Friday, December 11, 2009

BC for BF'ers (Birth Control for Breastfeeders)

Question:
My wife is thinking of getting the 3yr Implanon birth control. Forums on the web tell horror stories of mood swings, bruising, weight gain, etc etc. She is bad a taking the pill, so what are the other alternatives? Also, her doctor says this is the only thing she can take right after a baby. So what are the other options? Could always go condoms. If we do that, which are the most natural feeling for both she and I?

Answer
There are a few options besides implanon that could work for her. Birth control methods that contain progestins are compatible with breastfeeding and are a safe option. You want to stay away from anything with estrogen.

Diaphragm & Cervical Cap
The diaphragm and cervical cap are both viable options if she isn't into taking hormonal methods of birth control. They are a dome or cap made out of latex that covers the cervix. You need to get sized by a healthcare provider and you insert them into the vagina before having sex. These methods are used with spermacide.

Barrier Methods (i.e. condoms)
Condoms are always an option but if you don't love the glove there are other options. Try some different brands and materials and see if you like them. Try polyurethane condoms or lambskin condoms.

Implanon
Implanon are matchstick sized rods that inserted under the skin by a health care provider. They can last up to 3 years.

Depo Provera Shot
The birth control shot (Depo) is a shot that is given every 3 months by a health care provider.

Mini Pill
The mini pill is a birth control pill that you take daily. If your wife has trouble remembering to take the pill then this is probably not the best option.

IUD (Intrauterine Device)
An IUD can be used by women who are breast feeding. Usually doctors may wait 6 weeks after giving birth so the uterus returns to its pre-pregnant state. Either IUD is considered safe for breast feeding women Mirena(Progestin) or ParaGard(Copper T). An IUD is a T-shaped device that is inserted in to the uterus by a health care provider. Mirena is effecctive for 5 years while in and ParaGard is effective for 12 years while in.

If you aren't interested in having any more kids why not explore having a vasectomy. (Only if you are absolutely sure you don't want any more kids).

Still confused? Planned Parenthood has a great resource to help you choose a method CLICK HERE

***Remember that above all you need to discuss your options with your healthcare provider and figure out what works best for you.

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