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Dr. Steven Tverified
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The Combine Oral Contraceptive (COC) pills are  supposed to be effective in preventing pregnancy when used properly and fertility should return quickly after cessation of use. However, we do see some women experiencing a delay in return of fertility after using COCs. It is likely that the COCs might have been masking the symptoms of underlying conditions that impair fertility, rather than the COCs causing the impairment of fertility directly. Conditions such as endometriosis and PCOS are easily concealed by COCs as menstrual cycles tend to be regular and less painful, therefore the unsuspecting women do not notice their presence, until they stop using COCs.