What Birth Control Can I Use While Breastfeeding?

Congratulations on the birth of your baby! The miracle of birth is extremely rewarding, but many moms choose to wait a while before experiencing the nine-month process again. For moms who want to breastfeed their child, it is important to choose the right method of birth control.

Birth control while breastfeedingRecommended Birth Control Options

Because estrogen can affect a mother’s milk supply, doctors generally recommend using progestin-based contraceptives or barrier methods. However, based on physician discretion, an estrogen-based contraceptive may be recommended.

Progestin-Only Contraceptives

When started at least six weeks after delivery, contraceptives that contain only progestin are recommended for mothers who breastfeed. This hormone typically does not affect a woman’s ability to produce breast milk.

The four main types of birth control that only contain progestin include:

  1. Progestin-Only Birth Control Pills: Certain types of birth control, sometimes known as a “mini-pill,” only contain progestin.
  2. Birth Control Injections: The most common injection is the Depo-Provera shot, which lasts at least 12 weeks.
  3. Progesterone-releasing IUDs: The most common forms of IUDs that release progestin are Skyla and Mirena. With this method, the hormone directly into the lining of the uterus.
  4. Birth Control Implants: Nexplanon is the most common form of birth control implant. With this method, a device is implanted under the skin and releases progestin into the bloodstream.

Non-Hormonal Contraception

These methods don’t use any forms of hormones, are safe, and won’t affect your ability to produce milk.

The most common methods include:

  1. Condoms: Condoms can prevent pregnancy as well as decrease the risk of getting or transmitting an STI / STD
  2. Non-Hormonal IUDs: The most common non-hormonal IUD is Paragard. It is a copper intra-uterine device that can be put in place for up to 10 years.
  3. Diaphragm: These are still available and are used with spermicide.

If you have any questions about breastfeeding or birth control options, please call Atlanta Women’s Obstetrics & Gynecology at (404) 352.3616.