How to Choose Birth Control While Breastfeeding

You love your new baby very much, but you are certain that another child at this time just isn't feasible. When you and your partner are ready to get intimate again after having a baby, choosing quality birth control is first on your mind. The problem is, you are still breastfeeding, and you want to make sure that the birth control you use is safe for you and your baby.

Difficulty: Moderately Easy

Instructions

1. Choose a non-hormonal barrier method. Male and female condoms, diaphragms, cervical caps, sponges and spermicidal creams and foams are all safe and effective while breastfeeding.

2. Consider an IUD (intrauterine device). There are 2 types of IUDs on the market, both of which are safe when breastfeeding. The first, Paragard, is non-hormonal and utilizes copper for its contraceptive element. The second, Mirena, is hormonal and releases progestin directly into the lining of the uterus.

3. Look into a progestin-only pill, such as the "mini pill," or a progestin-only shot, such as Depo-Provera. These contraceptives are safe while breastfeeding.

4. Try the Fertility Awareness Method, as advocated by Toni Weschler in "Taking Charge of Your Fertility" (see Resources section below). This natural form of birth control involves tracking and charting your body's fertility signs to determine when you are most fertile.

5. Think about a permanent source of birth control if you are finished having children. Vasectomies and tubal ligations fall under this category.

Tips & Warnings

• While rare, for some women, IUDs and breastfeeding do not mix, because contractions of the uterus during breastfeeding may cause the IUD to dislodge.
• Always consult your doctor before making any birth control decisions.
• Contraceptives containing estrogen should not be used while breastfeeding.