Breastfeeding

Birth Control Options

I have a baby who will be four weeks old tomorrow.  I EBF and am hoping to until at least six months.  I go back to work when she is a little over four months old so I'm hoping it works out.

I have my first post delivery OB appointment on Tuesday and want to decide what type of birth control to go on so that I can plan it out with my doctor.  At this point, DH and I do not want to start trying for another baby for about a year and a half to two years.

What have you all used?  Any recommendations? 

Re: Birth Control Options

  • I really like my Mirena. The only side effect, after the initial cramping and spotting, has been some acne. I haven't had and pp mense at all, even with the Mirena.


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  • I second Mirena. Love it!
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  • Leni410Leni410 member
    I was told by a lc that any hormonal birth control cab tank your supply so I'm going to get a nonhormonal iud i think it's called paragard
  • Stick to estrogen free ---- abstinence, condoms, progesterone only (mini) pill, Mirena IUD (up to 5 yrs), paraguard IUD (up to 10 yrs, tend to bleed heavier but given lactational amenorrhea maybe not, no data), or Nexplanon (up to 3 years, irregular bleeding but no data +lactational menorrhea).

     I've never personally done anything but combo pills before DD1 and mini pills between DD1 and 2 as I knew we wanted kids close but I have put in many Mirenas and people really like these though there is always the outlier generally for spotting (they are not lactating).  I think I have taken out more Implanons/Nexplanons than I have put in because people really don't like irregular bleeding, but like I've said, there is no data for the bleeding patters in lactating women.  GL.

    5/08- blighted ovum, spont ab; 2/20/09- epi, VAVD, Girl! breastfed 24mo; 10/10- blighted ovum, spon ab; 12/10- no fetal pole, Cytotec; 11/20/11- unmedicated SVD, Girl! breastfed 18mo; 11/7/13- unmedicated SVD, breastfed 18mo; 2/11/16- unmedicated SVD, exclusively pumping to at least a year.

  • I did the mini pill from 6 weeks PP till his one year birthday.  And the pull out method (not recommended) I also never got my period (at one year i went to seasonique and i love it so far)
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  • I used the mini pill from 6wks postpartum until 6.5mos postpartum. I was having a hard time with compliance and freaked out about getting pregnant, though I never did have a period on it. So I switched to Mirena after the first of the year when it was free through my insurance, and I love it. I think I got my first period a week after getting it, then two more periods, and none since. Spotting and cramping for a couple of days after insertion, but nothing too bothersome.

    I love it.

  • Mothers who EBF, don't use pacifiers, and sleep in proximity to their babies have a 98% change of complete infertility for the first 6 months of their baby's life. That's a higher rate than condoms, so we didn't do anything other than that in the first 6 months.

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  • imagececilyandgautam:
    Mothers who EBF, don't usenbsp;pacifiers, and sleep in proximity to their babies have a 98 change of complete infertility for the first 6 months of their baby's life. That's a higher rate than condoms, so we didn't do anything other than that in the first 6 months.


    And that's how 2 of my friends have kids 12 and 13 months apart! :
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  • imageTreschic81:
    imagececilyandgautam:
    Mothers who EBF, don't usenbsp;pacifiers, and sleep in proximity to their babies have a 98 change of complete infertility for the first 6 months of their baby's life. That's a higher rate than condoms, so we didn't do anything other than that in the first 6 months.
    And that's how 2 of my friends have kids 12 and 13 months apart! :

    Did your friends use pacifiers? Have their babies sleep in a nursery? Go back to work before 6 months and therefore pump, instead of breastfeed, every 3 hours?

    If they didn't practice the method ("ecological breastfeeding" as it's called), then it's not a failure in the method. Either way, it's definitely possible you have a friend or two who's part of the 2% of women who conceive anyway, just like I have a friend who conceived while on birth control. 

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