How to prevent pregnancy during breastfeeding
Asked by:Carsyn
Asked on:Mar 23, 2026 11:29 PM
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Poseidon
Mar 23, 2026
The time it takes for a lactating woman to resume sexual life varies from person to person, and is closely related to each person's physical condition, living habits, and method of delivery. Generally speaking, it is more appropriate to resume sexual life three months after delivery.
As soon as lactating women resume their sexual life, they should take necessary measures to prevent pregnancy.
There are many contraceptive methods available to lactating women. The general principle is to not affect the secretion and production of breast milk. baby Growth and development, women can choose according to their actual situation to successfully go through the lactation period.
Progesterone-containing medicines The contraceptive effect is reliable and does not affect breast milk secretion or baby growth and development. However, because it contains progesterone, some women may experience menstrual cycle disorders, spotting, prolonged menstrual periods, or amenorrhea , at this time, you should switch to other contraceptive methods under the guidance of a doctor. Commonly used progesterone-containing medicines include long-acting contraceptive injections that are injected once every three months, and subcutaneous implants that can maintain contraceptive effects for 3-5 years after being implanted once.
Intrauterine device (IUD) It is a safe, easy to use, economical and flexible contraceptive method. In my country, about 40% of women of childbearing age use intrauterine devices. Postpartum Women who are still breastfeeding after six months may consider having an intrauterine device inserted. At present, in addition to metal single rings and copper V-rings, intrauterine devices also include intrauterine devices that release progesterone and hemostatic drugs. The latter can significantly reduce bleeding and pain while increasing the contraceptive effect. The contraceptive effect of an intrauterine device can last 5-10 years.
Progestogen-only oral contraceptives Safe and reliable, it mainly plays the role of blocking the fertility link. Such as changing the properties of cervical mucus, preventing penetration, changing Uterus Endometrial properties, affecting blastocyst implantation, etc. Commonly used ones include levonorgestrel, megestrol, etc.
for men condom Mainly plays a barrier role, not only can block sperm Enter female It achieves a contraceptive effect through the reproductive tract, and can effectively prevent the infection and spread of bacteria, fungi, trichomoniasis, protozoa, gonococci and viruses, and is very helpful in preventing sexual transmission. disease Especially important.
sterilization surgery It is a permanent method of sterilization. It involves minor surgery to ligate the vas deferens or fallopian tubes to block sperm at the vas deferens from entering the semen, or to prevent eggs from meeting sperm through the fallopian tubes. This method male Sexual function, female menstruation and sexual life are not affected; But it is not suitable for people with severe nerve Breastfeeding women suffering from neurosis, disease or inflammation of the reproductive system. The failure rate of sterilization with this method is less than 10%.
External contraceptives (spermicide) Nonoxynol is a surfactant that can interact with sperm cell protein membranes and change the permeability of spermatogonia, thereby killing sperm and achieving contraceptive purposes. External contraceptives do not affect the sexual pleasure of both parties, do not affect endocrine and menstruation, and do not inhibit breast milk secretion. Commonly used ones include nonoxynol membrane, nonoxynol vaginal tablets, nonoxynol contraceptive suppository and nonoxynol jelly. The contraceptive effectiveness of external contraceptive pills is 94%-97%.
It is worth mentioning that lactating women should not use estrogen-containing oral contraceptives. Because ingesting estrogen can cause gastrointestinal reactions in lactating women, affect appetite, lead to a decrease in the content of protein, fat and trace elements in milk, and have a great impact on the growth and development of infants. At the same time, when milk containing estrogen is ingested by infants, it can cause breast development in male infants and abnormal secondary sexual characteristics such as vaginal epithelial hyperplasia and labial hypertrophy in female infants. In addition, if a lactating woman takes estrogen for 3-6 weeks, her milk volume will be reduced by about half, which is extremely detrimental to the breastfed baby.
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