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Contraception After Birth

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After you give birth there are many things to consider about your sexual health. You may be contemplating whether or not you want more children, whether or not you would like to breastfeed, when you want to start having sex again link sex during and after pregnancy page and other important decisions.

If you do not want to get pregnant shortly after giving birth, you may want to consider your contraceptive options. The following is a chart that outlines the effectiveness of various contraceptives for post-partum use, when they can be taken and their effect, if any, on breastfeeding.


Method of Contraception

Effectiveness

When you can begin using it if you are NOT breastfeeding

When you can begin using it if you are breastfeeding

Effect on Breastfeeding

Breastfeeding (Lactation Amenorrhea Method)

Depends on how consistently it is used.

Not Applicable

Immediately, because you can only use L.A.M. if your period has not returned yet.

No Effect

Condoms

(male)

(female) 

85-98% for male condoms

79-95% for female condoms

Immediately

Immediately

No effect

Spermicides-contraceptive foam, jelly, film

71-82% effective if used alone. If used with a condom the effectiveness rises to 99%

6 weeks after childbirth

6 weeks after childbirth

No effect

Diaphragm with spermicide

84-94% effective. Your diaphragm needs re-fitting after giving birth.

6 weeks after childbirth

6 weeks after childbirth

No effect

Cervical cap with spermicide

84-94% effective. Your cervical cap needs to be re-fitted after giving birth

6 weeks after childbirth

6 weeks after childbirth

No effect

Contraceptive Sponge 

68-80% effective

6 weeks after childbirth

6 weeks after childbirth

No effect

Intra-Uterine Device (IUD)

Approximately 99% effective

6 weeks after childbirth

6 weeks after childbirth

No effect

Intra-Uterine System (IUS)

Approximately 99% effective

6 weeks after childbirth

6 weeks after childbirth

No effect

Contraceptive patch

Approximately 99% effective

4+ weeks after childbirth. Talk to your doctor because every woman is different.

Not generally recommended if you are breastfeeding

May affect milk production & chance of hormones being passed through breast milk.

Vaginal Contraceptive Ring

Approximately 99% effective

4 weeks after childbirth

Not recommended if you are breastfeeding.

May affect milk production & chance of hormones being passed through breast milk.

Progestin-only contraceptive pills & injectable contraceptives 

Approximately 99% effective

Immediately

Immediately

No effect

 

Combined oral contraceptive pills

 

Approximately 99% effective

4+ weeks after childbirth

Not recommended if you are breastfeeding

May affect milk production & chance of hormones being passed through breast milk.

 

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