Many of the consultations that midwives receive in the consultation are referred to the contraceptive methods to use in the postpartum, its advantages and disadvantages.
Popularly, there is still the belief that during the first 40 days - the famous quarantine - penetrative sex should not be had. Today it is recommended that the abstinence time be during the time that the woman expels lochia. Later it will not be necessary. But if you want to avoid pregnancy, it will be necessary to take into account if you are breastfeeding or how long it has been since giving birth
Here you have a series of contraceptive methods. Its use or not will depend on several factors:
1. Male / female condom:
There is no problem, if you are breastfeeding you may notice more vaginal dryness, consider using a lubricant that is compatible with the material from which the condom is made
2. Hormonal contraceptives:
In general, no hormonal method is recommended for the first 6 weeks postpartum, if you are breastfeeding. After these, it is only recommended not to use the combined pill, until the first six months postpartum have passed.
In the event that you are not breastfeeding, any hormonal contraceptive method can be used at any time except the combined pill, which is contraindicated for the first 21 days.
It will depend on whether the IUD is hormonally loaded or not. If you do not have it, you can insert the first 48 hours postpartum. Both IUDs can begin to be used from 4 weeks postpartum.
4. Lactation and amenorrhea method (LAM):
It is based on the fact that the prolactin levels produced in women by exclusive breastfeeding prevent ovulation. For the method to be effective:
- The baby must be less than 6 months old.
- The mother must continue without menstruation.
- Breastfeeding on demand and exclusively
For any questions, consult your midwife, she will be able to advise you in a more personalized way about the most recommended method for you.
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