Is it safe to take the pill for years without a break?

If you want to get pregnant, then you should just stop taking the pill. Research about contraceptive pills over the years indicates that using the pill for years does not affect your ability to get pregnant once you stop taking the pill.
If you experience spotting, taking a break sometimes may help manage it. If you want to take a break, stop using the pill for 3-7 days. Use a second method, like a condom, every time you have sex during the break and for the first seven days after you start taking the pill again.
Still not working? If you smoke or have a medical condition that makes the pill risky for you, consider trying a progestin-only method instead.
Try a different method: implant, IUD, injectable.


References:

  1. World Health Organization Department of Reproductive Health and Research and Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (2018) Family Planning: A Global Handbook for Providers. Baltimore and Geneva. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/260156/9780999203705-eng.pdf?sequence=1

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