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How to Balance Your Hormones After Birth Control

How to Balance Your Hormones After Birth Control

I want to begin this article by first examining our relationship with Birth Control, especially those containing hormones. While I feel that it is important to have the freedom to choose whether or not we want to be pregnant during certain times in our lives, the more I hear from women whose cycles have been disrupted from the use of birth control containing synthetic hormones makes me wonder if there might be a better way. If we could educate ourselves, delve deeper into understanding what they do in our bodies, as well as learn alternative methods of preventing pregnancy that may be more beneficial to long-term health, we might be able to prepare for conception in a healthier way.

Birth Control and Fertility

Coming off of birth control? Natural therapies can help you to bring your body back to balance...

Many doctors will prescribe oral contraceptive (pill) birth control if you have fertility issues such as PCOS Endometriosis, Ovarian Cysts or irregular menstrual cycles. While birth control may work for some time for those conditions the birth control does not address the key issue of why you have that fertility issue to begin with. Birth control may reduce pain, reduce the incidence of ovarian cyst or regulate your cycle for some time and then when you stop taking it your symptoms may come back. Many of you with these fertility issues still want to have children and taking birth control prevents that from happening. It is important to have clear communication with your doctor if you are still wanting to get pregnant while healing your body of your fertility issues at the same time. I have actually had women write in and say that their doctors did not make it clear to them that the pills they were prescribed for their fertility issues were actually birth control, which prevents pregnancy.

Daily we receive questions from women trying to get their menstrual cycles to regulate after coming off of birth control. When I speak of birth control I am speaking of the kinds that contain hormones or IUD (which may affect the uterus and menstrual cycle). Birth Control Pills, Intrauterine Device also known as IUD (Copper T, Mirena, Progestasert), Implant (Implanon), The Ring (NuvaRing), The Patch (Ortho Evra) and Injectable Progestin (Depo-Provera) all contain synthetic hormones except for the Copper T IUD.

Anytime between the time you stop using it and up to a year afterward is considered a normal time frame in which it will take for your body, on it’s own to regulate your hormones and start a regular menstrual cycle. If you were taking birth control to help regulate your cycles or for other fertility issues this average may not apply because your cycles may have not been regular to begin with. There are no guarantees that the birth control use is going to keep them regulated like when you were using it.

For some methods like the Implant or Depo-Provera some women do not get their menstrual cycle at all and it seems that these women have a harder time getting their menstrual cycles to come back.

To understand contraception that affects our natural menstrual cycle I have made a chart to help you learn what hormones are in each of the above birth control methods.

Types of Birth Control

Method How it Works

Birth control Pill

Most birth control pills are combination pills, they contain estrogen and progestin. Some contain only progestin, but the majority of women use combination pills. These work by preventing the ovary from releasing eggs. They also thicken cervical mucous making it hard for sperm to reach the uterus. This method also thins the uterine lining which may prevent implantation.

Implanon A thin flexible, plastic implant that is the size of a cardboard matchstick. It contains Progestin. The Progestin keeps the the ovaries from releasing eggs (ovulation). This hormone also thins the lining of the uterus which may prevent implantation.

Ortho Evra This patch contains estrogen and progestin. These work by preventing the ovary from releasing eggs. They also thicken cervical mucous making it hard for sperm to reach the uterus. This method also thins the uterine lining which may prevent implantation.

Depo-Provera This injectable shot contains progestin. Progestin keeps the ovaries from releasing the eggs, thickening cervical mucous to prevent sperm from reaching the uterus and thinning the uterine lining which may prevent implantation. Note: continued use of Depo-Provera may stop the menstrual cycle completely and it may take longer than average (9 months-1 year for the menstrual cycle to regulate after stopping it). Once you have gotten a shot of Depo-provera, side effects will not dissipate for 12-14 weeks.

Nuva-Ring This ring contains the same hormones as combination birth control pills.
The progestin and estrogen prevent ovulation, thicken the cervical mucous, and thin the uterine lining which may prevent implantation.

IUD The IUD prevents the sperm from moving correctly, preventing the sperm from meeting and connecting with the egg. It may also affect the uterine lining which may cause implantation problems, but there is no proof of this.

Mirena IUD This IUD contains progestin which prevents ovulation as well as thickens cervical mucous. It also prevents the sperm from moving correctly toward the egg, preventing conception.

I wanted to share this information with you so that you can see how these birth control methods directly affect hormones and the entire natural menstrual cycle. Progestin and estrogen contained in birth control is chemically created in a lab to imitate our natural progesterone and estrogen. When we use these birth control methods they are releasing hormones in our bodies at times they naturally would not, disrupting the menstrual cycle and preventing pregnancy.

Some estrogens are made from pregnant mare’s urine, but is more often used for hormone replacement therapy (HRT) in older women. Continued use of progestin has been linked to thinning of the bones when it is being used, it is important to talk to you doctor about this serious risk.

Natural Remedies To Bring Back A Healthy Menstrual Cycle

The overall goal when coming off of birth control and wanting to try and conceive would be to nourish and support the entire hormonal feedback loop, egg health, cervical mucous and uterine health.

Step 1: Nourish and Cleanse

Fertility Cleansing for Liver, Hormonal and Uterine Support
The body may greatly benefit from some gentle cleansing of the liver and uterus when coming off birth control. The liver has to metabolize synthetic hormones and becomes overloaded and taxed during birth control use. The liver cleanse portion of the Fertility Cleanse helps to remove those excess hormones. The uterine cleansing phase may help to tone and cleanse the uterus. When a woman has not had a regular menstrual cycle for some time because of birth control use it may need some herbal support, the herbs in this phase are nourishing, supportive, toning and cleansing for the uterus. Because progestin has been linked to thinning of the uterine lining, the uterus may really benefit from uterine tonic herbs. These herbs also support hormonal balance and healthy cervical mucous.

Fertility cleansing may be a great way for anyone who is experiencing challenges when coming off hormonal birth control to create a foundation for hormonal balance and a healthy uterus for implantation. Fertility cleansing helps to create a “clean slate” within the body that helps the body to respond and utilize other natural remedies better.

Natural Fertility Diet
Eating a whole food, nutrient dense fertility diet has been shown to increase the chances of pregnancy. Because hormones in birth control may affect our metabolism, digestion, and nutritional levels; eating properly is going to be very important when on birth control as well as afterward to replenish depleted nutritional levels.

Use of birth control containing hormones affects the levels of folic acid, riboflavin (vit.B2), vitamin B6, vitamin B12, vitamin C, vitamin E and zinc. It would be wise to take a good whole food multivitamin during and after birth control use to prevent nutritional deficiency and restore already depleted levels.

Women using birth control consistently for 6 months or longer have been shown to have significantly lower levels of tryptophan, vit. B6 supplements can help normalize tryptophan metabolism.

Prolonged use of hormone containing birth control may also lead to anemia so you may also want to consider taking a wholefood iron supplement.

Birth control also changes the pH levels in the vagina, this may lead to yeast infection. Taking a good probiotic supplement containing Lactobacillus may support the body in maintaining healthy vaginal flora.

Prolonged use of progestin has been shown to thin the bones, be sure that you are eating adequate amounts of calcium rich foods like dark leafy greens, sesame seeds, seaweed, almonds, quinoa, chia, as well as limited amounts of organic dairy, yogurt, cottage cheese.

Step 2: Herbal Support for Restoring Hormonal Balance and Promoting Ovulation

If you have tried to change your diet, are taking a whole food multivitamin and you still do not have a menstrual cycle yet you may want to learn how herbs for fertility can help promote hormonal balance, restore ovulation and bring back a normal menstrual cycle. Restoring a natural menstrual cycle is also important for egg health. Hormonal birth controls prevent ovulation which can decrease egg health. Our follicles require a normalized release of our natural hormones and adequate nutritional levels, synthetic hormones disrupt these which may impact egg health.

Fem Rebalance
Once you have stopped using hormonal birth control your body may be confused and in shock. One day your body was receiving hormones and then suddenly it was not. On top of that your liver may still contain some of those synthetic hormones which may confuse the body further.

Fem Rebalance is an herbal blend designed with great consideration to women whose bodies may need support to restore hormonal balance when coming off of birth control containing hormones, HRT (hormone replacement therapy) or great times of stress including rapid weight loss or gain. This blend may help to restore proper hormonal function.

Suggested usage for this blend would be for 2-3 months after coming off of hormonal birth control. This blend is not recommended for use during fertility cleansing.

Tribulus Terrestris
If you know you are not ovulating and you are struggling to get your cycle back you may want to learn more about this South Asian herb. One study showed that 67% of women who were not ovulating began ovulating after using Tribulus. This herb has been found to stimulate ovulation. Tribulus has been used traditionally for hundreds of years to promote healthy fertility in both women and men.

Vitex supports the hormonal feedback loop. This herb also promotes and has been shown to regulate ovulation. It has the ability to adapt to the individual hormonal needs of each woman. Because Vitex has proven effective for a variety of menstrual issues it may be a great choice to start off on the right foot to restoring a healthy natural menstrual cycle.

It has been shown to be most effective when used for 6-12 months consistently. Vitex is a remedy that has been shown to be very effective, but requires patience. It can take some time to achieve desired results, especially when coming off of birth control, but this herb is specific for regulating menstruation.

Dong Quai
Dong Quai (angelica sinensis) is one of the most powerful females tonic and fertility herbs. Dong Quai tonifies and strengthens the uterus by regulating hormonal control, improving uterine tone, and improving the timing of the menstrual cycle.

Dong Quai works by promoting blood flow to the pelvis where it will stimulate an absent or scanty period. It also nourishes the blood (it is in nearly all Chinese herbal blood-building formulas). Dong quai, being iron rich is useful in treating iron deficient anemia. One of the best uses is it helps women who are not menstruating to invite their menstruation back. The increased circulation also helps to strengthen and balance the uterus. In rat studies it has been shown to help build the uterine lining.

We have learned that some types of birth control contain progestin, which may cause the uterine lining to become thin over time. Prolonged birth control use in some women has also been linked to anemia. Because Dong Quai is a wonderful uterine and blood tonic it may help the body to restore a healthy uterine lining and help prevent anemia.

Maca is one of the best supportive tonics for our endocrine system; which controls and produces many of our hormones. This root is very nourishing. Maca root supports overall hormonal balance and may greatly support our bodies through times of stress. An important aspect when dealing with discontinuing synthetic hormones is the stress factor. It is extremely stressful on our bodies to take synthetic hormones and then abruptly stop them. Maca may help to restore hormonal harmony once again.

Many women do not have a menstrual period for many months to even years after discontinuing birth control. If you have not had a menstrual period after coming off of birth control, you may want to consider RejuvaFlow. This is an activating herbal blend designed to encourage and promote healthy menstruation. It is a specialized herbal formula designed to help encourage or “re-start” the monthly menses that is missing due to hormonal irregularities. RejuvaFlow supports menstrual health by increasing circulation to the reproductive system, helping to “build the blood” and promote a normal, regular menstrual cycle once again.

Step 3: Restore Healthy Cervical Mucous

Once the menstrual cycle is restored, healthy cervical mucous production should be restored as well. If you find you are still struggling with lack of cervical mucous you may want to consider supplements that have been shown to help promote healthy CM production.

Cervical mucous production may be altered for some time as well since the hormones in birth control thicken cervical mucous for some time. Supplements that have proven results for restoring healthy CM are Evening Primrose Oil, Borage Oil, L-Arginine and Fertile CM. Be sure to drink plenty of water daily. At first you may also want to consider using a sperm friendly lubricant until your natural healthy cervical mucous is restored.

Step 4: Abdominal or Fertility Massage

Across the board massage therapy is one of the most supportive ways you can support the body in healing. More specifically fertility or abdominal massage focuses specifically on the reproductive system, helping to promote ovulation, support communication with the endocrine system, improve circulation to the uterus and ovaries (which strengthens the uterus and promotes healthy eggs); it also supports the body in ridding of those excess toxins and hormones. This type of massage is a great way to be directly connected to healing your fertility. You can find a practioner who specializes in fertility or abdominal massage or you can learn how to do this massage for yourself with the Self Fertility Massage method.

Additional Thoughts on Birth Control

The Love and Hate Relationship with Birth Control
We must give a lot of respect to birth control and the variety of options for birth control we have today. We now have more control than ever to choose when and if we want to have children. But regardless, I feel many women and men have lost their true relationship with their body, which also means they may have lost respect for birth control. Many continue to use it without thinking of the consequences of long-term use. It is important to remember that we are still creatures of the Earth, our bodies are made-up of the same materials as the Earth and we are filling them with foreign man-made substances that may greatly impact our health.

Choosing Birth Control Wisely
I am asking each person to be responsible for their choices and actions, research the facts on long-term side effects of birth control use so that when you choose to use birth control you are understanding that it may affect your fertility and health later in life. Weigh the risks; getting pregnant or not getting pregnant? How will getting pregnant impact my life? How will preventing pregnancy impact my health? How can you balance those choices to serve your highest good? Ask yourself, is this something I am willing to use long-term or is this a short-term goal? How will taking this impact my fertility? Are there better or safer options for me? There are options out there that may be just as effective as hormonal birth control, but may take more diligence when using them. Condoms, diaphragm, spermicide and charting your cycle (fertility awareness method, natural family planning, BBT, cycle beads and OPK) are some alternatives to hormonal birth control.

Be Patient, Be Gentle With Yourself

The body goes through a lot of confusion and stress when coming off of birth control. Be patient with your body, give it time to adjust to the intense hormonal shifts that have to take place. Expect that you may feel sad, angry, depressed and simply “off”. This is normal when any hormonal adjusting is taking place. Be gentle with yourself and how you are feeling. Know that you can work toward restoring your natural hormonal state and can move on to working toward trying to conceive through proper nutritional, herbal and natural therapy support.


If you have chosen to come off birth control to prepare for conception there are are many natural therapies we have covered to help you along the way. Many women are able to get pregnant regardless of using birth control for years, but some may have some lingering imbalances. Here are some of the natural options covered in this article:

1. Support hormonal balance with a healthy fertility diet.
2. Fertility cleansing helps to support the body’s natural ability to cleanse excess hormones from the system.
3. Herbs such as vitex, tribulus, maca and dong quai can help to restore hormone balance.
4. Promote cervical mucous production with natural supplements like evening primrose oil or L-Arginine.
5. Increase circulation to the reproductive system with fertility massage.

Too learn more about related subjects covered in this article, please visit the following links:

5 Steps to Reversing Endometriosis Infertility

Fertility Tip: How to Enhance Fertility After IUD Removal


  • Birth control guide at: (2015)
  • Tori Hudson, ND. (2008). Women’s Encyclopedia of Natural Medicine, pp 55-62. McGraw Hill
  • Northrup, C. (2010). Women’s Bodies, Women’s Wisdom, pp 394-412. New York: Bantam Books
  • Romm, A. (2010). Botanical Medicine for Women’s Health. St. Louis, Missouri: Churchill Livingstone.

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  1. I normally have a regular 27 days cycle and ovulate on day 12, but i had to take Norethisterone to delay may period in September 2017. I had a normal period following that but my next period was 5 days late (no possibility of pregnancy) and my last 4 periods have all come a week early on day 21/22 of my cycle. I’m also spotting a few days before the period comes which isn’t normal for me. I’m concerned as to why my periods are remaining short. It’s been almost 6 months of irregular cycles and my ovulation appears to be coming on day 7-8. What would you recommend on getting my balance back?

    • Dear Sharon,

      May I know why you had to take Norethisterone? If you would rather share in private, please email me attention Elizabeth here…

      I do think this guide was a great place to start. Consider revisiting the information under the heading Natural Remedies To Bring Back A Healthy Menstrual Cycle; consider the Fertility Diet and learn more about Fertility Cleansing. Then consider learning more about Fem Rebalance or FertiliCare Phase 1 & 2 and the herbs in them. Something nice may be Self Fertility Massage as well. Given what I know this may be the best place to start.

    • Hi Jane,

      I took Norethistrone for a couple of days to delay my period for a holiday. I had taken it about 10 months prior to this for the same reason. All prescribed by my GP. I haven’t been on any form for birth control for over 6 years and my cycle and ovulation was precise every month, so i am concerned taking it twice in a 12 month period has thrown off my cycle. I’ve had a read of the information you suggested and its been very helpful. I’ve ordered some Vitex to try after seeing peoples reviews of it saying it helped with the situation i have.

    • Hello again Sharon!

      Thank you for sharing that. By taking birth control, one is taking synthetic hormones which will imbalance hormones to stop ovulation and prevent pregnancy. This for some women does have lasting effects, but not all women. There are many other things that impact the timing of the menstrual cycle however, things like gaining or losing weight quickly, nutritional deficiencies, stress, exercising less than accustomed or too much, starting new health programs (from which cycle shifts are almost always temporary) and even travel. So many things could be factoring in.

      I hope you are able to use the tips shared in this guide and do allow Vitex time to show you it’s working for you.

  2. I just got off my birth control (nexplanon) after 2 years and I’m looking for something that will help me balance my hormones and get me feeling normal again. I feel anemic and have a super low libido now. I just want all my energy back. I’m not trying to get pregnant I just want to get myself back on track. what’s the best supplement to take?

    • Dear Patricia,

      Have hope!

      Given what I know consider starting with what is shared above under the heading Natural Remedies To Bring Back A Healthy Menstrual Cycle. Diet is key. Cleansing can be very helpful. Then herbs or supplements may be used to support a return to the energetic self you once knew.

  3. Is it necessary to consult any local doctor before changing any diet plans?

    • Dear Akash,

      It is not unless you have a health issue that causes dietary restrictions, or are on medications that could be impacted by dietary changes. Diet changes may still be fine, but your doctor should know in the event your medication dose needs to be adjusted.

  4. Dear Elisabeht, thanks for all the great info! I came off the pill two years ago (I was taking the pill to fight my severe acne due to hormone imbalance, it cleared my acne but gave me severe migraines) and my doctor recommended taking Vitex right after. I stopped taking it after 8 months because all my acne and cystic acne had completely cleared up so I believed my hormone levels were balanced. Sadly my acne came back after a couple of months so I started taking vitex again. It has been 7 months and my acne has finally cleared again. How long should I keep taking vitex for? Thank you for your advice.

    • Dear Christina,

      In general we have found that Vitex can be taken for 12 months or so before weaning off of it to see how the body maintains balance on it’s own. Have you had hormonal testing to know where your levels stand? Are you also addressing your diet to ensure it is not contributing to the acne? Perhaps my guide 6 Ways to Promote Hormonal Balance to Prevent Cyclic Acne will share other helpful tips too.

      It is so great to hear that Vitex is helping!

  5. Hopefully it’s not too late in these conversation to have a question answered about Vitex: Can vitex be taken along with birth control pills?

  6. I was diagnosed of PCOS through pelvic and endometriosis through laparoscopy. In line with doctor’s prescription, I took DMPA every fortnight for six months (twice in a month for 6 months). I finished the treatment March. However, I noticed that I do not have normal vaginal secretions e.g. to depict ovulation) again and the period was irregular with lots of spotting. After the DMPA treatment, my doctor placed me on clomid for three months but I did not get pregnant. I have resolved to go for natural treatment. Please help me out.

    Note: I mistakenly came across my laparoscopy reports. One thing I was able to get is that fallopian tubes posteriously bound by adhesions. Please what does that

    • Dear Jane,

      We are more than happy to work with you! The very best way to receive a full plan designed specifically for your fertility health needs is to have a Fertility Consultation.

      Through a Fertility Consultation, you will submit your comprehensive intake form, including information about your fertility history, your 3 detailed questions and overall goal for your fertility and within 5 business days one of our Master Herbalists will review, layout and explain each step of your consultation. Once completed, your Fertility Consultation will be emailed to you as a PDF and you get a live link to an audio recording to save and review as often as you need. You also receive the opportunity to continue your relationship with your herbalist through follow-up email correspondence for a few weeks after receiving your consultation, with any questions you may have regarding your consultation.

      To learn more or book a Fertility Consultation click on this link…

  7. Hi,

    I came off of implanon on the 19th June 2017 and to date (08/08/2017) I am yet to have a period. Although I am aware that they were not real and were most likely breakthrough bleeds I did have a period every 28-32 days whilst on the implant so am becoming increasingly concerned why my cycles aren’t coming back. My husband and I have decided to wait to start trying properly until my cycles and hormonal balance get back to some normality but for some reason I am being plagued with worry that it isn’t happening.
    I am taking a good multi with high vitamin B complex and magnesium and also daily taking agnus castus alongside a good diet. What else can I do?

    • Hello Jessica!

      Do consider Steps 1, 2, 3 & 4 under the heading Natural Remedies To Bring Back A Healthy Menstrual Cycle of this very guide. What you are already taking is great! Vitex or Vitex agnus castus needs time to be effective! What tools do you have that you feel work at helping the worry subside? Worrying is counterproductive although I completely know it’s hard not to do. Maybe trying positive affirmations while doing Self Fertility Massage or on your daily walk would be helpful.

      Patience is key and you’ve already begun a great program!

  8. Hello, I stopped taking birth control in November, after only being on it for 6 months, since then i’ve had every other month. I started taking dong qui to jump start my period and it helps, i now added vitex. My question is, is it safe to take Dong Qui and Vitex to try and conceive? if so, how much of each should i take?

    thanks for your help

    • Dear Lina,

      Fertilica Vitex and Dong Quai can be taken together when actively trying to conceive. It is always best to follow the usage instructions of the manufacturer you purchase from. With that though, general suggested use of Vitex is 900-1000mg and it is best weaned off of in early pregnancy with support or your healthcare provider, herbalist or midwife. Suggested use of Fertilica Dong Quai Liquid Extract is 30 drops, 2 times a day in a little water. A general dose in capsule form is usually 2,000 to 4,000 mg per day. We suggest starting with the lowest suggested dose and working up from here if need be.

  9. i was on Birth Control and gave me anxiety and depression and other side effects. i stopped taking it about 3 weeks ago and i still don’t fully feel myself. haven’t started my period, been having really bad PMS symptoms. been super tired and nauseous. i know I’m not pregnant. i just want my health back.

    • Hi Silvs17!

      I am sorry and I know! That is exactly what hormonal birth control did to me.

      The tips in this guide could be considered. Drink lots of water, in fact start your day with a quart of water with the juice of 1/2 a fresh lemon squeezed in, eat as healthy as you can, lots of dark green leafy veggies and salads, consider a whole food multivitamin and omega supplement plus Evening Primrose Oil, consider a Fertility Cleanse or Natural Therapies to Help Your Body Detox… and anything else that resonates with you right now. It can take a bit for the liver to completely detoxify from the hormones and show you you again.

      Big virtual hug!

  10. This article mainly addresses those who want their cycle back, and want to be sexually active. Sex to me is absolutely disgusting and I dont want periods ever again. Im almost 50, been celibate for a very long time, and want to come off the pill to have a purer body. Just wish someone would address the mood issue more, and the fertility issue less.

    • Dear CelibateCrone,

      I’m sorry you aren’t finding information that speaks exactly to your needs. Our site’s focus is fertility health, meaning the health of the female and male reproductive systems, and all systems of the body involved in hormonal balance so that if and when one wishes to conceive they are as healthy as possible. We do of course place focus on specific fertility health issues as well. What we share can be used by woman and men who are celibate, yet we can’t offer support for naturally stopping menstruation if that were even possible. Have you reached out to a naturopath, herbalist or health coach/personal counselor? It can be so helpful emotionally, for the mood, to talk through thoughts and feelings with someone.

      My best as you continue to seek support!

  11. What is the best way to stop taking vitex after I have been using it after birth control to get my first period? I am trying to conceive and want to make sure it will not interfere with CM or ovulation.

    • Dear El.

      Vitex is not known to interfere with cervical mucus (CM) or ovulation. Vitex can be taken all cycle long without taking a break while actively trying to conceive. It is then best weaned off of in early pregnancy with the guidance of your healthcare provider or midwife. Perhaps our guide
      Vitex… Fertility Super Herb? will clarify this and share even more about this amazing herb.