Birth Control While Breastfeeding- Your Full Guide To Contraceptives During Lactation

Birth Control & Breastfeeding

Your Guide To Safe Contraceptives And Maintaining Milk Supply

Yes, you can safely use contraception while breastfeeding. Many methods are safe and effective during the lactation period, although some birth control options may be better than others. It is important to consult with your physician and a lactation consultant to determine the best option for you. They can consider your individual needs, breastfeeding goals, and medical history. 

Read on for information to help you decide which form of contraception is right for you and your family.

Is breastfeeding a form of birth control?

The answer is unfortunately not a simple yes or no. It’s more of a… sometimes? This really depends on a variety of factors such as how often you breastfeed, your hormones, and when your period returns, which varies from person to person.

However, breastfeeding as a contraceptive (Lactational Amenorrhea Method) can be 98% effective in the first 6 months of life if and only if the following 3 criteria are followed:

1. Menstruation has not resumed

2. Breastfeeding is exclusive or almost exclusive

3. Baby is less than 6 months old

If any of these criteria are not met, breastfeeding will not be a reliable form of birth control, and should be paired with another birth control option.

To learn more about your menstrual cycle and breastfeeding, read our article here.

Which birth control is best for breastfeeding?

Forms of contraceptives should be discussed with your doctor between 4-6 weeks postpartum, once your milk supply is well established. There are several safe forms of contraception to use while breastfeeding, including:

• Progestogen-only pill: Also known as the mini pill, this method is recommended because it doesn’t affect milk production.
• Condoms: Can be used as soon as you feel ready to have sex.
• Diaphragm with spermicide: Requires a prescription and is a reliable option. 
• Intrauterine devices (IUDs): Copper IUDs are non-hormonal and can be used without the worry of passing hormones through breast milk.
• Contraceptive implant: Can be started immediately after birth.
• Contraceptive injection: Can be started immediately after birth.
• Morning-after pill: Can be used as a last resort if you think your birth control has failed.
• Tubal ligation: A surgical, permanent form of birth control that’s safe for most people who are breastfeeding.
   

Combined hormonal contraceptives (CHCs) should be avoided, especially in the early weeks when milk supply is being established. CHCs can cause a decrease in milk supply and increase the risk of arterial and venous thrombosis.

Will birth control affect my milk supply?

Although it does depend on the type of birth control you take, some mothers notice a dip in supply when beginning any hormonal birth control. Please see a lactation consultant to help manage any concerns about your milk supply.