There is a common old wives' tale that you cannot get pregnant while breastfeeding. This is untrue. Read that again: This is not true. While breastfeeding does postpone your first period after pregnancy, there is no way to know when your first period will come, and therefore when your first ovulation cycle will be.
First ovulation after pregnancy can happen anytime from three months to one year postpartum. Contraception is still important to use when returning to intimacy with your partner if you plan to either wait or wish not to have more children.
There are certain birth control methods that are not safe for use while breastfeeding, for a variety of reasons. Let’s go through what is safe and not safe to use while still breastfeeding or pumping for your little one.
Not Safe
Estrogen! Estrogen can decrease your milk supply and also the quality of your milk. Avoid the pill (the mini pill is progesterone only and is safe to use)
Birth Control Ring
Depo Shot
Nexplanon- recommended to wait at least 6-8 weeks for placement
Levonorgestrel IUD (Mirena) - recommended to wait 6 weeks postpartum
Safe
Barrier Methods - condoms, spermicide
Mini Pill- progesterone only!
Copper IUD
Abstinence / Natural Family Planning
It’s good practice to discuss your potential contraception needs with your care provider at your postpartum visit. This way, if you choose something that requires a prescription, you won’t have to juggle going back for another appointment. This doesn’t necessarily mean you need to start it right away, but at least you’ll have what you need when you are ready to resume intimacy.