what happens to your eggs when you have an iud

In a contempo survey of over 500 "millennial" women (women ages 22–35), 60% of respondents indicated they were using some type of consistent birth control. It makes sense, then, that "What if I'yard on nascence command?" is one of the top questions nosotros field from women who are thinking most freezing their eggs. Hither, we'll get over the human relationship between birth control and fertility, and what women who want to freeze their eggs demand to know about nativity control.

First—a quick overview on how the different types of nativity control work.

We're talking hither almost medical birth control options—not bulwark methods similar condoms or diaphragms, or natural methods like fertility awareness (the "rhythm" method).

Hormonal birth control

Hormonal contraceptives prevent pregnancy in a few means. Most importantly, the hormones (either constructed progesterone or a combination of constructed progesterone and synthetic estrogen) forbid ovulation, the process by which an egg matures, leaves the ovaries, and enters the fallopian tubes for fertilization. No ovulation? No egg to exist fertilized—significant no pregnancy. The hormones also thicken the cervical mucus, preventing sperm from entering the fallopian tubes in the get-go place, and modify the lining of the uterus to discourage an embryo from implanting in that location.

Hormonal nascency command comes in a few forms. The near common is birth command pills (also known every bit oral contraceptives or OCPs), but there's also the ring, the patch, the shot, and the hormonal IUD (more on those later on). Each form has its own benefits, side furnishings, and effectiveness, but by and large speaking, hormonal birth control is very effective, and may have benefits for women with hormone imbalances or conditions like endometriosis or PCOS (polycystic ovary syndrome).

Intrauterine devices (IUDs)

There are two types of IUDs. The first is a hormonal IUD; it uses a similar constructed hormone to that used in birth command pills, released in very small amounts every twenty-four hour period, to thicken cervical mucus and thin the lining of the uterus. The 2nd is a copper IUD; the copper creates an environment in the uterus that's toxic to sperm. The copper IUD doesn't use any hormones.

Both copper and hormonal IUDs are "T"-shaped devices that are inserted into the uterus through the neck (hence IntraUterine Device). IUDs are likewise extremely constructive long-term birth control solutions—less than 1% of women using an IUD will get meaning each yr.

Birth control doesn't affect fertility long-term.

Some women think that long-term hormonal nascency control utilise could "mess up" their fertility; others believe that because they're non ovulating while they're on birth control pills, patches, rings, or shots, their egg supply will exist better than it would be, otherwise. In reality, neither is true—birth control doesn't have a long-term result on fertility.

Women who were previously on hormonal birth command get significant at the same rates every bit other women their age.

"Within two to three months of stopping birth control, the medication fully metabolizes and clears out of the system. It should accept no result on women's reproductive health," explains Dr. Joshua Klein, medical director hither at Extend Fertility. (The simply exception to this is the birth control shot, which is intended to be a longer-acting form of birth control and might take longer to "vesture off.")

A report of almost 9,000 planned pregnancies published in 2002 determined that, while 85% of women who never used oral contraception had conceived within a year of trying, 89% of women who had used nascency command for more than v years conceived within the aforementioned menstruation. (The average historic period of the women in this report was 28 years old.)

The process of egg aging and loss that affects fertility continues, even if you're on nativity command.

Fertility declines in two ways every bit we get older. First of all, we have fewer eggs; secondly, the eggs we do take are more probable to be genetically abnormal, thanks to the inevitable damaging forces of everyday life.

The one egg (typically) that's ovulated every month is not the only egg nosotros lose—it's just the single egg that makes information technology through the whole ovulatory process. The fact is that, each wheel, maybe 15–20 follicles are activated, just when they don't mature, they become "reabsorbed" (AKA, they die). This process is chosen "atresia." Plus, doctors estimate that we lose up to a k boosted follicles each month, thanks to natural cell death. Atresia and jail cell death continue even if you're meaning, on nativity control, or otherwise non ovulating.

Learn more about how many eggs women lose every month .

Additionally, an egg is a type of cell, and like all living things, cells age. Equally eggs age, they're more probable to contain what are chosen "chromosomal defects," or problematic changes to the genetic textile that tells the prison cell how to function. That's why older eggs accept a harder time doing what they're supposed to do (make a baby). This, too, continues to happen, even while a woman is on birth control, significant, or otherwise not ovulating.

Learn more about the importance of the historic period of the egg .

Long story curt? Birth command won't affect your fertility in the long run—for the worse or for the better.

Studies are unclear as to whether or not birth command can affect the results of fertility tests.

One of the best tests doctors have to approximate a adult female's egg count is to mensurate her AMH, or anti-Mullerian hormone, level. AMH is a poly peptide hormone produced by special cells inside the ovarian follicles. The level of AMH in the blood can assistance doctors estimate the total number of follicles inside the ovaries, and therefore a woman's total egg count. A typical AMH level for a fertile woman is 1.0–4.0 ng/ml, simply, depending on age, many women will be higher or lower than this range.

Studies have attempted to determine the issue of hormonal birth control on AMH levels, but information technology's still unclear. While several studies (ane, ii, 3) have concluded that apply of birth control doesn't suppress AMH, others have concluded the reverse (1, 2, 3). The best answer doctors can requite right now is that nascency control may decrease AMH levels, temporarily, a scrap—and this upshot might depend on the person or even the type or brand of nascence command they're using.

"We don't routinely recommend going off the Pill before AMH testing," Dr. Klein explains. "But for women whose levels come in surprisingly low for their age who are on OCPs, we suggest stopping for one–ii months so re-testing."

But once again—even if nativity command does bear on AMH levels, information technology'due south only temporarily. There's no long-term impact on fertility as a effect of taking birth control for years, or fifty-fifty decades.

We don't require you to take nativity control pills prior to your egg freezing cycle.

Some clinics require women to use nativity control pills (OCPs) prior to their in vitro fertilization or egg freezing bicycle. Why? OCPs allow doctors, or the patients themselves, to manipulate the timing of their cycle to better fit into a dispensary'due south, or the patient'southward, schedule.

However, several studies have concluded that OCP apply direct prior to a "stimulation" bicycle (such as egg freezing) can result in a longer egg freezing cycle that requires more medication—and tin can actually negatively affect the number of eggs that are somewhen retrieved. And since egg freezing success rates are based on two factors, the age the woman is at the time she freezes and how many eggs she freezes, a lower number of eggs retrieved tin mean lower success rates later on on.

Acquire more about egg freezing success rates .

"We don't routinely use OCPs at Extend Fertility because of the potential suppressive effects," Dr. Klein explains. Nosotros don't crave all of our patients to be on the same bicycle, and unless the patient specifically requests a particular cycle date, nosotros follow our patients' natural cycles. "Since information technology isn't in most patients' ultimate best interests, we don't do it," says Dr. Klein.

Tin can you stay on birth control during egg freezing?

That depends on which type y'all employ.

If you're on hormonal birth command, you lot'll need to stop during your egg freezing cycle.

The medications used during your egg freezing cycle prompt your ovaries to produce multiple eggs during ane menstrual cycle, instead of the one egg typically matured and ovulated. Because hormonal nativity control is intended to prevent ovulation, you can imagine that it'due south non exactly what yous should be taking during your egg freezing cycle. If y'all decide to freeze your eggs, you'll stop taking all hormonal birth control—the pill, the patch, whatever—for the 8–14 days of your egg freezing cycle.

No matter which type of hormonal nativity control you lot use, it can be resumed immediately following your egg retrieval.

The copper IUD can stay!

Because the copper IUD (ParaGard) doesn't use hormones to foreclose pregnancy, it doesn't demand to exist removed before egg freezing—it can stay in identify throughout the process. And because the egg retrieval is performed via a needle that goes through the wall of the vagina, there's no chance of the IUD getting in the way.

Learn more about the egg retrieval .

Unprotected intercourse is a no-no during your egg freezing wheel.

Like we mentioned above, during egg freezing, the stimulation medication used to kick the ovaries into overdrive results in the product of multiple eggs, as opposed to the single egg usually produced during a menstrual bicycle.

Barrier methods are a must during the egg freezing cycle.

While egg freezing cycles are very advisedly timed, using a trigger shot to prompt the ovaries to "release" the eggs at simply the right time for the retrieval, there'southward always a small-scale chance that the process might leave behind an egg or 2. As you might remember from biology class, egg + sperm = possible pregnancy. And since the whole reason y'all're freezing your eggs in the commencement place is because yous're not set up to take a baby (or multiple) right now, not-hormonal (barrier method) contraception is central!

Have more questions about egg freezing?

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Source: https://extendfertility.com/birth-control-fertility-and-egg-freezing/