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Post natal birth control

posted 1 year ago in Babies
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    Buzzing bee
    Janna19    June 7, 2008   New York

    So I just got the all clear to resume normal "activities" from my doctor.  I am quite concerned about getting pregnant again too quickly and have friends who relied on breast feeding as birth control and ended up pregnant months after giving birth.  this scares the crap out of me!!

    that said, we are not big fans of condoms and I worry that if that is our birth control method we won't use them reliably.  What other forms have people used? My OB prescribed me a "mini pill" which she says is safe for Breast feeding.  has anyone else used this? I don't like the idea of a diaphram (don't think I will use it reliably) and I could get an IUD but would likely only keep it in a year or two at most so seems to be overkill....what do you do??

     
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    cannotwait    February 1, 2009   TX

    I haven't had the "all clear", yet, but I am leaning towards an IUD.  We also really do not like condoms and am NOT ready for another LO!  ;)  We will also probably not be on it long, but it still seems better than going back on the pill.  Maybe it was just a coincidence, but I had a very bad time coming off the pill before TTC.

     
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    kericita    May 12, 2012   Dallas, TX

    No kids yet, not planning on any for atleast 6 years.  I have implanon (arm implant), it lasts 3 years, but you could get it taken out early if you want.  It was like $600, but I only had to pay the $30 copay, so it was a super cheap option too!

     

    edit - Oh i suck at reading.  Not sure if it's safe for breastfeeding though.

     
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    MightySapphire      

    From my experience, the IUD is pretty painful to have inserted.  I'm not really emotionally ready for that kind of trauma to that body part (especially so close to the trauma that already happened down there!).  Something to consider.

    The mini-pill is safe for BFing but will kill your milk supply.  You'll have to counter it with fenugreek and Mother's Milk tea.

    Condoms-well, at least they are already lubricated.  And you're going to need that if you're still BFing.  (Even if you're not actually...)

    Diaphragm-probably your best bet.  Don't require effort in the heat of the moment.

    We're using the same method we've always used.  Coitus interuptus.  DH is smart enough to know when to pull out, so we've never had issues.  We're also planning on trying to get pregnant again soon (I'm still freaking out about that) so if anything should happen (and it hasn't in the four years we have practiced that method) we're still ok.

     
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    ChantelleyLace    June 25, 2011  

    @MightySapphire:Wow! You're brave. Aren't you worried about pre-ejaculate?

    I used the mini pill after my pregnancy but that was after we tried (and failed :( ) with breastfeeding. I had a ROUGH time getting my milk supply up there but Fenugreek really helped!

     
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    Miss Starry Night    October 22, 2010   Minneapolis MN/Cabo San Lucas

    I tried the mini pill for 4 weeks (1 cycle), and it did NOT affect my milk supply at all. It did, however, give me spotting daily during the use (which drove me crazy). If you do take it, make sure that you take it as close to the exact same time every day. I think that was my issue; I'd be off by around 30 mins. 

    We just used condoms until I was done breastfeeding. My son weened himself around 3.5 months so it wasn't too long... and honestly, we didn't have a ton of sex between 6weeks and 15 weeks PP. 

     
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    MightySapphire      

    @ChantelleyLace: Nope.  Not worried.  Like I said, DH knows when enough is enough.  He's not selfish enough to get too close.  I'm truly blessed with him.

     
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    crayfish    September 11, 2010   Berkeley, CA

    @Janna19: So, this is probably going to show how unknowledgable I am about this, but how is "relying on breast feeding as birth control" actually birth control. And clearly, from you friend's experience, it wasn't, but I am curious why someone would think it might be?

     
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    cr6zy    September 10, 2011   phoenix

    i got the iud after i had my daughter and i LOVE it. i got a paraguard since it has not hormones and there for much less side effects. i have had it for almost 2 years now and have not had any problems. the only (i cuess) complaint is it spread my periods out more. so instead of being 28 days im 45. it just makes me a little nervous when i look at the calander and remember i should start at 28 days but have to remember my iud made it later.

     
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    MightySapphire      

    @crayfish: Some women think that because they aren't getting their period yet (because they are BFing) that they cannot conceive.  It's completely incorrect, but a common misconception (pun intended!) nonetheless.

     
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    crayfish    September 11, 2010   Berkeley, CA

    @MightySapphire: Thanks! It's always been my understanding that it's pretty easy to get pregnant after giving birth. I hope more doctors educate their patients better!

     
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    @crayfish: My doctor stressed it to me probably ten times, LOL.  I told him we planned to conceive again within the year and he was like "Well just remember now that you aren't pregnant anymore, you can conceive again and you should take precautions.  Your plumbing is back up and running down there, so you have to be careful."  He's older, so it just made me giggle.

     
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    NixLapi    October 24, 2009   Toronto

    A friend of mine was on the mini-pill {which didn't effect her milk supply at all}, but did end up accidentally preggo again. From what I understand you have to be really careful about taking the mini-pill at the same time everyday.

     
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    Mrs. Spring    May 10, 2009   California

    I got an IUD.  Before getting pregnant, I was charting, but after our daughter's birth we decided to go with something... more permanent.  Mostly because I told my husband I wanted to get pregnant again like 3 weeks after my daughter was born and he freaked out.  :)  Really, though, we don't want to try for a second baby for another year or two, so I wanted a bc that would cut down on the spontaneity of our last babymaking decision.

    Imo, the Mirena is awesome.  It didn't really hurt going in; I got it at my six week post-partum check-up, and it felt like a cervical check the doctor did during labor.  Apparently, it hurts less when your cervix is still soft, like during postpartum.  Also, I haven't had a period yet (which is AWESOME); no cramps, no bleeding, nothing.  And, it's a very "get it and forget it" type of birth control, which is also nice, plus it's more effective than the pill or condoms.  I'll only have mine in for 2 years max, but my insurance paid the whole bill, so I don't mind. 

     
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    troubled      

    Can you chart after pregnancy if you haven't gotten a period since giving birth?

     
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    Mrs. Spring    May 10, 2009   California

    Yeah, you don't have to have a period in order to chart because it goes off of the signs of ovulation like temperature shifts, cervical muccus consistency, and cervical position. 

    After we have our second baby, I'll probably resume charting because we want baby #2 and baby #3 close in age.  And i honestly prefer charting to other forms of bc, even though my IUD is pretty great.

     
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    We continue with NFP techniques and barrier methods right now.  I'm still interested in paraguard, but we're not ready to go there yet.

     
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    ladyox    May 16, 2010  

    My best friend swears by her IUD, I don't know the brand but it's copper and not hormones.    She got pregnant really quickly after taking it out the first time and had it put back in as soon as she got the all clear after having her son.  She LOVES is. 

     
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    daniellemybelle    June 19, 2010   Baltimore, MD

    "Coitus interruptus" as MightySapphire puts it (we just call it "pulling out"!) is only 85% effective even if you are diligent about it, so I would usually not say that is a good enough method, but combined with breastfeeding, I think you would be more than okay. Of course, that's if your husband will agree to it!

     
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    Janna19    June 7, 2008   New York

    @MightySapphire:From what I have read the whole point of the mini pill is that it doesn't intefere with milk supply - where did you hear that it will kill it?

     
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    Rgeddy    June 13, 2010   Raleigh, NC

    Honestly I can't believe anyone uses the pulling out method for real!  It just seems like the weakest method - if you can even call it that.  You can get pregnant from pre ejaculation the moment he enters you!  I would never trust it!

    I think a diaphram or condoms are the way to go.  They can be comfortable.

    we use the pill & condoms.  the only reason I have't gotten an IUD is that I wouldn't be able to participate in paid MRI studies! haha.

     
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    One2-Three4    June 22, 2001  

    After I have children, if I desperately do not want another one right away, I'm going to ask myself what is "worse" - getting pregnant right away, or using a condom? Yeah. Condoms will win.

    @MightySapphire - pre-ejaculate can cause pregnancy. Perhaps it hasn't gotten you pregnant in the past, but perhaps you've just been against the odds. As @daniellemybelle said, it's not 100% effective.

     
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    Roux    December 2, 2012   Ballarat, Australia

    I'm not pregnant of post partum, But I have a mirena IUD and I LOVE IT! I had it inserted to treat my endometriosis, and I have had no problems with it. I've also only had 1 period in 2 years, its wonderful!

    @One2-Three4: , @Rgeddy: The only 100% effective contraception is abstinence, and where is the fun in that? :-P, You'll notice also that MightySapphire mentioned that the method has worked well for them, and if it fails it won't be a disaster. Each to their own!

     
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    One2-Three4    June 22, 2001  

    @Roux, my point is that "coitus interruptus" as a birth control method has nothing to do with how "unselfish" your partner is, the fact of the matter is, pre-ejaculate is guilty of causing pregnancy as well. It's not a matter of how "considerate" your partner is.

     
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    cannotwait    February 1, 2009   TX

    @Janna19  I talked to my lactation consultant since my last post, and she also said mini pill affects your milk supply.  She emphasized to be careful on BC, because just because something/the pill is SAFE during breastfeeding doesn't mean it doesn't affect your supply.  She seemed to lean towards diaphram or IUD.  I'll ask my doc about both but am still leaning toward IUD.

     
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    caszos    June 2010   Florida

    There has already been a lot of talk on WB about the "pull out method".  Other people posted lots of studies that actually confirmed the pre-ejaculate doesn't contain anything that can cause pregnancy.  Only if having again afterwards might there be some left around. 

     
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    Roux    December 2, 2012   Ballarat, Australia

    @One2-Three4: And my point is that most people know that coitus interruptus isn't foolproof BC, MightySapphire mentioned that she knows that, but seeing having another baby soon wouldn't be unwelcome for her and her husband, they are happy to use that method.

    "We're using the same method we've always used.  Coitus interuptus.  ... we've never had issues.  We're also planning on trying to get pregnant again soon ... so if anything should happen ... we're still ok."

    If you don't want to use this method, thats fine, don't. I see your point about the risks this method carries, and I personally wouldn't use it, but I also think its important to respect other peoples choices about their fertility and contraception.

     
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    Buzzing bee
    JoesWifey    May 24, 2009   NYC/Wedding in Indiana

    I don't have any experience on the topic since I was never pregnant and haven't done any research on it, but I'm going to comment on the pull out method. Obviously, if you are dead set against having a baby at this point in time, then that is NOT a good method for someone. However, from what I have read (not being a doctor) the only way that pre-ejaculate can contain sperm is if the man has ejaculated recently (like, within a couple hours -not yesterday-) and he has not urinated since, then there could be left over sperm, as caszos said. My husband and I have done this a few times with no accidents or pregnancies, which is no guarantee that it will always work, but from our experiences, we've been no worse for the wear. That said, we're definitely aware of the possibility that it COULD still happen, as should anyone using this "method," (or for just having sex in general, even with contraception, but thats another topic) and if that turned out to be the case, we would have been ok with that. Since we would not be ok with that right now, we are not taking any chances. I see nothing wrong with someone doing this as long as they fully understand the possibility that I could happen and I don't think anyone needs to judge someone for choosing it.

     

    I would also suggest looking into the implanon. As someone else said it lasts up to 3 years. it's inserted in your arm so you don't have to worry about it. I'm not sure of its satefy with breastfeeding though, so ask your doctor. With the mini pill, you have to be dilligent about taking it every day at the same time (more so than the regular pill) or else the effectiveness really takes a hit.

     
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    cyneswith    May 14, 2011   Augusta, GA

    Wee bit of info on pre-ejaculate: http://www.sexhealthinplainenglish.com/men_articles/cowpers_gland_secretion/cowpers_gland_secretion.htm

    My guy and I used the pull out method for the first few months.  He wasn't exactly an old pro at sex, so it was far from the prudent option, but I didn't end up pregnant either.  My parents used the pull-out method plus timing around ovulation for a year (my brother was born a year, nine months, and two days after their wedding - right on schedule,) then a diaphragm after my brother was born (since periods et all were going to be unreliable), then a vasectomy after I came along.  

    A diaphragm or a sponge would be the recommendation my mom would give, so I figure I'll pass it along.

    (By the way, my mom and I only had the birth control conversation this year.  Eight and a half years after I started college.)

     

     
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    dchokiebride3    October 10, 2009   Washington DC

    I thought I would chime in only because I'm like 99% sure I got pregnant from pre-ejaculate.  One time without a condom + not "finishing" = DCHokieBride 5 months pregnant now.  I know it's probably rare but I'm proof it does happen.  But clearly everyone here is old enough and smart enough to make their own choices:)

     

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