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While there is sometimes talk about the effects of birth control pills, Depo provera, and Norplant on a woman's future fertility, in general, it is believed that these hormonal methods of contraception do not lead to infertility. Rather, it is thought that use of these contraceptives may mask any already-present fertility issues.
For example, many young women may be prescribed birth control pills to regulate an otherwise irregular menstrual cycle. While her period is regulated during use of the pill, the underlying reasons for her irregularity may remain until she discontinues using it, at which time her irregularity may return. In effect, the woman may have had fertility issues to begin with and just didn't know it. The same example will hold true for Depo and Norplant.
Likewise, if a woman with other causes of infertility, for example blocked tubes, begins using hormonal contraceptives prior to ever trying to conceive, then chances are good that she will not discover the pre-existing infertility causes until she stops using the contraceptive and has difficulty conceiving.
With IUD's (intrauterine devices), there is concern about scarring of the uterine interior, which can lead to infertility. Therefore, it is generally advised that women who are considering future pregnancy avoid using IUD's altogether.
Diaphragms (which prevent sperm from entering the cervix), vaginal spermacide film, foams, or jellies, and the sponge do not provide protection from STDs, and therefore do not grant protection of future fertility.
Condoms, on the other hand, can not only prevent pregnancy when used correctly, they are still the best effort against transmission of STDs and other infections, especially when used with an approved spermacide lubricant.
In fact, Dr. Robert Jansen, author of Overcoming Infertility and Director of Sydney IVF says quite simply,
"The very best thing youth can do to still enjoy the opportunities for sex with partners who are truly important to them, yet protect their health and fertility for the person they marry or form permanent partnerships with, is to use a condom. Think of your true 'virginity' being lost the first time you have sex without a condom!"
© Tracy Morris
