Rebound effect after 2 months of taking coc. Rebound effect: what is it and what is its effectiveness? Which drug is better and how much to drink

Sometimes a long absence of a desired pregnancy can force a woman and her doctor to turn to the most non-standard solutions to the problem. One of them is the use of the rebound effect, a condition that occurs immediately after discontinuation of oral contraceptives (OCs). It is characterized by increased work of the ovaries, which were at rest while taking such drugs. But is stopping the OC a guarantee that pregnancy will occur? And are there any nuances that should be taken into account? Let's talk about this right now.

How to “seize” the moment?

Firstly, not all oral contraceptives are capable of causing a strong response in the ovaries. This can only happen after taking combined contraceptives such as:

  • Jess;
  • Yarina;
  • Janine;
  • Marvelon;
  • Triquilar;
  • Tri-Regol;
  • Femoden.

Secondly, for the withdrawal effect to take place, you need to take the OC for at least three months, and in some cases a six-month course is necessary. In addition, there is a category of women whose ovaries continue to function even while taking oral contraceptives, which means that in this case, discontinuation of the drug can occur without any consequences at all.

What happens to the ovaries after stopping OK?

The tablets are designed to “turn off” the work of the ovaries and thereby stop unwanted ovulation. They can also be prescribed to bring a woman’s hormonal levels in order. After discontinuation of the OC, the ovaries begin to function intensively, and the chances that ovulation will occur significantly increase. Moreover, not one, but several dominant follicles can mature at once.

Accordingly, the “stimulating” effect is fraught with the conception of multiple pregnancies, since the abolition of combined oral contraceptives can stimulate “superovulation”. It is impossible to predict exactly how many eggs will mature. It remains only to recall that the multiple pregnancies included in the Guinness Book of Records occurred precisely against the background of artificially provoked hormonal changes in the woman’s body.

Opinion of medical specialists

Doctors have different views on treating infertility in this way. As a rule, it is not among the first methods that a doctor can use for successful conception, and there are several reasons for this:

  • Firstly, not all doctors have a positive attitude towards the use of oral contraceptives as such. Research shows that in 1/3 of cases of taking OCs, a woman’s hormonal balance is so disrupted that it then takes several years to restore it.
  • Secondly, doctors are afraid of triggering “superovulation” and getting pregnant with three or more embryos. In the IVF protocol, by the way, “superovulation” is also stimulated, but there the mature eggs are completely under the control of doctors and only 1-2, in rare cases 3, fertilized eggs out of the total number obtained in vitro will be implanted into the woman’s uterus. During the rebound effect, it is impossible to control the number of embryos, since the entire process occurs outside laboratory conditions.
  • Thirdly, the effect of OC withdrawal is not considered particularly effective. Even if it contributed to the beginning of maturation of the dominant follicle, this does not at all guarantee that the capsule will burst and the egg will be able to come out, or that the follicle, having reached a large size, will not begin to regress.

Therefore, most medical professionals prefer to use more traditional approaches to treating infertility first. And, of course, you should not start “treatment” with oral contraceptives without consulting a doctor, because uncontrolled use of drugs can lead to hormonal imbalance instead of the long-awaited conception when they are discontinued.

Reviews

Anna: Don't repeat my mistakes! Two years ago I read on the Internet about the miracle effect and prescribed myself contraceptives, sometimes I took them, sometimes I didn’t. The result is no conception, all the hormones have been knocked down, I can’t restore it for the second year.

Irina: My daughter turned out OK in the second month. Only in my case it was not a treatment, I just drank them as protection. Then the doctor advised me to take a break for a couple of months, and now, the result of the “break” has already gone to kindergarten.

Galina: I got both pregnancies the next cycle after stopping taking OK. Both times they tried to bring my hormones back to normal with these pills, since ovulation did not occur.

Alena: I also took contraceptives, hoping to conceive after the “treatment”, but, alas... Apparently, not my method.

Valeria: No sense. Although I took it for six months. After the withdrawal, ovulation did not even occur, let alone conception.

Maria: Six years ago I decided to get off OK and start planning a child. The doctor warned that we had to wait at least three months, otherwise there was a risk of multiple pregnancy. My husband and I did not heed the warnings and hoped that this would not threaten us. We got pregnant in the second month. At 8 weeks I come for an ultrasound, and there are two fertilized eggs in the uterus!

Natalya: Nothing happened to me after the cancellation. Ovulation improved after three months.

Olga: My folliculometry after the withdrawal showed how several dominant follicles were maturing. This was in the first month, but my husband and I decided not to risk it - with my ICN we would not have been able to endure a multiple pregnancy.

Nina: The doctor advised me to take OK for three months, and then get pregnant while withdrawing. Nothing worked, although the gynecologist said that the effect worked for her other patients.

Elena: Nothing worked out for us. There was no ovulation, the follicular cyst had just matured and that’s all.

Every year, this type of protection from unwanted pregnancy, such as taking oral contraceptives, is becoming increasingly popular among women of reproductive age. But not many of them know about the existence of the so-called rebound effect. Its essence lies in the fact that after a short period of taking and stopping the OC, a woman’s reproductive system can recover and start working “with renewed vigor,” increasing several times the possibility of natural conception.

Women who have not been able to get pregnant for a long time and have already tried many methods that increase the chances of conceiving, but have not received results, begin to think about whether to resort to a method that causes a rebound effect. But is it really as effective and safe as they say?

Rebound effect from a medical point of view

The rebound effect or withdrawal effect is that from the start of taking oral contraceptives, the natural function of the ovaries to prepare the egg for fertilization is inhibited. This occurs due to the inhibition of the hypothalamic-pituitary system, which, through production, controls the functioning of the ovaries. While taking OCs, the work of the ovaries is suspended, and the sensitivity of receptors to hormones increases in the meantime. When you stop taking the pills, the system for producing female sex hormones is restored, they are released in larger quantities, which significantly increases the likelihood of full maturation and the release of a viable egg from the ovary, ready for fertilization. This state can be compared to natural induction. This method is especially effective for women diagnosed with “”, when the production of their own hormones is not enough to maintain the normal functioning of the reproductive system.

Drugs that can be used to achieve a rebound effect

To obtain a rebound effect, the gynecologist may prescribe one of the following combined oral contraceptives:, or. Other drugs can also be used, their choice depends on the patient’s condition and the results of her tests. All drugs are not the same; although they perform the main function of preventing unwanted pregnancy, they have slightly different compositions and, therefore, have different effects on the body. Therefore, only a doctor who has conducted a gynecological examination and interviewed the woman can make the right choice in favor of one drug over another.

There are certain criteria on the basis of which the choice is made in favor of a particular drug:

  • woman's age;
  • woman's body weight;
  • the body's reaction to drugs and sensitivity to them;
  • level of estrogen saturation;
  • the patient has diseases such as diabetes mellitus, fibroadenomas in the mammary glands, disorders of blood clotting, and some other diseases.

Combined oral contraceptives are suitable for women who are underweight or have dysmenorrhea - the painful first days of menstruation. If the patient is overweight, has high estrogen levels, has uterine fibroids or fibroadenoma, drugs containing gestagens are more suitable for her. Right choice To achieve a rebound effect, only a gynecologist can do it, and taking any oral contraceptive without a doctor’s prescription can lead to hormonal imbalance, disruption of the functioning of many body systems, and sudden weight gain.

Do you really need a rebound effect?

A woman should think about the fact that a rebound effect can help her get pregnant only after 12 months have passed since she started planning for a child. Planning means regular sexual activity without contraception. The couple should have sex every month on the expected days of ovulation. As a rule, a twelve-month period is enough for healthy couples, but if after a year of active “planning” they still fail to conceive, you can think about using alternative methods and, at a minimum, go to a specialist.

Before experiencing the rebound effect, a woman should familiarize herself with the main contraindications that exist for treatment with this method:

  1. The woman is already pregnant.
  2. The couple has been trying to conceive for less than 12 months.
  3. men have poor performance.
  4. A woman over 35 years old smokes more than 15 cigarettes a day.
  5. Diseases of the cardiovascular system.
  6. Liver diseases such as cirrhosis, acute viral hepatitis.
  7. Diabetes mellitus that lasts more than 20 years, or diabetes mellitus with angiopathy.
  8. Congenital thrombophilias, risk of thrombosis or deep vein thrombosis.
  9. Hypertension with pressure more than 160/100 mmHg. Art.

Even if a woman has no contraindications and is ready to try contraceptives to achieve a rebound effect, there is no guarantee that it will work. In many cases, when pregnancy has not been possible for more than a year, a more effective course of action is for both spouses to undergo screening for reproductive health problems. Timely treatment, precisely aimed at eliminating a specific problem, will be much more productive than using other less common methods.

Today, the contraceptive market is filled with various new products of all kinds. Active couples can choose the method of protection against unwanted pregnancy as they wish. But, nevertheless, oral contraceptives in the form of tablets are considered the most popular. They are characterized high level protection and have a beneficial effect on general health women.

In pharmacology, this type of protection is abbreviated as OK (oral contraceptives). About 70% of women of childbearing age use them. But few people know that they are also used for treatment, thanks to their unique rebound effect. What is it and what is its role in the process of conception?

Rebound effect: what is it and how does it work?

The rebound effect is a phenomenon in gynecology that is actively used to stimulate pregnancy. It occurs when you stop taking OK.

This effect occurs as a result of hormonal changes in a woman’s body. The thing is that most oral contraceptives inhibit the production of hormones during ovulation. The egg does not come out, hormones are not released, and as a result, pregnancy does not occur.

When you stop using contraceptives, in most cases there is a surge in hormones, so your chances of getting pregnant increase. The rebound effect occurs in 95% of cases, so it is actively used by couples who have problems conceiving a child. Before this, they must undergo a number of preparatory procedures:

  • A couple should try to get pregnant on their own for at least a year. This time includes the time of active sexual activity without treatment. If pregnancy does not occur, then we can talk about possible problems.
  • The partner must be tested for sperm quality ().
  • Woman and man must pass full examination and if there are pathological factors, undergo treatment.

The doctor should warn patients that the rebound effect varies from person to person. This means that the amount of hormones released may be different. In addition, such an effect may not occur at all.

OK regimen for rebound effect

The course of treatment and taking OK is prescribed by the doctor. You can, of course, use the classic regimen and stop after 3 months, but it is best to consult a specialist.

For the withdrawal effect, gynecologists prescribe treatment according to two schemes:

  1. 21 days of taking one tablet, then seven days off. Repeat the course at least three times. During a seven-day break, spotting similar to menstruation may be observed, this indicates that the ovary is actively working. The probability of getting pregnant is about 95%.
  2. 62 days of taking one tablet daily. After discontinuation, menstruation does not begin, but intermittent bleeding may occur. The probability is also about 95%.

The course must be chosen at will, but with the consultation of a doctor.

Which drug is better and how much to take?

Many couples are interested in how long they need to take OK for the rebound effect to occur. According to experts, this is at least three months. During this time, the body accumulates hormones, normalizes its condition and is ready to become more active upon withdrawal. The course can be extended, it all depends on the wishes of the partners.

Also important issue is how long does the withdrawal effect last? There is no clear answer to this question. Experts say that the highest threshold of activity is observed in the first three months. The first ovulation after stopping the drug occurs in 98%, so the probability of getting pregnant is quite high. In the second month, active ovulation also occurs, but hormone activity is about 80%. This is a fairly high rate and many couples managed to get pregnant. During the period of third ovulation, it is also possible to conceive a child; the hormones remain quite active. After three months, the rebound effect continues in only 30% of cases.

The specific drug plays an important role. It is better to consult a doctor on this issue; today you can find a lot of remedies in pharmacies. A specialist will help you choose the right one, based on several criteria:

  • Patient's age;
  • Weight;
  • Individual tolerance to the components of the drug;
  • Estrogen saturation;
  • Detection and character in the mammary glands;
  • The presence of fibroids in the uterus and fallopian tubes;
  • The presence of genital diseases, including sexually transmitted infections.

The following drugs are very popular today:

  • Marvelon;
  • "Jess";
  • « »;
  • "Yarina";
  • "Logest".

These drugs can be taken at any age at the same dosage - one tablet per day. After the age of 35, the course of treatment increases; for a rebound effect, you need to drink OK for about 5-6 months, only after that is discontinuation prescribed.

Contraindications

Today, many couples use the rebound effect for the pregnancy process. This is a time-tested and expert method that requires a lot of preparation, but the effect is worth it.

Despite its high effectiveness, withdrawal has a number of contraindications. It is not taken when taking hormonal drugs is contraindicated.

  • The woman is pregnant or breastfeeding her baby;
  • Partners try to get pregnant for several months (up to a year);
  • Deviations in the partner’s spermogram; if sperm activity is low, then stimulating therapy for the man is required;
  • The woman has problems with alcohol and smokes a lot;
  • Heavy pathological conditions liver, namely hepatitis, cirrhosis;
  • Various forms of diabetes;
  • Thrombophilia;
  • Cardiovascular diseases;
  • Chronic hypertension.

Before using the rebound effect, both partners must undergo a full examination.

The likelihood of pregnancy due to the withdrawal effect is quite high. But to do this, you must follow all the doctor’s prescriptions. There is no point in trying on your own without advice. And it is very important to be examined before starting the process. In most cases, problems do not arise as a result of hormonal disorders, and when exposed to others pathological processes. In this case it is required complex treatment partners, which must be supervised.


Any planning woman wants to get pregnant as soon as possible, ideally on the first try, that is, in the next cycle. Most people mentally set certain dates for the desired conception, and if pregnancy does not occur during this period, unpleasant thoughts creep in about possible problems and even infertility. In search of answers to your questions, you can turn to friends who have gone through something similar, to online forums, doctors and specialized literature. There is often information from various sources about the mysterious and healing rebound effect that drugs from the group of hormonal oral contraceptives have.

Does the rebound effect promote conception?:

The rebound effect is essentially a cancellation effect, that is, a reaction female body to abruptly discontinue the drug. While a woman is taking the medicine, her hormonal levels are under the control of the medicine, the function of the ovaries and the hypothalamic-pituitary system is turned off. After cessation of entry into the body medicinal substance Ovulation occurs and, as a result, pregnancy.
Counting on the subsequent rebound effect, doctors prescribe the drugs “Yarina”, “Janine”, “Jess”, “Marvelon” and others. As soon as the drug is discontinued, in most women the work of the pituitary gland and hypothalamus resumes, and the ovaries are activated under the influence of a natural surge of hormones. Natural stimulation of ovulation occurs. Thus, the rebound effect will be useful primarily for those women who suffer from endocrine infertility.
It takes couples months or even a year to conceive a child. Therefore, the prescription of oral contraceptives with the expectation of a rebound effect is justified only when the period of active planning exceeds a year.
Before treating infertility with this method, you need to be sure of your husband’s fertility. Therefore, taking a spermogram is one of the mandatory examinations that are included in the set of tests for infertility. Well, in the meantime, there is a forced break in planning, make the most of this time - undergo fluorography, do physical therapy, treat existing diseases, including infections.
The doctor should warn that for some women, taking oral contraceptives has a completely opposite effect. Instead of activating the reproductive system, you can get it inhibited for several months. This is rare, but it does happen.

How to choose a drug to obtain a rebound effect?:

To achieve a rebound effect, doctors usually prescribe second and third generation hormonal oral contraceptives. Their reception continues for 3 months. It is also possible to prescribe third-generation drugs in combination with steroids. This course of treatment lasts 5-6 months. You should not take Diane-35 if you expect withdrawal effects.
To achieve activation of the woman’s reproductive system after discontinuation of the drug, analogues of luteinizing hormone-releasing hormone can be used. The difficulties of such tactics are due to the practical inaccessibility of drugs in this group - their small range and high price.
Which combined oral contraceptive (COC) to choose depends on a number of factors - body weight, age of the patient, estrogen level, the presence of benign formations in the uterus and/or mammary glands, indications of diabetes mellitus, bleeding disorders and other problems.
Progestin contraceptives are suitable for those women who have excess weight, myoma or fibroadenoma, as well as increased level estrogens. For low body weight or too painful periods, it is better to use combination drugs.
The doctor must be responsible when choosing an oral contraceptive for the treatment of infertility. If your gynecologist advises you to “take any hormonal contraceptive,” do not count on positive effect from treatment by such a “specialist.” It is also dangerous to prescribe COCs to yourself in order to achieve a rebound effect. Due to the wrong choice of drug, the already disturbed hormonal levels will aggravate the condition.

Who should not take COCs to achieve a rebound effect?:

In some cases, taking oral contraceptives for the treatment of infertility is not indicated:
- the period of active pregnancy planning is less than 1 year;
- pathological abnormalities in the partner’s spermogram;
- disorders of the blood clotting system: thrombosis, thrombophilia, and so on;
- severe pathology of the heart and blood vessels;
- arterial hypertension(higher than 160/100 mmHg);
- hepatitis, cirrhosis and other severe liver diseases;
- long-term (over 20 years) medical history diabetes mellitus, presence of diabetic angiopathy;
- smoking more than 15 cigarettes per day, despite the fact that the woman is over 35 years old;
- Presence of pregnancy (before starting to take COCs, pregnancy should be ruled out again).