Is it safe to take menstrual regulation medication during breastfeeding?
I will be traveling from August 4 to August 9, and my menstrual period is expected during that time.
I would like to ask if I can take menstrual delay medication since I am currently breastfeeding (but I had my first postpartum period on June 25).
Will it affect my breast milk? If it is safe to take, can I buy it at a pharmacy or do I need a prescription from an obstetrician? Thank you.
Xiao Zhen, 30~39 year old female. Ask Date: 2022/07/26
Dr. Cai Yonglong reply Obstetrics and Gynecology
Breastfeeding women should avoid using oral contraceptives that contain estrogen.
The intake of estrogen can cause gastrointestinal reactions in breastfeeding women, affect appetite, and lead to a decrease in the levels of proteins, fats, and trace elements in breast milk, which can significantly impact the growth and development of the baby.
It is recommended to consult a physician in obstetrics and gynecology for a prescription.
Reply Date: 2022/07/26
More Info
Breastfeeding mothers often have questions regarding the use of medications, including menstrual delay pills, especially when they are concerned about the potential effects on their milk supply and their infant's health. In your case, since you are currently breastfeeding and have experienced your first postpartum period, it is important to consider both the safety of the medication and its impact on breastfeeding.
Menstrual delay pills, often containing hormones such as progesterone or a combination of estrogen and progesterone, can be used to postpone menstruation. Generally, these pills are considered safe for breastfeeding mothers, but there are several factors to keep in mind.
1. Hormonal Impact on Milk Supply: Some hormonal contraceptives can potentially affect milk supply, particularly those containing estrogen. However, progestin-only pills (often referred to as the "mini-pill") are usually recommended for breastfeeding mothers as they have less impact on milk production. If the menstrual delay pill you are considering is a combination pill, it may be wise to consult with your healthcare provider to discuss the potential effects on your milk supply.
2. Timing and Dosage: If you decide to take menstrual delay pills, it is crucial to start them as directed, ideally a few days before your expected period. This timing can help ensure that the medication is effective in delaying your menstruation.
3. Consulting a Healthcare Provider: While some over-the-counter options may be available, it is advisable to consult with a healthcare provider, such as an obstetrician or a lactation consultant, before starting any medication. They can provide personalized advice based on your health history and breastfeeding status. They can also prescribe a medication that is safe for breastfeeding mothers if necessary.
4. Monitoring Your Baby: If you do take menstrual delay pills, monitor your baby for any changes in behavior or feeding patterns. While most breastfeeding mothers do not experience adverse effects, it is always good practice to be vigilant.
5. Alternative Solutions: If you are concerned about taking hormonal medications, consider discussing non-hormonal methods for managing your menstrual cycle with your healthcare provider. There are various natural methods and lifestyle adjustments that can sometimes help regulate or manage menstrual symptoms without the use of medications.
In summary, while it is generally safe for breastfeeding mothers to take menstrual delay pills, it is essential to choose the right type of pill and consult with a healthcare provider to ensure it is appropriate for your situation. Always prioritize your health and your baby's well-being when making decisions about medications during breastfeeding.
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