The Pill Won't Make You Infertile: 7 Contraception Myths Gynaecologists Still Hear

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Contraception can be one of the best ways to avoid an unexpected pregnancy, but misperceptions about contraception still impact women's choices. There are several questions that need clear, evidence-based answers - from worries about infertility to fears of 'hormonal build-up'.

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We spoke to Dr Anita David, Consultant - Gynaecologist, Infertility Specialist Vaginal & Laparoscopic Surgeon (Obstetrics and Gynaecology), HOSMAT Hospitals, who debunked some common myths about contraceptives.

Myths And Facts About Contraception

Myth 1: The birth control pill will make you infertile

Fact: There is no proof that oral contraceptive pills cause infertility, and this is one of the most persistent fallacies. Fertility returns quickly after stopping combination tablets or progestin-only pills.

"It doesn't mean the pill has damaged your fertility if you don't fall pregnant the first time after stopping it. There are many other situations, like age, ovulation issues, and sperm-related factors, which could affect the conception," said Dr David.

Myth 2: "Taking a break" from the pill

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Fact: Women don't have to take breaks from the pill every once in a while to give the body a break. Many women can take oral contraception safely for many years if the approach is appropriate for their individual health profile.

But it's always worth reviewing contraception if your health, medication or personal circumstances change.

Myth 3: The tablet leads to long-term weight gain

Fact: "Concern about weight is widespread, but the evidence does not indicate that the combo pill causes any significant weight gain. Some women experience changes in weight or appetite while using hormonal contraception, but there are many reasons for this," shared Dr David.

If you notice a persistent or troubling change, talk to your gynaecologist before stopping your contraception and explore alternatives.

Myth 4: An IUD can cause infertility, permanent

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Fact: Hormonal and copper IUDs are birth control methods that are reversible and do not cause infertility. Fertility usually returns after the device is removed.

The main concern is proper placement and screening for infections as indicated.

Myth 5: Emergency contraception leads to infertility

Fact: Emergency contraceptive pills do not cause future infertility, and fertility is immediately restored after use.

"However, they are for occasional use after unprotected intercourse or failure of contraception. But if you find you need emergency contraception regularly, then it may be worth having a chat with your doctor about a more convenient regular choice of contraception," highlighted Dr David.

Myth 6: Hormonal contraception isn't safe for everyone

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Fact: "Many women are able to use hormonal contraception safely. But it's not a one-size-fits-all situation. Some procedures may not be suitable for some diseases and risk factors. In certain cases, there is a small risk of blood clots with combination hormonal contraception, and it may not be the right choice for everyone," explained Dr David.

That's why birth control should be a personal choice, made on your own evaluation, not on someone else's experience.

Myth 7: Contraception can permanently affect your fertility

Fact: The majority of contemporary birth control treatments are reversible. Once you stop using contraception, your fertility should return to normal, but the time this takes can vary according to the method.

For example, some types of injectable contraception may take longer for fertility to return than other methods, but they do not cause infertility permanently.

The larger lesson is not that birth control causes infertility. In fact, good contraception empowers women and couples to determine whether and when to have children.

Message From The Expert

Dr David concluded, "As a gynaecologist I would advise women not to pick or reject a form of contraception based on what they heard from a friend, social media or a family member. The best approach for you will depend on your age, medical history, lifestyle and reproductive aspirations and preferences."

Good contraception is not about the "best" way. It's about finding the safe, right way that works for you.