Doctronic

Best Birth Control Methods for Breastfeeding Moms

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 26th, 2026.

Key Takeaways

  • Lactational amenorrhea method offers up to 98% effectiveness for the first six months

  • Progesterone-only pills are generally safest for breastfeeding mothers

  • Hormonal contraceptives can potentially impact milk supply

  • Consult with a healthcare provider for personalized recommendations

Navigating birth control while breastfeeding can feel like walking a tightrope. New mothers need contraception that protects against pregnancy without compromising their ability to nurse. Fortunately, multiple safe options exist that can help you maintain both your reproductive health and breastfeeding goals.

Understanding how different contraceptive methods interact with breastfeeding is crucial. Hormonal changes during lactation create unique considerations that require careful evaluation of birth control choices.

Lactational Amenorrhea Method (LAM)

The lactational amenorrhea method represents a natural birth control approach for new mothers. When practiced precisely, LAM can be up to 98% effective in preventing pregnancy. To qualify, mothers must meet specific criteria: exclusively breastfeeding a baby under six months, feeding every four hours during the day and every six hours at night.

Progesterone-Only Pills: The Breastfeeding-Friendly Option

Progesterone-only pills (POPs) are typically recommended for nursing mothers. These birth control alternatives provide contraception without significantly impacting milk production. Important considerations include:

  • Must be taken at exactly the same time daily

  • Recommended start time is 3-6 weeks postpartum

  • Minimal risk of reducing milk supply compared to combined hormonal methods

Combined Oral Contraceptives: Proceed with Caution

While newer guidelines suggest combined oral contraceptives can be used after six weeks, many healthcare providers remain cautious. The risks of birth control for breastfeeding mothers include potential milk supply reduction.

Long-Acting Reversible Contraception (LARC)

LARC methods offer extended protection with minimal daily management. Options like intrauterine devices (IUDs) and implants provide reliable birth control options for breastfeeding mothers.

Comparing Breastfeeding-Compatible Contraceptives

Method

Effectiveness

Milk Supply Impact

Start Time Postpartum

Progesterone-Only Pill

91-99%

Minimal

3-6 weeks

Copper IUD

99%

None

Immediate

Hormonal IUD

99%

Minimal

4-6 weeks

Implant

99%

Minimal

4-6 weeks

Frequently Asked Questions

Can breastfeeding be a form of birth control?

Yes, through the lactational amenorrhea method, but only if specific conditions are met.

How soon after delivery can I start birth control?

Typically 3-6 weeks postpartum, depending on the method and individual health circumstances.

Will birth control affect my milk supply?

Progesterone-only methods are least likely to impact milk production.

Are there non-hormonal options?

Copper IUDs and barrier methods like condoms are excellent non-hormonal choices.

What if I notice changes in milk supply?

Consult your healthcare provider immediately and consider alternative contraception.

The Bottom Line

Choosing the right birth control while breastfeeding requires careful consideration of individual health factors. Skip the waiting room. Get answers in minutes with Doctronic.

Related Articles