Pregnant while on HRT? HRT (Hormone Replacement Therapy) contains estrogen and progesterone – two hormones which tend to decrease during menopause and perimenopause – but does not interfere with fertility, meaning you could still become pregnant while using HRT. Contraception is not possible with HRT.
HRT is usually a combination of estrogen and progesterone or, in some cases, only estrogen. This helps to duplicate the hormones produced by the ovaries.
There are two types of HRT: estrogen treatment and combined hormone therapy. Estrogen therapy involves administering only estrogen; alternatively, combination hormone therapy combines both hormones.
This article reviews HRT and its effect on fertility, investigating if those using it still conceive while on it and providing helpful conceiving/preventing pregnancy tips for HRT users.
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Can You Get Pregnant while on HRT?
Experts advise women who may become pregnant to forgo HRT use. According to the NHS, combined and estrogen-only HRT does not impact fertility in any significant manner.
A person can take HRT in cycles or continuously. The sequential HRT is taking HRT in cycles. Sequential HRT does not affect fertility.
Conceiving while on HRT
The American College of Obstetricians and Gynecologists recommends that women who are pregnant, planning on becoming pregnant, or planning to become pregnant should discontinue HRT use as soon as they become aware they want to become pregnant.
A woman wanting to become pregnant must discontinue HRT altogether prior to conception taking place and speak to her physician regarding potential side effects when discontinuing usage. If any additional concerns exist regarding discontinuing HRT usage, contact your gynecologist about it immediately.
HRT during gestation may not be necessary as individuals already possess high levels of estrogen and progesterone.
Preventing Pregnancy With HRT
HRT can still cause pregnancy. Birth control may be needed by women who do not wish to get pregnant.
HRT cannot be taken at the same time as the combined pill. A doctor might recommend that people who take the combined pill take it up to age 50, and then switch to HRT.
People who take the progestogen-only pill may be able to use HRT at the same time.
It is possible that after the age of 55, people may not need to use contraception. Some people may need to use contraceptives or other barrier methods to protect themselves against sexually transmissible infections (STIs).
It can happen that a person who has a uterus and is ovulation will become pregnant. Testosterone and other forms of hormone therapy do not act as birth controls. Anyone who is only taking testosterone may use any form of birth control.
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Frequently Asked Questions
Here are some frequently asked questions regarding HRT and pregnancy.
How Long Will It Take for Me to Become Pregnant After Taking HRT?
HRT does not affect fertility. It may take as long for someone taking HRT to become pregnant as it would for someone not taking HRT. If a woman is trying to conceive, she should stop taking HRT.
The AcOG suggests that women who haven’t conceived after a year of sexual activity should consult a doctor. If a person has reached the age of 35, this period is reduced to six months.
Women over 40 should consult an obstetrician-gynecologist to evaluate their fertility before beginning attempts at getting pregnant.
What Are the Effects of Perimenopause on Fertility?
Pregnancy is rare, but possible during perimenopause or aftermenopauseTrusted source.
Doctors recommend that women over 50 who do not want to become pregnant continue using contraception for one year following their last period, while people under 50 must do the same for two years.
Bottom Line
HRT does not interfere with fertility or work as a contraceptive, so it is possible to get pregnant while on HRT or while using it. HRT should not be taken during pregnancy or by women who want to get pregnant.
Women looking to avoid pregnancy should use contraceptives after their last period has concluded in order to stay protected against becoming pregnant.
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