- Estrogen-only contraceptive- Now, if you are breastfeeding, avoid Estrogen pills and injections. Estrogen is associated with low milk supply hence a shorter duration of breastfeeding. You don’t want to do that for your baby. Please do not shy away from telling the doctor or the pharmacist that you are breastfeeding. However, it doesn’t affect all mothers. The only way to prove that it won’t affect your breast milk supply is through experience. I would advise that you not to try it.
- Progestin-only contraceptives-This is the most appropriate for breastfeeding mothers. It is best given after 6 weeks post-partum (when attending the first baby’s clinic). So for breastfeeding moms, you can ask your doctor for any of these: progestin-only pill (POP) also called the “mini-pill”, birth control injection (Depo-Provera), progesterone releasing IUD (Mirena, Skyla), birth control implant (Implanon, Nexplanon).
- Combination contraceptive- They contain both estrogen and progestin. They are mostly in form of pills with different amount if each hormone. The most common type is low dose which contains 20, 30 or 35 grams of estrogen. The pills do not prevent pregnancy immediately so it’s advisable to use condoms for the first 7 days to avoid pregnancy. Stick to one brand of pills and if you must change, buy the one with the same amount of hormone distribution. The pills affect the menstrual cycle and most women miss their periods for that month which is a clear sign that she didn’t conceive. Again, I would advise breastfeeding moms to avoid combination contraceptives. If you have heart disease, yellow disease , stroke, paralysis, varicose veins, high blood pressure, smoke and over 35 years of age, diabetic or epileptic.
- Women with breast cancer- Women who have been diagnosed with breast cancer or have a hard lump on their breast should avoid hormonal contraceptives. While the methods do not cause cancer, they are said to make it worse when using it. So, in case you get detected with cancer, the first thing you should do is to remove the hormonal contraceptives.
- Pregnant women-Pregnancy come in with a lot of hormonal changes. Introducing more hormones in your body will just cause a lot of imbalance and could affect the pregnancy.
- Women with abnormal bleeding- Some of these hormonal contraceptives lead to heavy bleeding for some women. Hence not advised to administer for someone who already has a bleeding problem.
- Nausea
- Headache
- Irregular bleeding and spotting