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Few side effects are associated with ceasing birth control, though you may experience bleeding in between periods as your body readjusts. Your period should start four to six weeks after your last pill, as your hormone levels return to normal production.
If you are over 45 years, are using a non-hormonal method of birth control, and have not had a menstrual period for 12 months, you can stop using birth control altogether. If you have an intrauterine device (IUD), you should leave it in at least until you are past the average age for menopause (51 years).