After you give birth, it’s recommended that you wait at least 3 weeks before re-starting the birth control pill, according to the Centers for Disease Control.
This advice is to help decrease the risk of serious complications such as blood clots. I agree, and want to add a bit more information for new moms. I encourage all of my patients to breastfeed their babies for 6-12 months if possible. This is the recommendation of the American Academy of Pediatrics. For breastfeeding moms, milk supply can be compromised or decreased by taking a combination birth control pill that contains both estrogen and progesterone.
Most women who take the pill prior to pregnancy were taking birth control pills or using the NuvaRing with both estrogen and progesterone.
With breastfeeding and/or pumping
For moms who want the convenience of using a pill for contraception, I recommend:
- A progesterone only pill, which does not contain estrogen and should not decrease milk supply.
- Mirena or Paraguard IUD
Sex after Baby
No matter what your choice is, it’s important to consider ease of use, effectiveness and whether it’s convenient in your schedule. It’s also important to use a lubricant, as breastfeeding will have the effect of making the vagina much more dry and less elastic and able to stretch.
Many moms also find that their sex drive is diminished from exhaustion, hormonal overload or the demands of feeding. Other moms find that they’re just as interested in sex or may be more so. Either experience is normal.
You can download my award winning Personal Guide to Breastfeeding here.
The LaLeche League is another great breastfeeding resource.