, but also "swings around", in order to be able to receive the eggs from the opposite ovary as well.

Pregnancy without a fallopian tube is not possible, even if both ovaries are still active. In this case, the desire to have a child can be fulfilled by artificial insemination.

Desire to have a child despite a disease of the reproductive organs

Pregnant with cyst or PCO syndrome

A simple cyst on the ovary is only in rare cases the reason for persistent infertility. More problematic, on the other hand, is the presence of polycystic ovary syndrome (PCO). In this complex hormonal disorder, several fluid-filled cavities are formed on the ovaries, and ovulation does not occur. For women of childbearing potential, doctors usually prescribe the drug clomiphene, which triggers ovulation in two-thirds of cases. Treatments with hormone injections also increase the chance of getting pregnant despite PCO. Symptoms of the hormonal disorder PCOS may include.a. cycle disturbances (infrequent or irregular bleeding), oily skin, hair loss and increased body hair may occur. Another consequence of PCOS can be reduced fertility or even infertility – for women who want to have children, therapy to stimulate ovulation can increase the chances of pregnancy. PCOS is thought to be caused by environmental influences and hereditary factors. But obesity is also associated with PCOS – therefore, a healthy diet and exercise are part of the therapy here as well.

Getting pregnant with endometriosis

In endometriosis, the lining of the uterus proliferates outside the uterus in the abdominal cavity. This often leads to severe pain during the period and – depending on the severity and location of the endometriosis lesions – infertility. Women who wish to have a child can often benefit from surgical removal of the tissue – especially if the disease is detected at an early stage. Although the "stray" fallopian tube grows The mucous membrane recedes, but those affected are left with a window of time in which they have a better chance of conceiving.

Getting pregnant after conization

In a conization, the gynecologist surgically removes a cone-shaped piece of tissue from the cervix and cervix. The most common reason for the procedure is altered tissue structures that indicate the development of cervical cancer. For women who want to have children, a shallow cone is chosen to preserve as much tissue as possible.

A healthy pregnancy is possible after a conization, but the patient should then be cared for particularly closely. Due to the changed and shortened cervix premature births are more frequent or there is a delayed birth process due to scarring at the cervix.

Closely linked: Thyroid and fertility

The thyroid gland has a great influence on the hormone balance and thus on the fertility of the woman. Underfunctioning and overfunctioning of the butterfly-shaped gland in the neck can lead to menstrual disorders and infertility. About 10 percent of unintentionally childless women suffer from thyroid disease.

Getting pregnant despite hypothyroidism and Hashimoto’s disease

The most common cause of hypothyroidism is chronic thyroiditis, Hashimoto’s thyroiditis. In this autoimmune disease, the body’s own defenses attack the tissue of the thyroid gland.

Today, patients with Hashimoto’s and hypothyroidism can become pregnant if they are successfully treated with the thyroid hormone levothyroxine. Treatment is also particularly important during pregnancy, as otherwise miscarriages or premature births may occur, as well as a handicap of the baby (e.g., a birth defect). B. reduced intelligence quotient) may occur.

Getting pregnant with hyperthyroidism

Hyperthyroidism of the mother’s thyroid gland can also harm the new developing life. However, it occurs less frequently than hypothyroidism. In order to regulate the pathologically increased glandular productivity, the doctor usually prescribes thyrostatic drugs. During pregnancy, however, these drugs are problematic because they pass into the placenta and negative effects on the child are to be feared. For women who wish to have children, it is advisable to have the function of the thyroid gland regulated by surgery, if possible, before pregnancy occurs.

High-risk pregnancy: Pregnant with obesity or depression

Women with severe obesity often take longer to become pregnant. This is caused by metabolic processes in the fatty tissue that produce too many male hormones. The result is cycle disturbances and cysts on the ovaries (PCOS). Many patients who wish to have children and are overweight are therefore advised by their doctor to first lose weight.
If conception is successful, overweight women are classified as high-risk pregnant women. You have an increased risk of developing gestational diabetes or high blood pressure. The risk of premature birth or miscarriage is also greater than in normal-weight women, which makes close monitoring by the gynecologist necessary.
Expectant mothers who suffer from depression are also considered at-risk pregnant women. Depression and the desire to have a child are by no means mutually exclusive, but caution is advised if the desire for a child arises from a depressive episode – a baby even as a "cure is seen as the cause of the low mood.
On the other hand, many women who have experienced depressive episodes fear a relapse due to pregnancy. In fact, this is difficult to predict: while some patients are particularly stable during pregnancy and breastfeeding, others are really thrown into crisis by the new responsibilities and hormonal fluctuations.
Today, doctors no longer generally advise discontinuing antidepressants immediately after a positive pregnancy test – however, there are preparations that are safer than others. Open communication between patient and medical team is therefore important – also because newborns can show withdrawal symptoms after birth. To alleviate this, the mother’s medication dose is often reduced 14 days before the due date and only increased again afterwards.

Elevit®1 – From the desire to have children

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