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April 4, 2026Gynecology and Obstetrics Clinical MedicineOpen Access

Return to fertility following the discontinuation of progestin-only contraceptives: a narrative review of the evidence

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Authors

BEBlake Erhardt-OhrenSRScott RosenblumNPNdola Prata

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Overview

This narrative review investigates return to fertility outcomes after stopping progestin-only contraceptives, indicating similar pregnancy rates across methods.

Key Points

  • To summarize the evidence regarding return to fertility after the discontinuation of progestin-only contraceptives.
  • Conducted a narrative review with a systematic approach.
  • Reviewed 9 systematic reviews, 47 original research articles, and 4 conference abstracts.
  • Analyzed outcomes including return to ovulation, median time to pregnancy, and pregnancy rates.
  • Oral contraception and hormonal IUD users return to ovulation sooner than injectable and implant users.
  • By one year after discontinuation, pregnancy rates across all methods are similar.
  • Only slight delays in return to fertility were observed following discontinuation of progestin-only methods.

Cite This Study

Erhardt-Ohren et al. (2026) studied this question.

synapsesocial.com/papers/69d0aefd659487ece0fa4de9https://doi.org/10.1136/gocm-2024-000192
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impacts of Contraception on Future Fertility: Addressing Concerns to Improve Understanding2026
  2. 2Delay in Return to Fertility after Discontinuation of Using Depo-Provera and Associated Factors Among Currently Pregnant Women Attending Antenatal Care in Public Health Facilities in Gindeberet District, Oromia, Ethiopia, 20212024
  3. 3Post-pregnancy contraception2026
  4. 4Worldwide prevalence of discontinuation in fertility treatment: A systematic review and meta-analysis.2025
  5. 5516 Pregnancy outcomes following hormonal intrauterine device discontinuation: A prospective cohort study2026