Top 8 things to know about postpartum contraception

9 months without contraception is the good life. But hey, all good things come to an end. If you don’t want to get pregnant again within half an hour of giving birth (30 minutes is hardly an exaggeration) here is some information to know about postpartum contraception. Take out your pill packs and your IUDs, we’re going to talk about ovulation.

1. Ovulation can come back very quickly

You thought your ovaries were in the middle of the baby blues, your follicles with your feet fanned out, bubbling in a bubble bath? Nay! After giving birth, everyone gets back to work quickly, no time to watch a series on Netflix or eat sushi. Consequence: the first ovulation can take place 21 days after childbirth. Contraception is not necessary before this time (but you still have to find the energy).

top 8 things to know about postpartum contraception

2. The postpartum consultation takes place between 6 to 8 weeks after delivery

You thought you were rid of the gynecologist? Not so fast. A postpartum consultation is organized between 6 and 8 weeks after childbirth so that a health professional observes the healing of your genital system (but now your interior has no secrets for anyone) and prescribe birth control for you. How do we do before? We abstain or we use condoms.

3. Sex after childbirth shouldn’t be an extra strain on women’s bodies

Depending on the delivery and its complications (caesarean section, tearing, episiotomy), you may need more time before a first report (we are reassured, the hymen does not grow back, no resurrection at horizon). If the postpartum appointment takes place after 6 weeks, it is also because we consider that your body and a fortiori your vagina needs a little break before resuming service. Take your time: going too fast means you risk getting stuck or worse, hurting yourself.

top 8 things to know about postpartum contraception

4. On average ovulation returns 45 days later

The first postpartum period usually occurs 6 to 8 weeks after the baby is born. This is what is poetically called the return of diapers, the bleeding is generally more abundant and longer than “normal” periods (O joy). And we’re not talking to you about lochia… brownish discharge that follows childbirth and which bears the name of an aquatic insect.

5. Breastfeeding delays the return of diapers

In case of breastfeeding, the return of diapers is later (Amen!). It is thanks to prolactin, a hormone that we secrete when we give the breast that the process is stopped. The return of periods can happen right after breastfeeding ends, but it can take longer and occur quietly up to three months after breastfeeding has stopped. Lady Arryn must have saved quite a few cents on sanitary napkins.

6. Breastfeeding defines the type of contraception

Not all pills are compatible with breastfeeding! Because they distribute hormones, they can have a negative effect on lactation but also poison (even in small quantities) breast milk. In addition, contraceptives containing estrogen-progestins should be avoided.

top 8 things to know about postpartum contraception

7. IUD insertion is possible postpartum

It is possible to have an IUD (hormonal or copper) inserted three weeks after vaginal delivery. On the other hand, in the event of a caesarean section, you have to wait… 6 months.

8. The absence of periods does not mean that the menstrual cycle is on hold

Can the cycle be on when you don’t have your period? Eh ? What ? And yes, you have to have a doctorate in biology to understand the menstrual cycle. In short, be aware that if the return of diapers announces the return of monthly hassles, the absence of periods does not mean that you are not ovulating. In summary, you can (re) get pregnant without having your period. I know, it’s complicated.


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