If you are not on the birth control pill you ovulate in
almost every cycle, if you are in you mid to late 40s you ovulate significantly
less frequently, but if you are having regular cycles, you are still ovulating.
If you are on birth control pills ovulation is decreased, but not completely
eliminated. For birth control pills with the 30 to 35 mcg of estrogen the
ovulation rates have been reported to be about 2%, and for pills with only 15
to 20 mcg the ovulation rates are about 1.1%. It should be that higher estrogen
doses produce less ovulation, and it could be the way these statistics are
interpreted that produces these small differences. Since pregnancy is prevented
in ways other than preventing ovulation, most all birth control pills have the
same effectiveness. For women with special considerations: if you are obese, on
medication, have trouble taking your pills on time, if you have had a prior contraceptive
failure, or other problems with the birth control pill. A discussion with your
gyno about what dose to take should be undertaken.
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