The Role of Contraception in Returning Fertility in Women
DOI:
https://doi.org/10.53366/jimki.v12i3.1012Keywords:
Contraception, FertilityAbstract
The global birth rate shows a significant decline in many countries as a result of population control efforts through family planning programs and the use of modern contraception. Although contraception has been proven effective in planning pregnancies and reducing maternal and infant mortality rates, there remains a wide knowledge gap in society regarding the reversibility of fertility after discontinuing its use. Concerns that contraception can cause permanent infertility are still widespread, especially among adolescents and young adults, and these concerns have been shown to hinder the use of effective modern contraceptive methods.
This study aims to determine the role of contraception in restoring female fertility through a Literature Review. Based on search results, 10 relevant articles were obtained for analysis.
The results of the study indicate that modern contraception, both hormonal and non-hormonal, does not cause permanent infertility, but only temporarily delays fertility until ovulatory function returns to normal within less than one year after discontinuing use. Age, type of contraception, education level, and reproductive knowledge influence the speed of fertility recovery. In addition, modern contraception has been shown to play a role in reducing the Total Fertility Rate (TFR) and establishing more planned fertility patterns.
Global trends show that contraception is now not only a means of birth control, but also a means of women's reproductive empowerment that supports conscious, healthy, and sustainable family planning. Thus, contraception functions as a flexible, reversible, and safe fertility regulation mechanism for women in the modern era.
References
1. United Nation. World Population Prospects 2024. 2024. <https://www.un.org/development/desa/pd/world-population-prospects-2024>.
2. WHO. Family Planning/Contraception Methods. 2025. <https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception>.
3. WHO. Contraception.; 2025. <https://www.who.int/health-topics/contraception>.
4. Kirubarajan A, Li X, Yau M, et al. Awareness, knowledge, and misconceptions of adolescents and young people regarding long-acting reversible contraceptives: a systematic review and meta-analysis. Fertil Steril. 2022;118(1):168-179.
5. Damtie Y, Kefale B, Arefaynie M, Yalew M, Adane B. Fertility return after hormonal contraceptive discontinuation and associated factors among women attended Family Guidance Association of Ethiopia Dessie model clinic, Northeast Ethiopia: A cross-sectional study. Rosenbaum JE, ed. PLoS One. 2023;18(7).
6. Yland JJ, Bresnick KA, Hatch EE, et al. Pregravid contraceptive use and fecundability: prospective cohort study. BMJ. Published online November 2020.
7. Rigler N, Kully G, Hildebrand MC, Averbach S, Mody SK. Offering extended use of the contraceptive implant via an implementation science framework: a qualitative study of clinicians’ perceived barriers and facilitators. BMC Health Serv Res. 2024;24(1):697.
8. (ASRM) AS for RM. Optimizing Natural Fertility: A Committee Opinion.; 2021.
9. AGMGJ, et al. Preconception and Early-Pregnancy Body Mass Index in Women and Men, Time to Pregnancy, and Risk of Miscarriage. JAMA Netw Open. 2024;7(9).
10. Centers for Disease Control and Prevention (CDC). National Health Statistics Reports - Contraceptive Methods Women Have Ever Used: United States, 2015–2019.; 2023.
11. Ariho P, Kabagenyi A. Age at first marriage, age at first sex, family size preferences, contraception and change in fertility among women in Uganda: Analysis of the 2006-2016 period. BMC Womens Health. 2020;20(1):1-13.
12. Holt K, Gomez R, Amongin D, et al. Validation of the contraception-focused Preference-aligned Fertility Management Index in Uganda and Nigeria. Contraception. 2025;144:110813.
13. Le Cosquer G, Gilletta C, Béoletto F, Bournet B, Buscail L, Di Donato E. Contraception, fertility and inflammatory bowel disease (IBD): A survey of the perspectives of patients, gastroenterologists and women’s healthcare providers. BMJ Open Gastroenterol. 2025;12(1).
14. Woldeamanuel BT, Gessese GT, Demie TG, Handebo S, Biratu TD. Women’s education, contraception use, and high-risk fertility behavior: A cross-sectional analysis of the demographic and health survey in Ethiopia. Front Glob Women’s Heal. 2023;4(3):1-9.
15. Watson A, Yarger J, Sedlander E, et al. Concern that contraception affects future fertility: How common is this concern among young people and does it stop them from using contraception? Contracept X. 2023;5:100103
16. Medina GN. Bayesian spatial modelling of contraception effects on fertility in Mexican municipalities in 2020. Geospat Health. 2022;17(1):13-20.
17. Noronha QMJ, Nurinasari H, Budihastuti UR, Darto. Return of Fertility after Discontinuation of Contraception According Type of Contraception, Duration of Use, Age and Body Mass Index. Indones J Obstet Gynecol. 2022;10(1):37-41.
18. Nugraha A, Arsyad SS, Nurhayati S. Contribution of Contraception to Fertility in the Province of the Special Region of Yogyakarta. Kemas. 2022;18(1):1-9.
19. Ernawati H, Mas’udah AF, Emilia O, Lusmilasari L, Isroin L, Verawati M. The use of contraception and adolescent fertility in Indonesia. Open Access Maced J Med Sci. 2021;9:168-171.
20. Mukamuyango J, Ingabire R, Parker R, et al. Uptake of long acting reversible contraception following integrated couples HIV and fertility goal-based family planning counselling in Catholic and non-Catholic, urban and rural government health centers in Kigali, Rwanda. Reprod Health. 2020;17(1):1-15.
21. Gemmill A, Bradley SEK, Berger BO, Bell SO. The Relationship Between Contraceptive Method Use and Return of Fecundity Among Women Attempting Pregnancy in Low-and Middle-Income Countries. Demography. 2023;60(4):1163-1179.
22. CDC. Injectables.; 2024. <https://www.cdc.gov/contraception/hcp/usspr/injectables.html>.
23. Munira L. Viwattanakulvanid P, Nugroho PS et al. Contraceptive knowledge and utilization among adolescent girls in Indonesia. J Public Health Policy. 2025;46(3):601-606
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