Stopping the pill after long-term use can cause short-term changes while hormones rebalance. Many people notice a few irregular cycles, later ovulation, lighter or heavier flow, and PMS-like symptoms such as mild headaches, bloating, breast tenderness, acne, or mood shifts. Fertility generally returns as cycles settle, so pregnancy is possible as soon as the pill is stopped.
These effects are usually temporary. For most, periods come back within weeks to a few months, and cycles tend to regulate over several cycles. If there is no period for over 3 months, this can be a sign of amenorrhea and should be assessed to rule out pregnancy and other causes.
Right after stopping, the pill no longer prevents pregnancy. Anyone who does not wish to conceive should switch to another birth control method immediately and use condoms until a new method is in place.
Persistent symptoms, missed periods for over 3 months, or concerns about acne, mood, or bleeding should be evaluated by a gynecologist. Avoid self-medicating with hormones. If you are interested in other contraceptive methods, you are encouraged to discuss your options with a health care professional.