Could this be why i am not pregnant? for almost 2 years my doctor had me taking continuous birth control to stop period and help with hormone imbalance. i have been off birth control completely for about 4 months now and am still not pregnant. could tak

I : I don't believe that the birth control were the cause of your current situation, but I do think they were "hiding" the underlying problem that you and your doctor were treating in the first place. I think you are correct that the problem then was "hormonal imbalance". The pill is effective at controlling symptoms, but does not correct this imbalance at its root cause. It is true that fertility varies during the month. Your most fertile days, assuming you have a regular 28-day cycle, are approximately days 10 to 14. (this assumes that you ovulate on about day 14.) when you ovulate, the egg does not last very long; in contrast, sperm can hang around in the vagina for up to a week, which is why the days before the egg is released can lead to pregnancy. Whether to get further hormonal evaluation at this time depends on several things, including your age, whether you are overweight, and whether your cycles are regular. If your body is at a healthy weight, and another hormonal imbalance is present, i recommend treatment with bioidentical hormone therapy, which even in low doses can enhance fertility.

Contraceptive pill: Ovulation and periods might not resume immediately after stopping pill . It might be worth doing bloods to see ovulation is occurring or not and try to find cause for your initial hormone imbalance ( it can be very difficult to make a diagnosis ) . See doctor for bloods.