Birth Control & Breastfeeding, Let's Talk
Birth control is one of those very personal subjects to be discussed with your partner, midwife and/or physician. And I want to discuss it with you too! There are many methods from which to choose but there are 2 things not always mentioned in a standard OB/Gyn office visit.
First: If you are breastfeeding and choosing to use oral contraceptives (OC), know that there is a good chance that your milk production will decrease. The hormones in OC alter the chemical makeup of your body to signal a decrease in milk. Studies have shown a decrease of anywhere from 12% to 49% decrease depending on the type of OC chosen as they all contain slightly different amount of progesterone and estrogen. If you choose to use OC, please discuss the best type for the least impact on milk production. If you're already using OC and struggling with milk production, consider switching to another form of birth control, either a lower hormone oral contraceptive, progestin-only pills, or better yet, barrier methods like a diaphragm. Your body and baby will thank you.
Second: Yes, breastfeeding exclusively can decrease your chances of conception. That said, it reduces the chance, it does not eliminate it. Be prepared for the possibility of another baby, and soon, if this is your choice.
I should mention again that while I am a healthcare provider, I am not your doctor. But feel free to refer to me as your trusted family friend if you need back up in talking to your own so that you can get the right care in healthful family planning.

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