16 doctors weighed in:
Progestogen-only contraceptive is making me bleed so much. What can I do while breastfeeding?
16 doctors weighed in

Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
8 doctors agree
In brief: Limited options
Breastfeeding is important for baby and mom, so continuing it is the first concern.
Contraception is needed if one wants to continue breastfeeding and space children; ovulation can occur during lactation. If problems with pop there are other options. One is to avoid intercourse. The other is to speak with obgyn about evaluation and other contraceptives. The papa may offer to babysit so you can go!

In brief: Limited options
Breastfeeding is important for baby and mom, so continuing it is the first concern.
Contraception is needed if one wants to continue breastfeeding and space children; ovulation can occur during lactation. If problems with pop there are other options. One is to avoid intercourse. The other is to speak with obgyn about evaluation and other contraceptives. The papa may offer to babysit so you can go!
Dr. Pam Yoder
Dr. Pam Yoder
Thank
Dr. John Washburn
Family Medicine
5 doctors agree
In brief: See your OB
Often the abnormal bleeding will eventually normalize, but if it's problematic then the contraceptive can be stopped, keeping in mind that even though breastfeeding itself can inhibit ovulation you still may want to use a barrier method (condoms) if pregnancy is to be avoided.

In brief: See your OB
Often the abnormal bleeding will eventually normalize, but if it's problematic then the contraceptive can be stopped, keeping in mind that even though breastfeeding itself can inhibit ovulation you still may want to use a barrier method (condoms) if pregnancy is to be avoided.
Dr. John Washburn
Dr. John Washburn
Thank
1 comment
Dr. Suzanne Gilberg-Lenz
yes! PLEASE use some barrier method consistently if you don't want an unexpected pregnancy!
Dr. Suzanne Gilberg-Lenz
Obstetrics & Gynecology
4 doctors agree
In brief: Consider an IUD
Is a more fool proof (remember nothing but abstinence is 100% foolproof!) method.
The progestin containing iud may result in temporary spotting but will ultimately lead to very light menses and possibly amenorrhea while using the iud. The copper t, will result in heavier periods, but for breastfeeding women these are great options, especially if the bf has stopped your periods.

In brief: Consider an IUD
Is a more fool proof (remember nothing but abstinence is 100% foolproof!) method.
The progestin containing iud may result in temporary spotting but will ultimately lead to very light menses and possibly amenorrhea while using the iud. The copper t, will result in heavier periods, but for breastfeeding women these are great options, especially if the bf has stopped your periods.
Dr. Suzanne Gilberg-Lenz
Dr. Suzanne Gilberg-Lenz
Thank
Dr. Helayne Merkin
Obstetrics & Gynecology
2 doctors agree
In brief: Alternatives to POP
Another excellent choice associated with minimal to no bleeding is the Mirena (levonorgestrel) iud.
This should be discussed with your women's health provider and review any possible contraindications and risks and benefits. Also, condoms are a very reasonable choice for breastfeeding moms and should have no effect on your cycle.

In brief: Alternatives to POP
Another excellent choice associated with minimal to no bleeding is the Mirena (levonorgestrel) iud.
This should be discussed with your women's health provider and review any possible contraindications and risks and benefits. Also, condoms are a very reasonable choice for breastfeeding moms and should have no effect on your cycle.
Dr. Helayne Merkin
Dr. Helayne Merkin
Thank
Dr. Jerome Yaklic
Obstetrics & Gynecology
1 doctor agrees
In brief: Birth control pills
If breastfeeding is well established you should be able to change to a regular combination birth control pill w/little difficulty.
Normal pills ( w/estrogen & progesterone) may cause a slight temporary decrease in breast milk volume but frequent feedings and increased fluids should quickly overcome it. Unlike progestin only pills they will control your bleeding. A Mirena (levonorgestrel) iud may be another option.

In brief: Birth control pills
If breastfeeding is well established you should be able to change to a regular combination birth control pill w/little difficulty.
Normal pills ( w/estrogen & progesterone) may cause a slight temporary decrease in breast milk volume but frequent feedings and increased fluids should quickly overcome it. Unlike progestin only pills they will control your bleeding. A Mirena (levonorgestrel) iud may be another option.
Dr. Jerome Yaklic
Dr. Jerome Yaklic
Thank
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