Birth Control

[ESummers1187]

Can anyone give me more information about stopping birth control in order to start TTC. Dear Partner has been on birth control for many years, typically how long does it take for birth control to leave the system in order to start TTC. How long did it take you? and what kind of birth control were you taking?

[Mosaic]

Hi, and welcome to MDC!

You'll find a lot of different answers to that question. Many women get pregnant their first cycle off of the pill! The general thought is that it takes no longer than 3 months to get anything hormonal out of your system If you're ready to TTC, then go for it!

[Jaimee]

Welcome to MDC!! 

Like Mosaic said, the answer to the questions will vary by woman so there is no way to predict.  But it is important to know that some women will be fertile right away and others will need upwards of a year to regulate fully.  This is an excellent time for your dp to start charting her basal body temperature and cervical fluid so that she can find out if she is ovulating and if her luteal phase is long enough to sustain a pregnancy.  It will also clue you in to when she is fertile, when to test, when to expect AF, if she's pregnant, and if there is anything else of concern with her cycle.  If you plan to do IUI's then charting is the best way to time inseminations instead of relying on often unreliable OPK's.

My cousin was on a typical progesterone/estrogen pill and it took her almost a full year to regulate.  When I went off the pill, I wasn't TTC right away so I'm not sure how many months (if any) it took me to start ovulating again, but I did start charting a few months later and my luteal phase was not yet long enough to sustain a pregnancy.  I took steps to lengthen it and conceived about 4 months after that after one early m/c.

If you're interested in more information about how to start charting, just post!

[umbrelladaisy]

I am very new to this info, could someone tell me what is a luetal phase?

[Jaimee]

I'll go ahead and paste a post I wrote for another member about charting... it will answer your question about the luteal phase and fill you in on how to chart, too!  Let me know if you have more questions!

How to Chart

Start as soon as you can since the first day of red blood is cycle day 1.  Pick up a copy of Taking Charge of Your Fertility by Toni Weschler at the library (or buy it).  You don't need to read it cover to cover to get started, but it really is an excellent resource.

You can pick up a basal body thermometer (BBT) at your local drug store.  Some are better than others.  I prefer ones that take longer than 30 seconds (they seem more accurate to me) and can hold two temperatures in memory (this is especially handy when you wake up, temp, and go back to sleep- you can look at and record the temp later).  The Walgreens thermometer gets generally bad reviews.  BD gets good reviews. 

When temping you want to focus on a few things: taking it at the same time each morning (within 30 minutes); taking it after a solid block of sleep (3 hours is usually recommended); and making sure that you don't get out of bed, sit up, drink water, or fall asleep before or while temping.  So basically you just wake up, roll over, temp, and go back to sleep or get up. 

Some women are really sensitive to changes in sleep patterns or ambient temperature (like if your room is hot one morning and not the next or you wake up snuggled under a warm blanket and the next are out of the covers).  But other women find that they can see their pattern despite numerous night wakings, not getting a 3 hour block of sleep prior to temping, or environmental changes.  Other things that can affect temp- pretty much the same things that can delay ovulation: travel, stress, diet changes, injury, illness, and strenuous exercise.

Next, cervical fluid (CF) is something you can observe throughout the day- whenever you feel it, whenever you see it (while wiping, on your panties), etc.  Here is my general guide to CF:

Dry: you'll feel dry all day and there is nothing on your panties

Sticky: you'll generally feel dry and there will be a bit of staining- usually yellow- on your panties.  It might be a bit crumbly or clumpy.

Creamy: generally you'll feel a little wet, lotiony in texture, could be slippery when you wipe, often it will stand up on your panties

Wet: you'll feel wet and your panties will likely be wet- maybe even soak through, may look like skim milk (I rarely get this)

Eggwhite: you might actually feel it slipping out of you throughout the day and it might fall out of you while using the bathroom, stretchy- it may stretch from you to the TP for several inches- and usually clear or yellow tinted, often quite profuse

Temp and CF are the two basic fertility signs you need to chart.  There are other signs you can record like cervical position (CP), but it's not necessary unless your temps and CF are not showing a clear pattern.

So what you're going to see is a group of low temps from the start of AF, which is cycle day 1 (CD 1) until the day after ovulation (O) when you should see a spike in temp or steady climb to a higher group of temps.  The days between O and AF are called your luteal phase (LP).  Generally it is said that you need at least 10 days to sustain a pregnancy.  The average length is 12-14 days.  Your LP will not vary much- usually just by one or two days cycle to cycle.  But your O day could vary considerably.  So when you see O on your chart you can then predict when AF should show based on your average LP length.  If you go 3 days past your longest LP length then that is an excellent sign of pregnancy.  If you get 18 high temps after O that is 99% accurate- just like an HPT.

Likewise your CF will go from dry just after AF to sticky, to creamy, to EW as O approaches.  You may or may not go through all the different types of CF prior to O or you could skip from dry to creamy or dry to EW.  You might have many days of creamy and one or two of EW or you might have 3 or 4 days of EW with hardly any creamy.  It all depends on the woman and that particular cycle.  But after O you will dry up.  It could be instantaneous- like the day of the spike you're dry.  Or it could decrease slower- EW to creamy to stick to dry.  But usually you will dry up within a few days and then may or may not experience a few more days of creamy or even wet/EW later in your LP, just prior to AF.

Anyway, that should get you started!  Post if you have questions and use www.fertilityfriend.com to share your chart!  Good luck!

[umbrelladaisy]

Wow! This is perfect, thank you so much Jaimee :-)

[Jaimee]

You're welcome!