Introduction: Hormonal contraceptives are widely used for preventing unwanted pregnancies due to their high efficacy and convenience. Concerns exist regarding their potential long-term effects on menstrual regularity, fertility, and overall reproductive health, especially post-discontinuation. Despite their widespread use, comprehensive research on their lasting impacts is lacking, creating a critical knowledge gap. Understanding these long-term effects is crucial for informed contraceptive choices, fertility planning, and public health strategies. Methods: Participants (n=200) aged 18-45 were categorized into two groups: those who discontinued hormonal contraceptives and those who never used them. Data on demographic characteristics, contraceptive use, menstrual patterns, fertility intentions, and medical history were collected through structured interviews and questionnaires. Statistical analyses included descriptive statistics, chi-square tests, multivariable logistic regression, and subgroup analyses. Results: Baseline characteristics revealed a diverse sample with prevalent menstrual irregularities. Participants who discontinued hormonal contraceptives exhibited higher prevalence rates of irregular cycles and amenorrhea compared to non-users (p < 0.05). All former users attempted to conceive, with varying timeframes to conception. Multivariable logistic regression showed a significant association between prior hormonal contraceptive use and long-term reproductive health outcomes (p < 0.05), independent of potential confounders. Subgroup analyses indicated higher prevalence rates with injectable contraceptives and longer durations of use. Conclusion: This study contributes valuable insights into the long-term impacts of hormonal contraceptives on menstrual regularity, fertility, and reproductive health. It emphasizes the need for continued monitoring and support in post-contraceptive care, informed decision-making, and tailored counseling strategies to optimize women's reproductive health outcomes.

Hormonal contraceptives are widely used for preventing unwanted pregnancies due to their high efficacy and convenience.