When you decide to stop taking Lovima, the body's primary hormonal messaging system is reset. Unlike combined pills that contain both estrogen and progestogen, Lovima is a progestogen-only pill (POP), or 'mini pill,' that uses desogestrel to prevent pregnancy. Stopping it means your body no longer receives this synthetic hormone, allowing your natural cycle to restart. This process can be different for everyone and is influenced by factors like your cycle before starting the pill, lifestyle habits, and genetics.
Immediate effects and return of fertility
Upon discontinuing Lovima, the most immediate and significant change is the loss of pregnancy protection. Lovima’s effectiveness depends on consistent, daily use, so stopping at any time means you are immediately at risk of pregnancy. For those wishing to avoid pregnancy, it is crucial to start an alternative method of contraception, such as condoms, right away.
For those who want to conceive, fertility can return surprisingly quickly after stopping a progestogen-only pill like Lovima. Some individuals can ovulate within days or weeks of stopping. The synthetic desogestrel is cleared from your system within a short time, though it can take a few months for your cycle to become regular again.
Changes to your menstrual cycle
One of the most noticeable effects of stopping Lovima is the adjustment of your menstrual cycle. While on the mini pill, many users experience lighter, less frequent, or completely absent periods due to the suppression of ovulation. As your body re-establishes its own hormonal rhythm, you can expect changes.
- Withdrawal Bleed: The first bleed you experience after stopping is a 'withdrawal bleed,' caused by the drop in synthetic hormone levels. It typically occurs within two to four weeks of stopping the pill.
- Irregular Periods: After the initial withdrawal bleed, your first natural period may be delayed, and your cycles may be irregular for a few months. This is common and occurs as your body re-learns its ovulation cycle.
- Return of Original Cycle: If you had irregular, heavy, or painful periods before starting Lovima, it is likely these issues will return once the synthetic hormones are no longer managing them.
- Post-Pill Amenorrhea: If your period does not return within three months and you are not pregnant, it is advisable to consult a doctor to rule out other causes.
Potential side effects
As your hormones fluctuate during the transition off Lovima, you may experience a range of temporary side effects. These are typically part of the adjustment period and resolve over time.
- Skin changes: Hormonal shifts can trigger breakouts, especially if you had acne before starting the pill. Changes in skin and hair texture can occur as hormone levels rebalance.
- Mood swings and emotional changes: Some people report experiencing mood swings, irritability, or anxiety after stopping hormonal birth control. Some may even experience a mood improvement if the pill had a negative emotional impact.
- Headaches: Hormonal fluctuations, particularly drops in hormone levels, can trigger headaches.
- Breast tenderness: Sore or tender breasts can be a temporary symptom as your body adjusts to natural hormone levels.
- Weight changes: Some people notice a change in weight, often linked to fluid retention or appetite fluctuations, as their body adjusts.
- Increased libido: For some, the hormonal effects of contraception can decrease sex drive. Coming off the pill may restore libido to its previous levels.
Table: Stopping Lovima vs. Stopping a Combined Pill
| Feature | Stopping Lovima (Progestogen-only) | Stopping Combined Pill (Estrogen + Progestogen) |
|---|---|---|
| Hormones Ceased | Synthetic progestogen (desogestrel). | Both synthetic estrogen and progestogen. |
| Fertility Return | Can return quickly, potentially within days or weeks. | Ovulation typically resumes within 1–3 months, though it can take longer for some. |
| Menstrual Cycle | Natural cycle re-establishes, may be irregular initially, potentially returning to a pre-pill pattern. | Natural cycle resumes after a withdrawal bleed; may take several months to stabilize. |
| Hormonal Withdrawal Symptoms | Can include mood swings, acne, and irregular bleeding due to desogestrel cessation. | Potential for headaches (linked to estrogen drop), more pronounced mood swings, and a return of PMS symptoms. |
| Timing of First Bleed | A 'withdrawal bleed' is common within 2-4 weeks. | A 'withdrawal bleed' typically occurs during the pill-free week after stopping the pack. |
Preparing for the transition
For a smooth transition, consider the following steps:
- Discuss alternatives: Talk to a healthcare provider or pharmacist about alternative contraception options if you wish to avoid pregnancy. Methods range from barrier methods like condoms to longer-term options like implants or IUDs.
- Monitor your cycle: Pay attention to the return of your natural cycle. Tracking your period and ovulation signs (like cervical mucus changes) can help you understand your body’s rhythms.
- Maintain a healthy lifestyle: Supporting your body with a balanced diet, regular exercise, and stress management can help with hormonal balance and overall well-being during this period of adjustment.
- Have over-the-counter remedies ready: For headaches, pain relievers can help. For skin breakouts, using targeted acne treatments may be necessary.
- Consider potential return of symptoms: If you started Lovima to manage issues like heavy periods or acne, be prepared for those symptoms to potentially return. You can discuss alternative treatments with your doctor.
When to consult a healthcare professional
While most post-pill symptoms are temporary, there are certain situations where medical advice is recommended:
- If your period has not returned after three months and you are not pregnant.
- If you experience severe or persistent mood changes that concern you.
- If you have very heavy or painful periods, especially if this was a pre-existing condition.
- For personalized advice on managing symptoms or choosing an alternative contraceptive method.
Conclusion
Stopping Lovima is a safe and straightforward process that involves ceasing to take the daily pill. The most important consequence is the immediate loss of contraceptive protection and the rapid return of fertility. For most, the body will naturally re-establish its menstrual cycle within a few months, accompanied by temporary side effects like irregular periods, mood swings, or acne. These changes are a normal part of the hormonal adjustment period. Being prepared by discussing alternative contraception with a healthcare provider and monitoring your body's signals can help ensure a smooth transition. If any symptoms are severe, persistent, or cause concern, always consult a medical professional.
