Philippine Journal of Reproductive Endocrinology and Infertility 2020;17(2):50-54

Hormonal Contraceptives and Breastfeeding: A Review of Literature.

Stella Marie L JOSE 1 ; Ina S IRABON 2

Affiliations

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Keywords

Contraception; Progestin; Breastfeeding; Timing Of Contraceptive Method

Country

Philippines

Language

English

Abstract

The use of hormonal contraceptives in a breastfeeding patient has been questioned by breastfeeding advocates. Their fear was that hormonal contraceptives will affect the milk production of the patient. This review of literature showed that progestins do not affect breastmilk supply whether it is the progestin only pill (POP), depot medroxyprogesterone acetate, levonorgestrel-containing intrauterine system (LNG-IUS) or the etonogestrel implant (ENG). The timing of administration of the progesterone derivative contraceptive method also does not affect milk production, whether immediately postpartum (within 48 hrs after delivery) or delayed (4 - 6 weeks postpartum). With this in mind, clinicians may safely advise these to breastfeeding patients to prevent unplanned pregnancies.