Postpartum Contraceptive Pills and Breastfeeding: What You Need to Know

I would like to inquire about emergency contraception and breastfeeding issues?

Since you are currently in the postpartum period, over two months and still breastfeeding, and using emergency contraception containing Levonorgestrel, it is generally recommended to wait at least 24 hours after taking the medication before resuming breastfeeding.
This allows the medication to decrease in concentration in your system.
However, if you need to breastfeed sooner, you can express and discard the milk for the first 24 hours after taking the medication to minimize the infant's exposure.
Always consult with your healthcare provider for personalized advice.
Thank you.

Ya, 20~29 year old female. Ask Date: 2017/07/26

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, a low dose does not affect breastfeeding.
Wishing you good health.

Reply Date: 2017/07/26

More Info

When it comes to postpartum contraceptive options, particularly regarding the use of emergency contraceptive pills (ECPs) like Levonorgestrel (commonly known as Plan B or Anliting), there are several important considerations for breastfeeding mothers.
First and foremost, it’s essential to understand that Levonorgestrel is a progestin-only contraceptive. This means that it does not contain estrogen, which is often advised against during breastfeeding due to potential impacts on milk supply. The good news is that Levonorgestrel is considered safe for breastfeeding mothers. Studies have shown that it does not significantly affect breast milk production or the quality of the milk.
In terms of timing, it is generally recommended that if you take Levonorgestrel, you can continue breastfeeding without needing to wait for a specific period after taking the pill. The hormone is rapidly metabolized and is unlikely to have any lasting effects on your milk. However, if you are concerned about the immediate effects of the medication on your milk, you might consider pumping and discarding the milk for a few hours after taking the pill, although this is not strictly necessary.

It’s also important to note that while ECPs can be effective in preventing pregnancy after unprotected intercourse, they are not intended for regular contraceptive use. If you find yourself needing emergency contraception frequently, it may be worthwhile to discuss more regular contraceptive options with your healthcare provider. Options such as progestin-only pills, intrauterine devices (IUDs), or implants can provide effective long-term contraception without the need for estrogen, making them suitable for breastfeeding mothers.

Additionally, if you are experiencing any side effects from the emergency contraceptive, such as changes in your menstrual cycle or any unusual symptoms, it is advisable to consult with your healthcare provider. They can provide guidance tailored to your specific health needs and breastfeeding situation.

In summary, using Levonorgestrel as an emergency contraceptive while breastfeeding is generally safe, and you do not need to wait a specific number of days before resuming breastfeeding. However, if you have ongoing concerns about contraception during breastfeeding or your overall health, it’s always best to have a conversation with your healthcare provider to explore the best options for you.

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