Your hormones after stopping

Combined oral contraceptives suppress ovarian reserve markers while you’re on them — AMH drops 22–30% and antral follicle count follows suit. This is a measurement artifact, not real damage.

After stopping, AMH rises roughly 53%, antral follicle count 41%, and ovarian volume more than doubles, all plateauing within about 2 months. If you test AMH while still on hormonal contraception, the result will underestimate your true reserve.

First post-pill cycles: about 58% are fully ovulatory with adequate luteal phase. Cycle length often remains longer than expected through about cycle 9, and short luteal phases are more common in early cycles.