- Most couples can start sexually active 1.5–2 months after giving birth. However, this depends on whether the delivery was natural or operative (after a cesarean section, you can have sex a little earlier if the suture does not cause discomfort), whether there were ruptures in the birth and how well the sutures healed after the incision (episiotomy).
- In any case, the couple determines the timing of the onset of sexual activity on their own, but it will not be superfluous to consult a doctor, especially if sexual intercourse is unpleasant.
Lactational amenorrhea method
When a woman breast-feeds a baby, she produces the hormone prolactin. It not only stimulates the production of milk, but also blocks ovulation (the release of an egg from the ovary), as a result of which pregnancy does not occur. The method of lactational amenorrhea is effective only if:
- the baby is completely breastfed, without feeding, adding water or mixtures to the diet,
- a woman has no menstruation (spotting within 40 days after birth is considered postpartum, not menstrual)
- baby under 6 months old
- a woman should feed the baby on demand, and not on the clock - in this mode, the level of the hormone prolactin can be kept at a fairly high level. Intervals between feedings should be no more than 3 hours during the day and no more than 6 hours at night.
If all these conditions are met, the method is 98% effective. However, if at least one point is not respected, it is worth looking for another method of contraception.
Using a diaphragm, cap or condom is completely safe for the baby. These devices do not affect lactation.
The diaphragm is a contraceptive, to which they resort less and less. It is a metal ring connected to a large latex or rubber cap shaped like a hemisphere. It is inserted into the vagina and closes the access of sperm to the cervix. Entering the diaphragm is quite simple, but the doctor must show how to do it. The disadvantage of this method is that the diaphragm can be damaged when removed, it must be worn immediately before sexual contact, and the metal ring sometimes presses on the urethra and walls of the vagina and can provoke inflammation of the mucous membrane of the urethra and vagina. The diaphragm can be in the vagina for no more than 24 hours. Efficiency - 95–97%.
The cap is similar in shape to the diaphragm, but it is smaller, is worn directly on the cervix, and it is much easier to remove. It has other advantages: caps are made of silicone rubber - this material is easier to care for, it practically does not cause allergies. In addition, it is designed in such a way that it does not press on the walls of the vagina, fits snugly against the cervix, reliably protecting the uterus from sperm penetration. The cap can be removed simply by pulling on the ribbon. Yes, and the body can stay longer - up to 48 hours. Efficiency - 95–97%.
A male condom is a fairly popular method, but it is not suitable for all couples, since it must be worn during intercourse. But a condom protects against genital infections better than a diaphragm or a cap. Efficiency - 98%.
The female condom (femid) is a latex tube. At one end is a ring that holds the condom on the external genitalia, the other end is inserted inside the vagina. The female condom is similar to the male condom and differs only in the density of the ring - in the male it is soft so as not to damage the penis, and in the female it is quite hard so as not to slip inside. Like the male condom, the female condom must be removed immediately after sexual intercourse. Efficiency - 98%.
These substances destroy sperm in just a few seconds. Spermicides are available in the form of:
- vaginal suppositories
- foaming candles
- soluble films
- foaming tablets.
The effectiveness of spermicides does not depend on the form of the drug - a woman can choose any option convenient for her. Spermicides act only locally, are not absorbed into the blood, so nursing mothers can use them without fear. You can start using this method of contraception after 6 weeks and after the end of spotting. Efficiency - 70–80%.
It is quite effective to combine barrier contraception with spermicides. The effectiveness of such a tandem is up to 98%.
Spermicidal sponge combines chemical and barrier contraception. A spongy substance (of natural origin or from polyurethane) containing a spermicidal agent is inserted into the vagina. This is a one-time contraceptive, but it can be in the vagina for 24 hours. The effectiveness of this method of protection is not very high - about 70–80%.
It is important to remember that not all hormonal contraceptives are suitable for a nursing mother.
Combined oral contraceptives contain two hormones - gestagen and estrogen. The latter suppresses lactation and changes the properties of milk, so such means can only be used after lactation is completed. Efficiency - 99%.
Progestin drugs or mini-drank. These drugs contain only one component - a derivative of the hormone gestagen (for example, desogestrel), and do not contain estrogen that suppresses lactation. Such a contraceptive prevents ovulation, reduces the amount and increases the viscosity of the mucus that is in the cervical canal, which prevents sperm from entering the uterus, changes the structure of the endometrium (the inner layer of the uterus), and then the fetal egg cannot attach to the wall of the uterus. You can take the drug to the nursing mother from the 6th week after the birth (as a rule, by this time the couples begin to live sexually). A contraceptive should be taken every day at the same time (for example, in the morning), one tablet. This is a very important condition that must be observed. So, if it’s hard for you to organize yourself and you forget to take pills regularly, it’s best to use other contraceptives. In this way, you can protect yourself after completing breastfeeding. Although the components of mini-drank are absorbed into the blood, they do not affect the health of the baby or mother, therefore they are completely safe during lactation. Efficiency - 99%.
Contraceptive effect is reduced
if a woman takes certain antibiotics, sleeping pills,
if a woman has vomiting or diarrhea in the first 2-3 hours after taking the pill.
Long-acting progestogens. These types of drugs have the highest contraceptive ability. They are suitable for women who are not planning a pregnancy in the next few years or who forget to take pills containing gestagen (mini-drank) on time. Drugs can be administered from the 6th week after birth.
You can use two options for a nursing mother:
- Subcutaneous implant. A small capsule containing gestagen is injected under the skin. The drug is released continuously - the substance passes through the pores in the capsule and immediately enters the bloodstream. This ensures stable and long-term contraception for 5 years. After the termination of the drug, the capsule can be replaced. By the way, it can be removed at any time if the woman still wants to have children during these 5 years. And the ability to conceive is restored in 2-6 cycles after extraction of the implant.
- Injection The drug is administered subcutaneously and gradually resolves, protecting the woman from an unwanted pregnancy. The duration of one injection is 12 weeks. In this case, it is no longer possible to terminate the drug ahead of schedule. Like an implant, injections are given only by a doctor.
An intrauterine device (IUD) can contain a hormonal component, and can be performed without it. This option is suitable for nursing mothers. If the IUD does not contain a hormone, then it does not suppress ovulation, but causes changes in the endometrium, due to which the fetal egg cannot attach to the inner layer of the uterus. Previously, it was believed that the IUD was not suitable for young women, because it causes inflammatory changes, but modern spirals contain silver, known for its disinfecting effect, so such problems began to occur much less often. The IUD is completely safe for the baby whose mother is breastfeeding. The IUD can be delivered 6 months after giving birth - by this time the cervix will fully restore its original shape, and the risk of spiral loss will be minimal. The IUD is set for 5 years, you can remove the contraceptive at any time, and the ability to fertilize is restored very quickly. Efficiency - 98–99%.
Such an extreme measure is sterilization. It is clear that it is not suitable for all women, but only having two or more children and not planning to ever become pregnant again. This is an irreversible method of contraception - the surgeon crosses or bandages the fallopian tubes and further conception becomes impossible. Therefore, it is worth weighing the pros and cons of this method before deciding to take such a step.
Thinking about the methods of protection in advance, you can avoid unwanted pregnancy and give your body time to recover after carrying the baby and childbirth.
A little physiology
The postpartum period is one of the important stages in a woman's life. At this time, in her body, all the changes caused by pregnancy in the genitals, endocrine, nervous, cardiovascular and other systems are restored. The risk of pregnancy increases by 6 months after birth, regardless of whether a woman is breastfeeding or not. At the 7-8th week, the restoration of the uterine mucosa ends. After 6 weeks after giving birth, 15% of non-breastfeeding and 5% of breast-feeding women have ovulation - the exit of the egg from the ovary. Outside of pregnancy, ovulation occurs in the middle of each menstrual cycle.
The egg, which has matured in the ovary, enters the abdominal cavity, after which it enters the fallopian tube. There she can meet with a sperm - in this case, fertilization will occur. That is, ovulation is one of the main points that determines the possibility of conception in a given menstrual cycle.
During pregnancy and several months after birth, ovulation does not occur. The earliest ovulation was recorded in the 4th week after birth. Thus, by the 3rd month after birth, a woman is potentially able to become pregnant. By this time, the production of hormones is restored, which ensures cyclic changes in the woman’s body during the menstrual cycle.
During pregnancy, prolactin production increases (it is produced by the gland located in the brain) - one of the hormones involved in blocking egg maturation in the ovaries. Prolactin prepares the mammary glands for lactation. By the end of pregnancy, with the onset of childbirth, the level of the hormone oxytocin rises. Both of these hormones - prolactin and oxytocin - provide lactation (from lat. Lacto "I feed with milk") - the formation of milk in the mammary glands and its periodic excretion. The mechanism of direct and feedback between the intensity and duration of breast sucking and the production of prolactin and oxytocin is activated. On the one hand, a large amount of prolactin ensures the formation of lactation, and on the other hand, the maintenance of lactation helps to maintain a high level of prolactin. As a result, women who breast-feed a baby on demand create conditions to suppress ovulation and lengthen the recovery period. The period of breastfeeding and the absence of menstruation is called lactational amenorrhea.
How does MLA "work"?
The method of lactational amenorrhea (MDA) is a natural method of preventing pregnancy, because Breastfeeding is used to prevent pregnancy.
Breastfeeding is provided by lactational reflexes, which are regulated by the higher parts of the central nervous system. The nipple – areola complex (paranasal circle) is equipped with a large number of nerve receptors, the sensitivity of which increases with increasing gestational age and reaches a maximum in the first days after delivery. Irritation of these receptors during sucking triggers reflex mechanisms leading to the production of oxytocin and prolactin - hormones that regulate lactation.
The milk production reflex (prolactin reflex) is associated with the production of the hormone prolactin during breastfeeding, and prolactin, in turn, stimulates the production of milk in the mammary gland. The longer the baby sucks, the more milk is produced. The production of prolactin has a certain daily rhythm. Its highest level is recorded at night, 2-3 hours after falling asleep, the lowest - from 10 to 14 hours of the day. Therefore, breast-feeding should occur at least every 4 hours during the day and every 6 hours at night. Prolactin suppresses the activity of the ovaries, inhibiting ovulation, therefore, breastfeeding at night and day protects against new pregnancy in 98% of cases. Thanks to the prolactin reflex, the mammary gland produces enough milk for successful breastfeeding.
No less necessary for the satisfaction of the child is the oxytocin reflex, or the reflux of milk. In the process of sucking in response to nipple irritation, the hormone oxytocin is produced in the posterior pituitary gland, causing milk to stand out. Oxytocin is called the “hormone of love”: a mother is happy when milk flows well and her baby is satisfied. Thoughts of a child full of love, the look of the child enhance the reflex, and stress, pain, excitement suppress the oxytocin reflex. Breast milk contains substances (inhibitors) that reduce its production. If breast milk is removed from the mammary glands when sucking or decanting, these substances are also removed, and then the mammary gland produces more milk. Therefore, if the baby does not suckle temporarily, milk needs to be expressed so that its production does not stop. Emptying the breast is the strongest stimulator of its work.
In the early postpartum period, it is lactational reflexes that ensure the formation of normal lactation, therefore, for subsequent successful breastfeeding, the first application is desirable to be carried out in the first hour after birth, when the baby's reflexes and the sensitivity of the nipple-areola complex are highest.
Only full exclusive breastfeeding reduces the likelihood of pregnancy in the first 6 months after birth.
The more intensive breastfeeding (frequent, at the request of the baby, breastfeeding up to 10 times, feeding both day and night with night breaks of no more than 6 hours, feeding with both mammary glands), the longer the period of inability to fertilize and the less frequent the pregnancy before the onset of menstruation.
When does MLA stop working?
Although at a high frequency of exclusively breastfeeding, the ability to fertilize after menstrual bleeding is still significantly suppressed, the appearance of menstruation remains the most reliable sign of the restoration of fertility.
As the number of months after delivery increases, the risk of ovulation gradually increases until menstruation resumes. After six months, using only the lactational amenorrhea method as a contraceptive is unacceptable. The six-month milestone was also chosen because by this time mothers were recommended to feed the baby. They begin to wean him from the chest, which leads to an increase in the interval between feedings, and therefore to an increased risk of a new pregnancy.
MDA as a contraceptive method is distinguished by the fact that its reliability can only be discussed if a number of conditions are met: the absence of menstruation, exclusive breastfeeding, the child's age is less than 6 months. The Pearl Index (the number of unplanned pregnancies that occurred in 100 women using this method during the year) in this case is 2. For comparison: when using condoms it is 14. Even when using a hormonal drug, a purely progestin-based mini-pill, recommended in the postpartum period, the Pearl index is 5. If, after using MDA for 6 months after giving birth, the woman has amenorrhea and continues to breastfeed before each feeding, then it is possible to extend the MDA to 9-12 months forearm The Pearl Index in these cases is 3-6.
Disadvantages of the method
- In the event that any of the three necessary conditions for the use of MDA is not fulfilled (there is a resumption of menstruation, irregular breastfeeding or a child older than 6 months), you must promptly switch to other methods of contraception that do not affect the lactation and development of the child.
- The duration of the protection is limited to 6 months.
- There is no protection against sexually transmitted infections.
- Надежность метода зависит от соблюдения правил грудного вскармливания. Сегодня изменился социально-биологический статус женщины, возросла ее роль в обществе, политике, бизнесе. The principles of exclusive breastfeeding are not always suitable if the mother works or studies.
When can I resume sex life?
During the first 6-8 weeks after childbirth, sexual life should be limited, since at this time the woman’s body is restored after childbirth. In the uterus - in the area of the site to which the placenta was attached, there is an extensive wound surface, the so-called lochia stand out from the genital tract. The cervix, the body of the uterus are reduced gradually, do not immediately acquire prenatal sizes. Immediately after birth, the cervix remains fairly short, the cervical canal leading to the uterine cavity is open. All these conditions are a predisposing factor for infection of the uterus in the postpartum period. Therefore, after the postpartum discharge stops (this happens just after 6-8 weeks), you need to see a doctor. Only after examination can you obtain permission to resume sexual activity.
Advantages of the method
- The use of MDA is controlled by a woman, this method cannot be attributed to a typical medical procedure, it does not require medical supervision.
- MDA is an effective contraceptive method used after childbirth, which not only improves breastfeeding, but also provides a timely transition during lactation to the use of other contraceptives.
- The method favorably affects the health of mother and child. Children who received exclusively breast milk are less likely to get sick in childhood, and in adulthood are less prone to chronic diseases, cancer, and blood diseases.
- The mother has a reduced risk of postpartum inflammatory diseases of the uterus, lactation is a means of preventing breast cancer.
So, as we see, the method of lactational amenorrhea can be used as a contraceptive only from the 1st to the 6th month of the postpartum period, with careful observance of the rules of breastfeeding "on demand". In other cases, it is necessary to use other methods of contraception.
What is lactational amenorrhea
When a woman is breastfeeding, the body intensively produces the hormone prolactin, which prevents the production of follicle-stimulating hormones. Consequently, follicles do not mature and ovulation does not occur.
It's important to know! If for some reason the baby is fed exclusively with mixtures, the first menstruation should come no later than after 8 weeks. A delay of more than three months is an occasion to contact a antenatal clinic.
When wondering if it is possible to become pregnant during lactation, women often come across various assumptions of friends and relatives. The period of lactational amenorrhea can be different: from 2 to 14 months.
Changes in the body can be caused by various factors, avoiding the sudden restoration of the menstrual cycle will help compliance with the rules of the effectiveness of lactational amenorrhea.
Rules of efficiency for lactational amenorrhea
There are a number of rules to increase the effectiveness of lactational amenorrhea. A clear understanding of biological processes in the body will allow a woman to better control them.
Extend replacement during lactation and minimize the chance of becoming pregnant You can, subject to simple rules, but each mother herself decides whether to observe them:
- feeding a newborn baby according to his every requirement, and not according to the standard hourly schedule,
- shorten the intervals between feeding to the minimum, the night break should not exceed 5 - 6 hours,
- refuse from introducing any complementary foods into the baby’s diet, it is also advisable to abandon the pacifier. Exclude even drinking the baby.
Strict adherence to the recommendations will increase the period of lactational amenorrhea, therefore, reduce the likelihood of conception to a minimum.
Can I get pregnant during lactation?
Is it possible to unplannedly become pregnant during lactation, or are these exceptional and rare cases, specialists of the antenatal clinic know firsthand. This question is shrouded in a mass of myths, for a complete understanding it is necessary to turn to scientific and medical data.
Is it possible to get pregnant during lactation - young mothers are often interested in this issue
During lactational amenorrhea, fertilization of the egg is impossible, because there is a misconception that during the feeding of a newborn it is impossible to become pregnant. This fact cannot be denied, but there is still no absolute guarantee.
The essence of the phenomenon is quite simple: when a woman begins to introduce complementary foods or does not follow other rules of effectiveness with lactational amenorrhea, prolactin production decreases.
The menstrual cycle begins to recover and ovulation occurs. These changes are almost impossible to feel physically, but the body is already completely ready for the next conception.
As you know, ovulation precedes the first menstruation in a short period of time. Determining whether the replacement has stopped during lactation or not is quite difficult, and during this period it is quite possible to become pregnant.
After that, other processes begin to occur in the body, the menstrual cycle is again suspended for the period of gestation, which is mistakenly perceived as a continuation of lactational amenorrhea.
Is lactation compatible with menstruation
The arrival of menstruation during lactation is a common and natural phenomenon. As already mentioned, an increase in the intervals between feeding a child or the introduction of complementary foods leads to the production of ovarian hormones, which ends with ovulation and the first menstruation.
The restoration of the cycle, as a rule, occurs at 6 - 7 months of lactation. Usually, various dry mixes are introduced into the baby’s diet by this time. But this is a conditional period, for each woman the process occurs individually, which is more affected by the level of effectiveness of lactational amenorrhea.
It's important to know! Contrary to conflicting opinions, the arrival of menstruation does not affect the taste and nutritional properties of milk. According to the assurances of scientists and doctors, menstruation is not a reason to stop breastfeeding.
Often the first menstruation is confused with postpartum discharge. There is nothing to worry about, the uterus is cleansed and restored within two months after birth. A common occurrence when spotting stops by week 7, but resumes by the end of 8 - so the uterus completes the cleansing.
It is these processes that women often confuse with menstruation, waiting for their reappearance in a month. Failure to understand the nature of the discharge may lead to a misunderstanding or fear about a state of health.
Symptoms of pregnancy during lactation
Taking into account that the first ovulation after childbirth comes almost imperceptibly, it is useful to know the first signs of pregnancy during lactation. It happens that many women learn about the baby already in the middle of the term, when the baby begins to move.
|The usual symptoms of pregnancy that are observed in women may be present.|
|Nausea or morning vomiting|
|Loss of appetite, change in taste needs|
|—||Pregnancy after childbirth, more precisely, after the normalization of the menstrual cycle is a complex issue that requires analysis. One side experts recommend pausing and allowing the body to fully recover. In addition, the newborn baby in the first months needs care, attention and timely care.|
On the other hand, parents can take this step quite consciously, due to age or other factors. Nature in this regard also does not impose certain restrictions: it is enough to introduce complementary foods to the baby and the hormonal background of the woman will begin to change, and the menstrual cycle will recover.
It's important to know! Doctors recommend maintaining a break between births for 2 to 4 years. Is it worth neglecting the recommendation and getting pregnant during lactation can only be suggested by a gynecologist, after assessing the state of health.
There is more “against” in this complex issue than “for”, but the decisive word should be with the doctors of the antenatal clinic. If nerve stress can still be fought and overcome, then a lack of physical health can lead to adverse consequences.
There is another myth that often scares women: lactation provokes premature birth. This opinion has some pretty strong evidence - at this time the body produces the hormone oxytocin, which affects milk production. But according to medical practice, not a single case of miscarriage due to lactation was recorded.
Safe methods of protection during lactation
If an emergency pregnancy is not included in the plans of the parents, you need to turn to the authorized contraceptives. The lactation period, although safe in this regard, does not provide a full guarantee, therefore, lactational amenorrhea cannot be used as a reliable method of protection.
Many means of safe contraception are available to lactating women:
Usually, before sexual activity after childbirth, a young mother should visit a antenatal clinic and consult a doctor. He conducts an examination, determines whether the genitals have recovered, and will definitely recommend suitable precautions. If a specialist does not give specific advice, they should be clarified on their own initiative, because this moment is very serious.
You can summarize a little: pregnancy during lactation in the order of things This is scientifically proven. A young mother can partly control this process, but one cannot lose vigilance if another child is not included in the plans of young parents. It is worth noting that an emergency pregnancy after childbirth does not always entail serious health problems.
The body of a lactating woman requires recovery: weakened immunity, hormonal changes, energy costs for lactation. Not all moms have perfect health and can become pregnant 3-5 months after giving birth. It is possible, but dangerous to health. To fully restore a woman during lactation, she needs at least 2 years.
The hormone balance during prenatal development was adjusted within 9 months. After the birth of a child, the woman’s body is rebuilt again, the hormonal background changes. As a result, a woman becomes impressionable, distracted, and quick-tempered. The body needs about 3 months to regulate the production of the necessary hormones. A new pregnancy will only aggravate an already unstable condition of a woman.
Monthly breast-feeding is absent for at least 2 months, the maximum is the entire period of natural feeding. After about a year, the menstrual cycle is restored. At the first menstruation, there is a risk of pregnancy, even if a woman is breastfeeding.
Consider the fact that ovulation precedes menstruation. And therefore, if the first unprotected sexual intercourse occurred during the period of the first ovulation, then menstruation will not begin, as pregnancy occurs.
Prevention is an important issue in the postpartum period. After all, a lactating woman must monitor her health in order to recover faster and feed her baby. And an unplanned pregnancy with such a small interval is an additional stress for the body. The gynecologist will choose the right contraceptive to save you from dangerous consequences.
Physiological amenorrhea is a condition in which there are no periods in the postpartum period. This is due to an excess of prolactin in the body, which blocks ovulation. This is the most natural method of protection against an unplanned pregnancy.
The method will work if the following points are observed:
This method of contraception has a lot of advantages: savings, naturalness, and the absence of side effects. There are also cons: lactational amenorrhea lasts 6 months, a woman is not protected from sexual diseases.
It is not recommended that women who cannot follow the schedule be protected so that any violation (a miss by the time of feeding at least for an hour) and the method ceases to work. If you properly establish breastfeeding, then this method of protection during lactation is effective at 98%.
The contraceptive spiral is a reliable method of contraception. The device is valid for 3-5 years, and short-term - from 1 to 1.5 years. The spiral is safe for lactation, as it acts locally. Intrauterine contraception is effective for lactation and guarantees a result of about 99.99%.
The contraceptive spiral reduces the duration of menstruation and the preparation of the uterus for the next pregnancy that is planned. A gynecologist will remove the spiral at any time at the request of a lactating woman. The ability to bear children is restored in 3–6 months.
The choice and installation of the contraceptive spiral should be handled by a professional gynecologist. Otherwise, injuries and dangerous complications are possible. Before the introduction of the spiral and after it, an ultrasound scan is performed.
Thus, the intrauterine method of contraception is effective and persists for 5 years. It is important to understand that there is no 100% method of protection against an unplanned pregnancy, and therefore there is a risk even when a woman is breastfeeding.
Oral hormonal drugs are not allowed to be used when breastfeeding, regardless of the level of hormonal substances. Contraceptives negatively affect lactation, as a result, the volume and quality of milk are reduced. In addition, drugs negatively affect the body of the newborn.
A lactating woman can be protected with pills (mini-drank) with microdoses of the hormone progestin. This contraceptive is safe for infants and does not affect lactation. If you strictly adhere to the schedule, then the drug is quite effective (99%). For more information about the choice and effect of birth control pills during lactation, see the article at https://vskormi.ru/mama/protivozachatochnie-tabletki-dlya-kormyaschih-mam/.
After unprotected intimacy, an emergency contraceptive drug, for example, Postinor, is used. This hormone should be taken carefully if a woman is breastfeeding. The drug did not undergo medical research, and therefore its effect on lactation and the newborn is not fully known. Breastfeeding is allowed only 36 hours after taking Postinor. The degree of protection of the drug is not higher than 98%.
Spermicidal preparations (Patentex Oval, Pharmatex, etc.) have a low level of reliability. Spermicides are available in the form of suppositories (vaginal suppositories), foam, jelly, cream, etc. The drug envelops the vagina and uterine cavity, and the chemical components that make up it destroy sperm.
Spermicidal drugs help fight atrophic vaginitis (drying out of the vaginal mucosa), this problem is typical for women in the postpartum period. Gynecologists recommend using them in combination with barrier agents. The effectiveness of spermicidal contraception is from 59% to 96%.
Voluntary surgical sterilization is a cardinal method of protection against unwanted pregnancy. This is an operation due to which an artificial obstruction of the fallopian tubes is created, and the woman loses her reproductive function. The effectiveness of this method is 99%, but the consequences of surgical intervention are irreversible, and therefore, before making a decision, weigh the pros and cons. Entrust the operation to a professional, otherwise pregnancy is possible.
There are many more contraceptive methods, among which you can choose the most suitable option. However, it should be remembered that hormonal drugs during breastfeeding are not recommended. Otherwise, side effects occur in the form of bleeding of varying intensity. In addition, hormonal drugs adversely affect lactation and the body of the newborn. The choice and appointment of a contraceptive is done by a gynecologist.