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Speaker 1: Brought to you by the reinvented two thousand twelve camera.

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Speaker 1: It's ready. Are you welcome to stuff mom Never told you?

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Speaker 1: From house Stop works dot Com. Hello, and welcome to

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Speaker 1: the podcast. I'm Kristen and I'm Caroline, and today we

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Speaker 1: are tackling a question that we've gotten a number of

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Speaker 1: times from female listeners, and that is whether or not

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Speaker 1: birth control makes it harder to get pregnant wait for

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Speaker 1: it down the road after you've gotten off birth control. Right,

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Speaker 1: I can see how a lot of people might think

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Speaker 1: it would. I mean, you know, you you're you're knocking

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Speaker 1: out your fertility for the time being. Yeah, while you're

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Speaker 1: on it. I can see how you would think that,

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Speaker 1: oh gosh, it might take for however, to get pregnant

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Speaker 1: after I get off birth control pills or stop you know,

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Speaker 1: using the ring or whatever. Um. But actually, we have

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Speaker 1: some good news for you. And the good news is

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Speaker 1: that birth control does not affect future fertility. And that's

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Speaker 1: the other podcast. Thanks, you can email us. Uh well, no,

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Speaker 1: that is uh yeah, that's the good news. I mean,

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Speaker 1: that's that's really it. In a nutshell. I um I

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Speaker 1: tweeted about this and Dr Jen gunter Um who is

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Speaker 1: sexual health expert and a doctor tweeted back, No, she

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Speaker 1: said the birth control pill does not affect long term

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Speaker 1: fertility at all. UM, And we will continue to reiterate

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Speaker 1: that message over and over again. But let's let's get

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Speaker 1: into the details. UM. And just as a side note, UM,

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Speaker 1: typically it takes a couple about eight months to get pregnant.

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Speaker 1: And yes this is we're speaking you know not um

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Speaker 1: uh sort of setting aside issues with with fertility, but yeah,

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Speaker 1: generally eight months, right. And the European Active Surveillance Study

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Speaker 1: on Oral contraceptive that is a very long name, UM

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Speaker 1: followed more than two thousand women who went off birth

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Speaker 1: can hole with the plan to become pregnant. They basically

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Speaker 1: wanted to just find out how long it would take them,

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Speaker 1: what their issues were, what they experienced, and they found

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Speaker 1: that within just one cycle of stopping the pill, more

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Speaker 1: than of women had become pregnant. And what's interesting about

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Speaker 1: that is it's almost identical. It falls right in line

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Speaker 1: with the natural pregnancy rate of people who are not

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Speaker 1: on birth control, which is between twenty success rate that

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Speaker 1: is fast one month I know, boom boom um. And

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Speaker 1: then a year after the women stopped using the pills,

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Speaker 1: seventy nine point four percent were pregnant, and the median

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Speaker 1: time until conception was three months, which which is shorter

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Speaker 1: than the eight months. Wait, I don't know, I don't

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Speaker 1: know what the deals with it with the eight month thing,

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Speaker 1: but the long story short, it was pretty swift, right, yeah,

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Speaker 1: so watch out for that. And as far as long

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Speaker 1: term use, if you're on the pill for uh two years, um,

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Speaker 1: it says that women who had used the pill for

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Speaker 1: more than twenty four months experienced no effects on their fertility.

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Speaker 1: So that's good. So it's not like if you're on

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Speaker 1: it for a long time, you're gonna you know, not

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Speaker 1: ever be able to have children. Your fertility is not

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Speaker 1: currently withering away correct and direct proportion to the amount

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Speaker 1: of time you have been on the pill or the

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Speaker 1: patch or the ring or the your over reason, aren't

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Speaker 1: sitting and there going like whoa wait with the patch?

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Speaker 1: Am I thinking about quitting smoking? Now there's a patch.

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Speaker 1: There's the first control patch for sure. Um, yes, yes,

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Speaker 1: I've seen it advertised. Um. And also along with the

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Speaker 1: you know, the good news that it does not put

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Speaker 1: a dent in your fertility, birth control has also been

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Speaker 1: found to potentially this is not in everyone, but potentially

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Speaker 1: lower the risk of ovarian and endometrial cancers. It could

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Speaker 1: also decrease the risk of endometriosis, cysts, and pelvic inflammatory disease,

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Speaker 1: not to mention their more. There's more, uh, it may

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Speaker 1: alleviate PMS symptoms like cramping and heavy bleeding, and of course,

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Speaker 1: while you're on it, it also reduces the chance of

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Speaker 1: getting pregnant babies. It reduces the chance of babies. As

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Speaker 1: far as when you should sort of start trying or

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Speaker 1: stop waiting to get pregnant um. Dr Frank cherbinac Over

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Speaker 1: on web m d He's from Cornell says your best

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Speaker 1: bet is to actually complete your current cycle and then

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Speaker 1: attempt to get pregnant. He says this can help with

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Speaker 1: irregular bleeding. Yeah, and um Also, there might be a

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Speaker 1: question of well, if I'm taking birth control. Obviously there

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Speaker 1: is birth controls, not especially oral contraceptives. There still is

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Speaker 1: a possibility that you can get pregnant while on the pill.

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Speaker 1: So what happens then if you do get pregnant while

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Speaker 1: you um are on the pill? It also does not

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Speaker 1: incre the risk for miscarried's Obviously, as soon as you

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Speaker 1: find out you're pregnant, you probably want to stop taking

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Speaker 1: your birth control, right. But actually it was interesting to

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Speaker 1: read because I would think that if you're on any

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Speaker 1: sort of medication, or if you're you know, I just

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Speaker 1: felt like any medicine that you're on, if you didn't

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Speaker 1: know you're pregnant, it could have some weird effect on

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Speaker 1: the baby. But it actually I read that it it

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Speaker 1: doesn't have that pronounced of an effect. So so yes,

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Speaker 1: get off your birth control as soon as you know

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Speaker 1: you're pregnant. But if you've been taking it before you

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Speaker 1: realized it, you know, I think it's it's okay judging

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Speaker 1: by what I read. Um. And also keep in mind

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Speaker 1: that Caroline and I, although we would like to call

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Speaker 1: ourselves doctors, doctor Irvin, Dr Conger, we aren't um. So really, also,

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Speaker 1: you know, talk to your doctor or nurse practitioner if

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Speaker 1: you are on birth control and are thinking about getting pregnant,

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Speaker 1: right or if you found out you're pregnant while you're

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Speaker 1: still on birth control. Really, any just go to your

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Speaker 1: doctor physic right now, Just go to your doctor self

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Speaker 1: listening to this, what are you doing? Keep doing with yourself?

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Speaker 1: But speaking of birth control, a lot of this is

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Speaker 1: focused on oral contraceptives, but i u d s have

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Speaker 1: also been controversial in the past because some doctors have

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Speaker 1: said that if you have had an i D, which

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Speaker 1: is which is an intra uterine device, and it is

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Speaker 1: actually um one of the most effective forms of birth

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Speaker 1: control close to it's about as close to pent as

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Speaker 1: you can get without abstinence. UM. And there was a

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Speaker 1: two thousand one study in the British Journal of Obstetrics

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Speaker 1: and Gynecology claiming that long term use of an i

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Speaker 1: U D by a woman who has not previously been

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Speaker 1: pregnant increases the risk for impaired fertility. And I think

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Speaker 1: this was specifically the Copper i U D right. UM. Yeah,

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Speaker 1: it's actually it's kind of a scary study. Yeah, especially

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Speaker 1: if you don't know much about i u d s.

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Speaker 1: You might just think we'll screw it, I'll stay on

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Speaker 1: the pill, or I'll just use condoms or whatever. But um,

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Speaker 1: an independent group of researchers actually reanalyze the data and

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Speaker 1: found no significant difference between long term users of oral

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Speaker 1: contraceptives and long term io D users. And we already

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Speaker 1: talked about how long term use of the pill doesn't

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Speaker 1: affect your fertility, So that means that they found that

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Speaker 1: long term i U D use does not either. What

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Speaker 1: they found is the age was much more of a factor.

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Speaker 1: So if you've been using an i U D for

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Speaker 1: a long time, chances are you are older according to

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Speaker 1: the study than people who have been using it a

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Speaker 1: short time. And so you know, the older you are,

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Speaker 1: the more difficult it could become to have children are

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Speaker 1: become pregnant. So that's what they're aligning it with. Yeah,

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Speaker 1: because in that that initial study did not take that

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Speaker 1: into account, which is yet another lesson and why it

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Speaker 1: is so important to pay attention to study methodologies because

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Speaker 1: it can create you know, some some scary headlines. UM.

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Speaker 1: And another thing about long term io d us is

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Speaker 1: a lot of times, um, they last for up to

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Speaker 1: five years, and then what's the kind there's the kind

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Speaker 1: of last for five years, and then the kind that

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Speaker 1: can last for like twelve or something. I mean that

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Speaker 1: can it gets up there? I mean obviously it doesn't

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Speaker 1: get up there right up into the into literally into

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Speaker 1: your uterus um. But of course it doesn't mean that

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Speaker 1: if you once you get it removed, your fertility should return. UM.

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Speaker 1: And also planned Parenthood says that the ability to get pregnant,

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Speaker 1: like I said, returns quickly once the io D is

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Speaker 1: removed and they're safe to use wild breastfeeding. Yeah, so

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Speaker 1: you can pop that sucker right back in after you've

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Speaker 1: had your baby. And by you, we mean your gynecologist,

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Speaker 1: right right. I know we've talked about pelvic self exams

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Speaker 1: before and how some people do have speculums lying around,

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Speaker 1: not everyone. This is not the same thing there. I

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Speaker 1: did read there is evidence that if bacteria gets up

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Speaker 1: into the uterus when the io D is inserted, an

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Speaker 1: infection can occur, and that is what can affect fertility,

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Speaker 1: not the i U D itself, but if bacteria get

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Speaker 1: up in there while it's being inserted, that could cause

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Speaker 1: a lot of problems. Right. And also, um, there uh,

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Speaker 1: there was concern that bacteria could also get onto the strings.

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Speaker 1: It's a T shaped device. For any of you out

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Speaker 1: there who don't know what an iu D looks like,

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Speaker 1: it's a T shaped device with U two strings that

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Speaker 1: hang off the bottom of it. And there had been

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Speaker 1: concerned that bacteria could get into the strings. But um,

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Speaker 1: newer forms of i U d s are much much

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Speaker 1: better about making sure that that does not keeping those

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Speaker 1: sterile um while they are inside of you, right, and

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Speaker 1: whether whether you use a copper releasing device or pro

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Speaker 1: justine releasing one, a hormonal i u D. The job

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Speaker 1: of the io D is to impair sperm, not to

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Speaker 1: impair your reproductive system. So it's kind of like it's

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Speaker 1: just it's locked the doors. It's like nope, not today.

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Speaker 1: But as soon as you take it, you're like, well, okay,

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Speaker 1: time for sparing. So so far we've got nothing but

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Speaker 1: good news. Let's keep this going. Yeah, I like I

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Speaker 1: like good news episodes. UM well, as a strange transition

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Speaker 1: to that, let's talk about abortion, because again I think

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Speaker 1: there is uh concern out there that if you get

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Speaker 1: an abortion then it might impair your chances of conceiving

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Speaker 1: later on. And according to the Mayo Clinic, abortion generally

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Speaker 1: is not thought to cause fertility issues or complications in

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Speaker 1: later pregnancies, but there might be some links between abortion

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Speaker 1: UM and an increase risk of vaginal bleeding during early pregnancy,

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Speaker 1: preterm birth, low birth weight, and placentic and placenta prebia,

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Speaker 1: which is when the placenta covers the cervix and can

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Speaker 1: cause severe bleeding during pregnancy. But that does not mean

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Speaker 1: even though that that all might sound scary, UM, but

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Speaker 1: that doesn't mean that having an abortion will diminish your

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Speaker 1: fertility later in life. Correct and Dr. Going back to

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Speaker 1: Dr Chermanac of Cornell, he said he advises waiting about

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Speaker 1: three months if you have previously been pregnant or had

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Speaker 1: a miscarriage or anything like that. You basically need to

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Speaker 1: give your body time to heal before you try to

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Speaker 1: get pregnant again. Right, Um, And just to drive the

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Speaker 1: message home, the Good Mocker Institute UM says that abortion

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Speaker 1: is safe over the long term and again carries no

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Speaker 1: risk of fertility related problems, cancer, ECH topic pregnancy, or

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Speaker 1: psychological illnesses, which we have touched on before in our

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Speaker 1: podcast focusing just on abortion and speaking of EC topic pregnancy,

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Speaker 1: this is an issue that has been associated too with

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Speaker 1: i u d s and then topic pregnancy is when

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Speaker 1: the fertilized egg implants outside of the uterus, sometimes in

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Speaker 1: the fallopian tubes. But here's the thing. Although we have

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Speaker 1: heard warnings before about UM i u d s possibly

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Speaker 1: increasing the chance of EC topic pregnancy, get this. Overall,

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Speaker 1: women who use i u d s have a significantly

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Speaker 1: lower rate of ectopic pregnancies than women who do not

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Speaker 1: use any contraception. How about them, apples, Those are some facts,

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Speaker 1: those are some effects. Well, okay, so we've talked about

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Speaker 1: how birth control does not affect fertility, but what about

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Speaker 1: the people who find they can't get pregnant after they

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Speaker 1: go off birth um. It actually seems to be according

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Speaker 1: to everything we read, that birth control is not causing

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Speaker 1: fertility problems, but they might mask existing ones. So you

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Speaker 1: could possibly have maybe regular periods hormonal issues that could

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Speaker 1: affect fertility, but if you go on birth control, it

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Speaker 1: masks those issues by giving you a regular false period,

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Speaker 1: which is bleeding that's not related to ovulation. Yeah, and

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Speaker 1: if UM, for instance, the infertility issue might have to

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Speaker 1: do with, uh, say sperm count, then again, you know,

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Speaker 1: since you're not getting pregnant while on birth control, that

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Speaker 1: could be a way that it could mask other issues

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Speaker 1: as well. Right, those issues could be thyroid disorders, premature

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Speaker 1: polycystic ovary syndrome, which which is actually pretty common. I

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Speaker 1: didn't realize, um and uh, since we're talking about things

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Speaker 1: we shouldn't be so much concerned about birth control as

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Speaker 1: something such as, oh, I don't know smoking. Oh really, Yeah,

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Speaker 1: there's all this concern you know about you know, birth control.

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Speaker 1: And while I was researching the impact of birth control

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Speaker 1: saying that that's smoking. Women who are smoking, and men too,

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Speaker 1: it can damage your your fertility actually, along with your lungs, yeah,

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Speaker 1: and and lots of other stuff, and your teeth and

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Speaker 1: your face and your hair. Yeah. It actually, it kind

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Speaker 1: of affects a little out of everything. It can affect

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Speaker 1: the nuclear quality of sperm, sperm qualities compromised. It kind

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Speaker 1: of gets into your cells and just like choke them.

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Speaker 1: So I think basically the takeaway from that, uh is

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Speaker 1: that you should just probably try to be as healthy

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Speaker 1: as you can if you want to get pregnant. It's

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Speaker 1: not just vitamins. It's quitting smoking, maybe you don't drink,

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Speaker 1: definitely stop taking birth control pills. I also like that

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Speaker 1: this French study, in a very French kind of way,

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Speaker 1: referred to becoming pregnant um as a parental project before

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Speaker 1: they advised quitting smoking before undertaking any parental project like

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Speaker 1: cleaning up the garage. Yes, blueprint of highly detailed plans

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Speaker 1: for the project of parenting. She's tapping her fingers together

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Speaker 1: in an evil way. One thing, though, that we have

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Speaker 1: not mentioned with all of this a is the fact that, um,

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Speaker 1: we we aren't by extension saying that uh, if you

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Speaker 1: get off birth control, everyone will magically and suddenly get pregnant.

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Speaker 1: And it does take time. Yeah, and we recognize that

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Speaker 1: some people are not able to get pregnant, and we

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Speaker 1: really we have not done an episode on fertility infertility yet,

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Speaker 1: which would probably be a good idea to talk about

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Speaker 1: at some point. But we should also bring up the

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Speaker 1: depot Preva shots, which, according to web md, have a

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Speaker 1: delayed return of fertility from anywhere from three to four

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Speaker 1: months to a year or two. Right, the time frame

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Speaker 1: is not related to how long you've been getting the shots.

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Speaker 1: It's not like if you've been getting the shots for

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Speaker 1: however long, you'll be even more unable to conceive. The

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Speaker 1: New York Times had an interesting feature about contraception. That's

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Speaker 1: where we got a lot of our information on i

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Speaker 1: u d s. And it's got all sorts of charts

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Speaker 1: and images. Um, but that overview gives a slightly different

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Speaker 1: time frame than web m D That depot can cause

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Speaker 1: persistent infertility for up to twenty two months after the

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Speaker 1: last injection, although the average is about ten months. So

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Speaker 1: if A is your form of contraception, that could possibly

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Speaker 1: be a reason why, um, you are having trouble getting pregnant.

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Speaker 1: If that's what you are trying to do, you're not

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Speaker 1: doing it anymore, right, but ask your doctor. Ask your

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Speaker 1: doctor again. You know we are not We're only doctors

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Speaker 1: in at Halloween parties. Doctors of love. Doctors doctors of

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Speaker 1: love is what we are. And with that, I think

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Speaker 1: I think that covers it. Good news today, folks spread

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Speaker 1: it around birth control not harming your your chances of

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Speaker 1: getting pregnant in the long term, once you get off

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Speaker 1: of it and you quit smoking and decide, in a

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Speaker 1: very French kind of way, perhaps over but get while

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Speaker 1: wearing a beret to start a parental project right after

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Speaker 1: you clean the garage. Oh yes, oh wait, I don't

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Speaker 1: mean that's not a metaphor. I literally mean cleaning garage. Okay,

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Speaker 1: you're blushing a little bit, Caroline, very pale, and with

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Speaker 1: that sign for a listener. Male mom stuff at how

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Speaker 1: Stuff Works stock com is email address, and I would

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Speaker 1: like to start off with an email from one of

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Speaker 1: my favorite if it's okay to play favorites. This is

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Speaker 1: from Diana. This is This is in response to um

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Speaker 1: our episode on soy and I should note that Diana

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Speaker 1: is a vegan and she says that I end up

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Speaker 1: having people tell me all kinds of ridiculous things about

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Speaker 1: soy because I'm vegan and people think I live on

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Speaker 1: this stuff. Just some thoughts on the podcast. She first

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Speaker 1: points out, I think we screwed up the Michael Pollen quote. Um.

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Speaker 1: She says, I'm not a fan of the man, but

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Speaker 1: I am a fan of the quote eat food not

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Speaker 1: too much, mostly plants um. And also the Indonesian study

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Speaker 1: that we talked about regarding dementia and tofu eaters has

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Speaker 1: been roundly criticized because in that region they often preserved

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Speaker 1: tofu with Formaldaha. Okay, well, I mean talking about how

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Speaker 1: the methodological error that's not so much let's yes a

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Speaker 1: formal odd when they look at just the amount of

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Speaker 1: tempe which is fermented soy um that people ate, there

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Speaker 1: was no link to dementia and she says, Finally, there

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Speaker 1: are mixed results in terms of soy, but much more

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Speaker 1: straightforward results that are not discussed when it comes to

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Speaker 1: cow's milk. After red meat, cheese and milk are major

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Speaker 1: predictors of cancer. Moreover, milk is not just a complex

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Speaker 1: hormonal concoction evolved to promote growth in calves and thus

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Speaker 1: might proliferate other cells, such as malignant cells and cancer.

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Speaker 1: Cows are mild when they are pregnant, in addition to

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Speaker 1: often being given other hormones to promote milk production. I'm

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Speaker 1: always surprised that there is so much more fearmongering around

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Speaker 1: soy than there is around Gary. Interesting. Yeah, don't don't

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Speaker 1: take cheese away from me, and don't store your tofu

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Speaker 1: and formalde hyde a lesson for all. Yes, um, this

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Speaker 1: is an email from Melissa about an old episode. She

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Speaker 1: said that um, she took time to go back and

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Speaker 1: listen to classic Mom Stuff episode, specifically the episode on

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Speaker 1: boob Politics a k a. Of the Cleavage Isshoo. One

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Speaker 1: comment that really stuck with me was that women who

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Speaker 1: were a decup or above should be shopping at Lane

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Speaker 1: Bryant for their bras or see what the store has

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Speaker 1: to help to keep cleavage at bay. This struck a

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Speaker 1: chord with me because I am a D cup and

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Speaker 1: wouldn't typically shop at Lane Bryant because I am not

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Speaker 1: a plus size woman. I am about five four and

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Speaker 1: where between a size two and eight depending on the store.

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Speaker 1: You know how wackadoo sizing is. Yeah, I have no

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Speaker 1: idea what size I am really um, I do have

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Speaker 1: a larger bus size, or seemingly larger for a woman

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Speaker 1: of my height and overall frame. Lane Bryant may have

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Speaker 1: bras that are for as small as thirty six seed

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Speaker 1: this is a recent inclusion, and then go much higher.

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Speaker 1: But when I attempted to go there to purchase a

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Speaker 1: bra when pregnant and nursing and even larger than my

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Speaker 1: usual size, it was rather awkward because I was seen

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Speaker 1: as out of place in that store. The assumption that

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Speaker 1: a woman with an endowed bus line to shop at

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Speaker 1: a plus size clothing store or use that store for

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Speaker 1: a source of their undergarment seemed a little presumptuous. And

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Speaker 1: don't get me started on the fact many who haven't

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Speaker 1: seen me since high school assume I got a boob

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Speaker 1: job due to being a late Bloomer, but that is

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Speaker 1: a whole other podcast. Do you need to do well,

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Speaker 1: I'm not. I'm not curious, so um for larger breasted

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Speaker 1: women out there, If there are some awesome places to

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Speaker 1: find larger cupped bras in a variety of styles and shapes,

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Speaker 1: you know, let us know, because I would also imagine

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Speaker 1: that was a long time ago. And I would imagine

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Speaker 1: too that Lane Bryan is certainly not the only place

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Speaker 1: to go. And one thing before we close out here

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Speaker 1: that I did not mention that Diana wrote in our email.

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Speaker 1: She said, I love the energy that Caroline is bringing

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Speaker 1: to the show, and I'd like to second that Caroline.

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Speaker 1: Can I just say, look, I I think Molly was

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Speaker 1: awesome at this podcast. I think she was awesome and

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Speaker 1: great and had amazing contributions. So it's very touching that

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Speaker 1: you guys welcome to me in with open arms. Yeah,

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Speaker 1: you guys are all pretty cool, like a warm snuggy Yeah,

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Speaker 1: you guys are like my warm internet snuggy something or other.

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Speaker 1: Something Well with that, if you'd like to send us,

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Speaker 1: uh well, warmth and energy and light like we enjoy

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Speaker 1: mom stuff at how stuff works dot com is our

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Speaker 1: email address. Why don't you like us on Facebook? Have

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Speaker 1: click of a button and a thumbs up, and then

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Speaker 1: follow us on Twitter if you'd like to get some

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Speaker 1: tweets at Mom Stuff Podcast and you can read the

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Speaker 1: blog during the week. It's stuff Mom Never told you

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Speaker 1: at how Stuff works dot com. Be sure to check

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Speaker 1: out our new video podcast, Stuff from the Future. Join

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Speaker 1: how Stuff Work staff as we explore the most promising

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Speaker 1: and perplexing possibilities of tomorrow. The how Stuff Works I

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