Home > Babies and Toddlers > Babies > Feeding Your Baby > Breastfeeding > Birth Control While Breastfeeding
|

Birth Control While Breastfeeding

Many women who relied on oral contraceptives before starting a family feel at a loss when it comes time to think about birth control again. We believe that oral and injectable hormonal contraceptives should absolutely not be used by nursing mothers. The estrogens contained in oral contraceptives can dramatically diminish the quality and quantity of a mother's milk. We recommend against other hormonal forms of contraception as well. While low-estrogen hormonal contraceptives (such as progestin-only pills, implants such as Norplant, and injectable contraceptives such as Depo-Provera) do not have the same effect on milk supply as those containing estrogen, they can have adverse effects on your mood, and we do not know enough about what the progestins may do to the baby. We generally advise against the use of hormonal contraceptives in any case. They block your body's natural production of progesterone and can increase your lifetime risk of developing breast cancer.

What forms of contraception can work in harmony with nursing? In the first six months, mothers who breastfeed exclusively and on demand – no nipple substitutes, no bottles – are highly unlikely to become fertile again. However, if you are absolutely against becoming pregnant again so soon, use a barrier method of contraception such as a condom, diaphram, or cervical cap whenever you have intercourse, just to be safe. Of course, if you are not exclusively demand-feeding your baby, you could become fertile much sooner. Choose a nonhormonal method such as the intrauterine device (IUD), condoms, diaphragm, spermicide, or cervical cap.

Once your menstrual cycle returns and becomes regular, you can begin to track your fertile periods. The rhythm method does work very effectively if you carefully track your monthly ovulation, using body temperature and vaginal mucus to identify the time of ovulation, and use contraception or abstain during the fertile period that follows. This is the most natural way to avoid pregnancy and puts you in greater touch with your fertility. Dr. John Lee recommends the use of a small, lipstick-sized microscope called an Ovu-Tech that allows you to view your saliva. Specific changes in the saliva help you to know when you are fertile.

Maybe you are feeling, "I'd rather abstain, thank you very much." Many women complain of lack of sex drive postpartum. Very low progesterone and estrogen levels during the breastfeeding period can cause vaginal dryness that makes intercourse painful. After long days of baby care, some women feel "touched out" and do not want more physical closeness, even with their spouses. This can cause a partner to feel hurt and rejected, and resulting disagreements over sex can create unpleasant rifts at a time when you genuinely need each other's support. The most important thing to do is keep the lines of communication open. Talk to one another about your feelings and wishes. Keep in mind that if your libido is low, your body is telling you it's not the right time for intercourse. You and your mate might try to find some other way to express your love for each other.

Many women feel stressed out by their partners' pressure on them to have intercourse when it is literally the last thing on their own priority list – at least a few notches below ten more minutes of sleep. Do not be afraid to stand up for yourself on this one. It is easy to underestimate the added burden that this kind of spousal pressure creates on an already harried nursing mother. If this is a constant source of conflict, consider seeing a counselor together so that you can reach an agreement that works for both of you. For most women, libido returns naturally within a year after giving birth, and usually to some extent within about six months. Having your hormone levels checked, and using supplemental progesterone if necessary, may bring back your libido sooner.

Although there are many pharmaceutical drugs that should not be used while breastfeeding, there are some natural remedies, including herbs, that can be effective and safe for both you and your baby.

More on: Postpartum

|

From A Natural Guide to Pregnancy and Postpartum Health by Dean Raffelock, Robert Rountree, and Virginia Hopkins with Melissa Block. Copyright 2002 by Dr. Dean Raffelock. Used by arrangement with Avery, a member of Penguin Group (USA) Inc.

To order this book visit www.penguin.com. Get a 15% discount with the coupon code FENPARENT.


stay connected

Sign up for our free email newsletters and receive the latest advice and information on all things parenting.

Enter your email address to sign up or manage your account.

Facebook icon Twitter icon Follow Us on Pinterest

editor’s picks

get ready for school!

We’ve got your
shopping list,
lunch menu,
and more.

GO

highlights

Join BIC on our mission to save handwriting and Fight For Your Write! Writing helps kids become better readers, boosts their confidence and sparks their creativity. Visit BICFightForYourWrite.com to sign our petition to save handwriting!

7 Tips for Reading Aloud to Babies & Toddlers
The AAP advises reading aloud to babies and toddlers because it boosts brain power and has many other benefits. Get some tips for making the most of story time with your tot!

Kindergarten Readiness App Wins Gold
Our Kindergarten Readiness app won the Gold Award of Excellence in the educational category at the 2014 Communicator Awards. This valuable checklist comes with games and activities to help your child practice the essential skills she needs for kindergarten. Download the Kindergarten Readiness app today!

How to Survive Summer Boredom
When the kids are home all day, every day, summer boredom strikes hard and fast. Learn the best summer boredom busters and tips for surviving until September.

12 Birthday Party Favors that Won't Get Thrown Away
The next time you're planning a birthday, forgo the penny candy and cheap toys. Send your guests home with one of these fun and creative party favor ideas!