After stopping hormonal contraception, what is commonly observed regarding fertility?

• A. Immediate normalization of fertility within days
• B. Prolonged infertility lasting years
• C. No ovulation resumes
• D. Most resume ovulation shortly after stopping; pregnancy possible within a few cycles

Answer: (D)

Hormonal contraception works by suppressing the normal signals that trigger ovulation. When you stop, the hypothalamic–pituitary–ovarian axis typically reactivates quickly, so ovulation resumes in the next cycle for most people. Because ovulation can resume soon, pregnancy is possible within a few cycles after stopping if you’re not using another form of contraception. While some long-acting methods can delay return somewhat, the common pattern is a relatively rapid restoration of fertility, which is why the statement described is the best answer.