Have you used a contraceptive like the pill, the spiral or the three-month injection in recent years, but now you want to have a child? Then you have to be a little patient.
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Patience is the magic word
For most women, safe contraception is now a matter of course to avoid unwanted pregnancy. Then, when the desire to have children wakes up, the contraceptive of choice must of course be discontinued. Sometimes it happens quickly until after the time of contraception "bull’s-eye" hires, but sometimes it can be frustratingly long and many women are afraid that it won’t work.
Usually only a little patience is required, because the body needs time to adjust. If you want to get pregnant after 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 hormone spiral and the three-month injection. In this case, the name already provides information about their duration of action: If you want to become pregnant after the three-month injection, you must wait for the three months to elapse before you can fulfill your wish to have children.
In general, when you stop taking hormonal contraceptives, you should give your body time to balance hormone levels. The consistency of cervical and uterine lining will also change over a few weeks. The more time you allow for fertilization, the better conditions the egg will find for nesting if you become pregnant after taking the pill or another hormonal contraceptive.
Desire to have children 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 monthly pack that has started. This completes the monthly cycle, which prevents the risk of intermenstrual bleeding.
Most women experience hormonal turbulence after stopping the pill, because the body initially lacks the artificially added estrogen and progestogen of the pill. Until the hormone balance is balanced again, there can be various complaints such as pimples, hair loss and headaches. It takes around four to six weeks for the last artificial hormones in the contraceptive pill to break down and for the body to regain its natural rhythm.
Biologically speaking, you can get pregnant right after you stop taking the pill. However, the risk of miscarriage is then greatly increased because the endometrium 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. It only returned to its natural consistency after a few weeks.
Before you get pregnant after taking the pill, you should use other contraceptives like condoms for about four weeks after stopping. Then your body is optimally receptive to a new life and hopefully your wish for a child will soon be fulfilled.
Get pregnant after removing the coil
A distinction is made between two different variants of the spiral. The hormone spiral thins the lining of the uterus so that no egg cell can nest in it. At the same time, the cervical mucus becomes more impervious and prevents invading sperm from reaching the egg. It is almost impossible to get pregnant with the hormone coil, and unlike the pill, the natural cycle is maintained.
However, getting pregnant after the coil is not a problem: as soon as the hormone coil is removed, pregnancy is possible again. Unlike the pill, the removal does not cause large hormonal fluctuations, since the physical hormone balance is influenced far less by the spiral. So you can expect to get pregnant quickly according to your age after the hormone spiral.
The copper spiral is not one of the hormonal contraceptives. It releases a tiny amount of copper, which also affects the endometrium and cervical mucus. As with the hormone spiral, getting pregnant after the copper spiral is basically not a problem.
In general, it is advisable to wait a week or two before trying to get pregnant after the coil. During this time, the endometrium can develop its usual thick consistency 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 until the three months have passed. With the syringe, the hormone progestin is injected into the body, which dilutes the endometrium so much that no egg cell can nest. 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 contraception every three months, there is no way to stop contraception in between. You also have to expect that you won’t 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 for an egg cell.
- Of the hormonal contraceptives, it is easiest for you to become pregnant after the hormone spiral.
- In addition, you can generally get pregnant slightly after the pill, although you should give your body a little more time to change hormones.
- It takes the longest after stopping the three-month injection. You should only use these if you are very sure that you will not want to have children in the coming months.
If you want to get pregnant again after pregnancy, miscarriage or an abortion, this is generally possible. Read what to look out for and what the risks are.
Pregnancy is a unique and exciting time of change for every woman – but it is also exhausting for the body. Nevertheless, many parents want a second child immediately after the first. A renewed pregnancy after a miscarriage or abortion is also the wish of many women. From a purely biological perspective, there is basically nothing against it.
A new pregnancy after a miscarriage or abortion is generally possible.
Desire to have children and pregnant after birth – if possible?
As a rule, women can expect another child immediately after a previous pregnancy. As soon as the hormonal balance returns to normal and ovulation has occurred, a woman can become pregnant again. In the case of non-breastfeeding mothers, this is the case between the fifth week and the third month. In the case of breastfeeding mothers, ovulation can be delayed somewhat, often even up to one year after the birth. The frequency and intensity of breastfeeding are important factors in this delay, because the milk-producing hormone prolactin reduces the activity of the ovaries and thus inhibits ovulation. If a woman breastfeeds her newborn six to ten times a day, a new pregnancy in the first half year is considered extremely unlikely. If the hormonal balance is back in balance, ovulation can be expected. The body gives a clear signal: it is ready for a new pregnancy, there is nothing biologically in the way of having another child.
Pregnant with toddler – joyful challenge
Being pregnant again and having a toddler is nice, but also a challenge. A healthy and balanced diet is now the be-all and end-all. After all, the woman’s body is exposed to high stress levels during pregnancy and after birth. The past few months have demanded a lot from the organism. He needs relaxation and has to recharge his batteries. For support, it is advisable to take additional multivitamin supplements and iron. Adequate intake of calcium and magnesium should also be ensured. Specially developed preparations for women that cover the increased need for vitamins and minerals during pregnancy and lactation are then recommended. If you want to continue breastfeeding your child during pregnancy, this does not have a negative effect on the development of the unborn child. If it becomes too much for you, you should wean.
Pregnant after miscarriage
About 15 to 20 percent of all pregnancies found end in miscarriage. The desire to have children after miscarriage is often even greater than before. This can cause strong psychological pressure, although 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 you to wait at least three months. So you can recover physically and above all psychologically from the tragic experience. Because only when you have processed the miscarriage can you get involved in the new joyous life event.
Defeat fear of another miscarriage
The fear of miscarriage is as natural as the miscarriage itself. From a medical point of view, pregnancy after a miscarriage is considered a high-risk pregnancy. But you shouldn’t let this drive you crazy. Even after several miscarriages, targeted root cause research and individual treatment can reduce the risk of another unwanted termination of pregnancy. Positive thinking is important now!
Get pregnant after miscarriage – tips
- Accept an earlier miscarriage and look positively into the future.
- Make sure you have a healthy and balanced diet.
- Avoid luxury foods such as tobacco or alcohol.
- Avoid stress and allow yourself and your body to relax.
- Support your body with multivitamin supplements
- Get it Help from family and friends.
- Exercise in the fresh air (e.g. walking, light jogging or yoga)
Pregnant after ectopic pregnancy
Whether pregnancy after an ectopic pregnancy is possible depends on the damage to the fallopian tube and the ovary. As a rule, around 70 percent of women can have children naturally after an oviduct surgery. Even after the fallopian tube has been removed, around 50 to 60 percent of the women affected can become pregnant through the fallopian tube. If infertility persists, it is possible to get pregnant again after an ectopic pregnancy using artificial insemination or assisted reproduction. A desire to have children after an ectopic pregnancy can basically be fulfilled. Similar to a miscarriage, the first step is to process the tragic event and achieve a positive mood.
Get pregnant again after abortion
Just under three quarters (73 percent) of women who had an abortion in the first quarter of 2016 were between 18 and 34 years old, according to the Federal Statistical Office. The reasons for an abortion can be of various kinds, which is why the law in Germany prescribes advice. If a woman has decided to have an abortion, a new pregnancy is possible at any time. A desire to have children after an abortion is not uncommon, especially at a young age. Very important: get advice and support from friends and the family. If you have had an abortion for medical reasons and are not getting pregnant, there can be many reasons why it just does not work. After all, abortion is always a psychological burden that should not be underestimated.
I really want to get pregnant again?
Women who have consciously decided against a child should keep in mind why they made this decision. A study from Scotland found that the likelihood of re-abortion is higher in a subsequent pregnancy. Of the 120,000 women taking part, more than 43,200 had an abortion during the second pregnancy. Talking to trusted people can help. Go to an advice center and let yourself be especially do not put pressure. Only you decide the right time to get pregnant again.
Pregnant after abdominal surgery? Illnesses, malformations and other impairments can make the path to the child of choice difficult. However, pregnancy is often still possible.
There are physical impairments that stand in the way of conception and a smooth pregnancy. The good news is, however, that with the right treatment, many of these complications can be successfully treated, so that the child of your dreams is still possible.
With the right treatment, diseases, malformations and other impairments can be successfully treated.
Pregnant with an ovary
Many women who have had their ovaries 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 only applies in individual cases. ovaries "compete" with each other about who can send a fertilizable egg on the journey through the fallopian tube. If an ovary falls away, the chances of the remaining ovary increase.
However, in some women, both ovaries are not equally active. If, of all things, the sluggish ovary remains in the body, there can be cycles without ovulation.
Pregnant with an fallopian tube
It is relatively uncomplicated to become pregnant with just one fallopian tube – as long as the associated ovary produces fertilizable eggs. There are even cases where the healthy fallopian tube not only catches the eggs of your own ovary, but literally "pivoted around", to be able to take up the eggs of the opposite ovary as well.
A pregnancy without a fallopian tube is not possible, even if both ovaries are still active. In this case, the desire to have children can be fulfilled through an artificial insemination.
Desire to have children despite disease of the reproductive organs
Pregnant with cyst or PCO syndrome
A simple cyst on the ovary is only in rare cases the cause of permanent infertility. On the other hand, it is more problematic if there is polycystic ovarian syndrome (PCO). This complex hormone disorder creates several fluid-filled cavities on the ovaries, and there is no ovulation. For women who want to have children, doctors usually prescribe the active ingredient clomiphene, which triggers ovulation in two thirds of the cases. Treatments with hormone injections also increase the chance of becoming pregnant despite PCO. Symptoms for the hormonal disorder PCOS can include Cycle disturbances (rare or irregular bleeding), oily skin, hair loss and increased body hair. Another consequence of PCOS can be reduced fertility to infertility – for women who want to have children, therapy that is supposed to stimulate ovulation can increase the chances of pregnancy. Environmental influences and hereditary factors are believed to be the causes of PCOS. But obesity is also associated with PCOS – therefore, healthy eating and exercise are also part of the therapy.
Get pregnant with endometriosis
With endometriosis, uterine mucosa proliferates outside the uterus in the abdomen. This often leads to severe pain during the period and – depending on the severity and location of the endometriosis foci – to infertility. Surgically removing tissue often helps women who wish to have children – especially if the disease is discovered at an early stage. It grows "strayed" Mucous membrane again, but those affected have a time window in which they have a better chance of conception.
Get pregnant after conization
In the case of conization, the gynecologist surgically removes a conical piece of tissue from the cervix and cervix. The most common reason for the intervention is changed tissue structures, which indicate the development of cervical cancer. For women who want to have children, a flat cone is chosen to preserve as much tissue as possible.
A healthy pregnancy is possible after conization, but the patient should then be looked after very closely. Due to the changed and shortened cervix, premature births are more common or the birth process is delayed due to scarring on the cervix.
Closely related: thyroid and fertility
The thyroid gland has a great influence on the hormonal balance and thus on the fertility of women. An under- and an overfunction of the butterfly-shaped gland located in the throat can lead to cycle disorders and sterility. About 10 percent of unwanted childless women suffer from thyroid disease.
Get pregnant despite underactive thyroid and Hashimoto
The most common cause of hypothyroidism is chronic inflammation of the thyroid, Hashimoto’s thyroiditis. With this autoimmune disease, the body’s defenses attack the tissue of the thyroid gland.
Today, patients with Hashimoto’s and hypothyroidism can get pregnant if they are successfully stopped with the thyroid hormone levothyroxine. Treatment is also particularly important during pregnancy, as otherwise miscarriages or premature births and a disability of the baby (e.g. reduced intelligence quotient) can occur.
Get pregnant with hyperthyroidism
Hyperfunction of the maternal thyroid gland can also damage the newly emerging life. However, it occurs less frequently than a subfunction. To regulate the pathologically increased gland productivity, the doctor usually prescribes thyroid drugs. However, these drugs are problematic during pregnancy because they pass into the placenta and there is a risk of negative effects on the child. For women who want to have children, it is advisable to have the function of the thyroid regulated by surgery if possible before pregnancy occurs.
Risky pregnancy: Pregnant with overweight or depression
Women who are overweight often take longer to get pregnant. This is due to metabolic processes in the adipose tissue, through which too many male hormones are formed. The result is cycle disorders and cysts on the ovaries (PCOS). Many patients who want to have children and are overweight therefore receive advice from their doctor to lose weight first.
If conception has worked, 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 that of women of normal weight, which requires close monitoring by the gynecologist.
Expectant mothers who suffer from depression are also considered pregnant women at risk. Depression and the desire to have children 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 "remedy" is seen for the low mood.
On the other hand, many women who have had depressive episodes fear that they will relapse due to pregnancy. In fact, this is difficult to predict: While some patients are particularly stable during pregnancy and lactation, others are really in a crisis due to the new responsibilities and the hormonal fluctuations.
Today, doctors no longer generally recommend stopping antidepressants immediately after a positive pregnancy test – but there are preparations that are safer than others. Open communication between the patient and the medical team is therefore important – also because newborns can show withdrawal symptoms after birth. To reduce this, the mother’s medication dose is often reduced 14 days before the birth date and only increased again afterwards.
Laura Knechtel lives in Hamburg and has been working for NetMoms since 2016. She thinks that life is twice as much fun with children…
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