A 27 years old P2L2 has come to OPD for contraceptive advice. She has delivered a male child 3 weeks back and is presently lactating. She has no contraindication of any hormone use. She can be given-
DMPA
Minipill
Levonorgestrol implants
Combined OCPs
Progestin-only Contraception methods do not impair milk production and are an excellent choice for lactating women. There are no increased risks of genital tract or breast neoplasia MEC 1 However, after the initial 6 weeks of delivery are over, use of IUCDs is equally good. OCP contain estrogens which significantly reduce breast milk production and are therefore contraindicated
Puerperium