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How do I use contraception while breastfeeding?

How do I use contraception while breastfeeding?

I've heard that you can't get pregnant while breastfeeding, so some couples let go of their guts and enjoy themselves to make up for the gap during pregnancy, without even using birth control. So, is it true that you can't get pregnant while breastfeeding? Can you take birth control pills while breastfeeding? What should I do if I get pregnant while breastfeeding? This series of questions below Kiki's mom one by one for you to reveal. ♥Can you get pregnant while breastfeeding?01.Can you get pregnant while breastfeeding?You can get pregnant while breastfeeding. Many new moms think that breastfeeding is just as impossible to get pregnant as the safe period. This is actually false because a woman's fertility is only reduced during breastfeeding, it does not mean she is infertile. So why can you get pregnant while breastfeeding? How is pregnancy related to menstrual flow and eggs?

  Generally, a woman's fertility decreases while breastfeeding, but she is still fertile. While a mom may not get her period for months after giving birth, your body will usually ovulate your first postpartum egg before your first period returns. That means you won't know you've ovulated until your period returns two weeks later. And until then, if you are sexually active and not using birth control, you could become pregnant while breastfeeding. When a woman is breastfeeding, ovarian function is suppressed and pregnancy is theorized to be less likely.

  If you are exclusively breastfeeding and breastfeeding day and night, you may not get your period for up to a year after giving birth. If your baby slept through the night earlier in the month, your fertility will more than likely return faster. This is usually within 3-8 months postpartum. This is also true if your baby is a mixed feeder.  This means that if your baby breastfeeds more frequently, the later your period may return. Experts believe that this is because breastfeeding prevents your body from producing hormones that promote ovulation. But if you're using breastfeeding as your only means of birth control because of this, be very careful. For breastfeeding to be effective as a means of birth control, you also need to follow the Breastfeeding Amenorrhea birth control method, which does not simply require exclusive breastfeeding, but also requires that you fulfill two other conditions, one being within six months of giving birth, and the other being that you don't get your period. However, even if you fulfill all three conditions, there is still a possibility, albeit a small one, that you could become pregnant while breastfeeding.


  To summarize, even if you are exclusively breastfeeding, you may start ovulating as early as 3 months after delivery. Therefore getting pregnant while breastfeeding is not impossible. If you want to make sure you don't get pregnant while breastfeeding, use birth control when having intercourse.02.What are the symptoms of pregnancy while breastfeeding  Do you notice when you are pregnant while breastfeeding? Does breastfeeding pregnancy also include dizziness, drowsiness, mild bloating and increased discharge? These are not the most obvious symptoms of pregnancy, so what are the symptoms of breastfeeding pregnancy? Here is a closer look!

 1, the most obvious symptom is the reduction of milk. The main symptoms of breastfeeding pregnancy are a decrease in milk secretion, a deepening of the skin coloration of the nipple and its surroundings, nodules showing around the areola, and a significant decrease in the nutrition of milk.

 2. General pregnancy symptoms. Breastfeeding pregnancy will appear general symptoms of early pregnancy, such as stopping menstruation, vomiting, dizziness, drowsiness, slight bloating, increased secretions and other symptoms, but can not be based on these symptoms to determine whether the pregnancy, if the menstruation for more than a week did not come to the blood HCG test or test paper to clearly diagnose whether the pregnancy.

  3, late menstruation may also be pregnant Oh. Breastfeeding is generally six months after the return of menstruation, there are some delayed recovery, if not menstruation, then the chances of pregnancy is very large, but also breastfeeding endocrine level disorders, resulting in the possibility of menopause. If you suspect pregnancy, you can use early morning pregnancy test paper to do a check, morning urine is more accurate, or directly to the hospital for examination.

 Female friends, in order to their own health and the health of the fetus, it is best to do a good job of contraception during the breastfeeding period, if your first child you are a normal birth need to be one year before reproducing, if belong to the cesarean section need to be three years before reproducing.

Dr. Clove is here to answer that question.

For women who are breastfeeding, contraception is an issue that cannot be ignored. Many people think that just because they don't have a period means they don't need to use contraception, which is really naive!

Here's what you need to know about breastfeeding birth control.

I. Do I need contraception while breastfeeding?


Need!

The first postpartum ovulation often occurs before the first menstrual period, so the return of menstruation should not be taken as a reliable indication of the start of contraception.

The average time for a mother who is not breastfeeding to ovulate for the first time after giving birth is 45 to 94 days, with the earliest being 25 days.

Breastfeeding mothers, on the other hand, although ovulation is suppressed, it is also affected by the extent of breastfeeding, individual differences in mothers, and other factors. Despite the low rate of conception while breastfeeding, ovulation cessation may only occur if all of the following specific conditions are met:

  1. Less than 6 months after delivery;

  2. Exclusively breastfeeding, i.e. no food and other fluids are given to the baby;

  3. There was no resumption of menstruation.

When these conditions are met, the contraceptive rate for breastfeeding is approximately 98%.However, if these conditions are not fully met, the risk of an unplanned pregnancy while breastfeeding is high.

The risk of intrauterine growth restriction, preterm labor, premature rupture of membranes, and placental abruption is higher when the interval between pregnancies is too short, so contraception is advisable if there is conjugal life, even if there is no menstruation.

Second, breastfeeding contraception, which methods can be chosen?


1. Condoms

Condoms are the preferred method for breastfeeding moms.However, due to objective factors such as improper use, the effectiveness of condoms is actually only 82%.

2. Intrauterine devices

Intrauterine devices, commonly known as 'IUDs', are more effective. Breastfeeding mothers may choose to use a copper-containing one (e.g. TCu380A) or one that releases levonorgestrel (e.g. Mannitol).

The WHO recommends that breastfeeding women have a levonorgestrel-releasing IUD inserted at least 4-6 weeks after delivery, and there is no evidence that it has any effect on the quantity or quality of breast milk.

Of course, there are differences between domestic and foreign countries. Domestic baby daddies are relatively "modest and patient", plus 6 weeks after delivery is the puerperal period, coitus is not recommended, and the need for contraception at this stage is relatively low.

In addition, there is a risk of uterine perforation if the IUD is inserted while breastfeeding, and it takes 6 months for the IUD to be removed before you can get pregnant again.So all you moms out there should still think carefully about choosing this option while breastfeeding.

3. Progestogen-only contraceptives

If hormonal contraception is to be used, progestin-only pills (e.g., short-acting oral contraceptives, long-acting contraceptive injections) are the method of choice for breastfeeding mothers, with a cumulative 3-year failure rate of only 0.7%, which is the same as that of the IUD.

There is no evidence that progestogen-only contraceptives affect the volume of breast milk, its composition or have harmful effects on infants.

However, there is some controversy about when exactly you should start using it:

CDC Medical Eligibility Criteria consider it safe for use by postpartum women, including breastfeeding mothers, and can be used immediately after delivery.

The manufacturer's drug insert recommends starting the medication at 6 weeks postpartum if the mother is exclusively breastfeeding, or at 3 weeks postpartum if infant formula supplementation is used.

The WHO also recommends that breastfeeding women start using oral, injectable, or implantable progestin-only contraceptives at 6 weeks postpartum.

Of course, most people probably didn't have intercourse at all before this, and there's no need to dwell on it too much.

Another disadvantage of the long-acting progestin injection is the long time it takes to return to childbearing. If injections are stopped in preparation for pregnancy, 50 percent of women will become pregnant within 10 months of the last injection; however, a small number of women will not become pregnant until 18 months after the last injection.

4. Contraceptives containing estrogens and progestins

The WHO recommends starting this form of contraception 6 months after delivery.

Drugs containing estrogen and progestin can inhibit milk production in the early postpartum period and can increase the risk of postpartum embolism.

After all that, you're probably getting a little tired of it, I get it, what you want to know most is ......

III. Which contraceptive method is right for you?


All of the previously mentioned contraceptive methods are optional.

However, no method of birth control is perfect; it's important to consider the pros and cons and then choose the kind you can use consistently and correctly.

It's good to ask yourself these questions:

  • How effective is this approach?

  • Is it convenient? Can I remember to use it?

  • Is it acceptable to both sides?

  • Is it a reversible method? Can I get pregnant immediately after discontinuing it?

  • Will this method cause me to have heavier or lighter periods?

  • Are there side effects or potential complications?

  • Is it an affordable method?

  • Is there protection against STDs?

Also, no method of contraception is foolproof.

So here's the question ......

IV. What should I do if regular contraception fails?


If a condom breaks or slips, or if you miss a short-acting contraceptive pill, it is time to consider emergency contraception.

Currently available methods of emergency contraception include intrauterine placement of a copper-containing birth control device or the emergency contraceptive pill.

Intrauterine devices:

The most effective method of emergency contraception needs to be placed within 5 days of the "incident".

Emergency contraceptive pills:

This includes progestin-only preparations such as yohtex (levonorgestrel) or mifepristone.

  • Mifepristone is a medication that is contraindicated during breastfeeding.

  • Although the instructions for Yuktin say that it can be excreted in breast milk and that breastfeeding women are advised to stop using it for at least 3 days, foreign data also show that the use of levonorgestrel emergency contraceptive pills by breastfeeding women has no effect on breastfeeding or the baby, and that there is no need to stop breastfeeding. However, mothers who are concerned should stop using it for 3 days according to the instructions.


Content references are to Dr. Ding's science articles:Breastfeeding birth control, read this article is enough!

Author / Peng Ting丨Doctor of Fudan University Obstetrics and Gynecology Hospital

Editor / Lee Bad

Principles:Choose contraceptive methods that are safer, stable and reversible.



condoms

Condoms are more convenient and also reduce the risk of postpartum endometritis and sexually transmitted diseases. However, there is a point that the vagina of breastfeeding mothers is relatively dry, and using condoms may be uncomfortable, which requires the use of lubricants, but choose a water-soluble lubricant to avoid damaging the latex, resulting in rupture.

Note also that condoms must be worn the whole time, that is, from the moment of contact, because a small amount of sperm has already been expelled before ejaculation.

Placement of intrauterine devices (IUDs)

The IUD is also a long-lasting reversible, simple and convenient method of contraception that is reliable.

Time for an IUD:

Mothers who have had a normal delivery can have the IUD placed right away as long as there is no post-partum infection, while mothers who have had a cesarean section will have to wait until six months after the operation to have the IUD placed.

However, if it is placed immediately after delivery, because the uterine cavity has not yet returned to normal, it can easily lead to dislodgement. It is recommended to put on a fixed type such as the Gini ring, that is, there is a hook hooked on the uterine wall, which is not easy to dislodge.

Mothers who have had a cesarean section can also have a fixed birth control device placed at the same time as their surgery if they choose to do so.

sterilization

If you no longer want to have a baby and are pretty sure you don't want one, or if your circumstances don't allow you to get pregnant again, such as having had two cesarean sections, it would be dangerous to get pregnant again, an irreversible method of contraception is available, which is sterilization.

This procedure can be done at the same time as a cesarean section, or as soon as 6 hours after delivery if you give birth on your own.

Of course, sterilization is not completely irreversible, except that sterilization performed in hospitals nowadays will cut off part of the fallopian tube, and the success rate of recanalization will be reduced, so do not choose this method of contraception if you have not thought about whether or not you will still want to have a baby.



Can not use contraceptive pills for contraception, because contraceptive pills contain estrogen and progesterone derivatives, etc., these substances into the mother's body, on the one hand, will inhibit the production of lactogen, so that the secretion of breast milk is reduced; on the other hand, the active ingredient in the contraceptive drugs will enter the baby's body with the milk, the baby's growth and development is unfavorable.

You can have sex as soon as 6 weeks after giving birth, but be aware that you can get pregnant even if you don't have your period while breastfeeding, and pregnancy in the short term can be very harmful to the mother's reproductive health, so it's important to use contraception from the first time you have intercourse.

In summary, you are breastfeeding, and mothers can only use emergency contraception by taking the emergency contraceptive pill and breastfeeding their babies for three days.

After pregnancy, you will be breastfeeding, and sexual intercourse is prohibited for three months during the breastfeeding period. Because the contraction of the uterus has not yet healed, especially for the cesarean section of the maternal needs of a longer time to recover, during the period of menstruation, you can orally "mom fulong", a day a piece of breast milk to the baby without side effects, but also to ensure that the couple's feelings of fish and water pleasure, such as the need for contraception is mainly in the form of a condom is safer.

Emergency measures to be taken within 72 hours



How should I use contraception while breastfeeding?

A good number of women who are breastfeeding will consider themselves not having resumed menstruation as equivalent to not ovulating, so what methods of contraception should be used by women in labor, and will taking birth control pills have any effect on breastfeeding?

Duan Tao: At this stage of the postpartum period, our general recommendation for contraception is still called barrier contraception. That is to say, it is better to use condoms. Because you breastfeeding, you go to take the pill, which has estrogen is not appropriate, is not good for the child. If you stop breastfeeding, the time will be different for everyone, some people are 4-6 months, some are a year, some are still breastfeeding for a year and a half, and some even breastfeed for two years. Condoms are still the mainstay throughout breastfeeding, so what can you consider if breastfeeding stops? You can put an IUD in, you can take the pill, it's all possible, all kinds of contraceptive options are available. But in the postpartum period, during the breastfeeding period, it is generally recommended to use condoms.

Do I still need to breastfeed if I have my period after giving birth?

Most people do not menstruate when breastfeeding, but a few people will menstruate, some people will say menstruation, is not breastfeeding will not be toxic, or what is not good ah, in fact, there is no such thing, menstruation and the quality of breast milk does not have anything to do with the rumors of a folk. This is a popular rumor. So, if you should breastfeed, you should still breastfeed.

(From: Dr. Duan Tao)

More pregnancy treasures to follow "Southern Health"Headlines, search for related "New Postpartum Care Scriptures for Millions of Pregnant Moms

If you have intercourse while breastfeeding, you can get pregnant as well. As you are weak after giving birth and your baby is still small, it is recommended that you always use contraception while breastfeeding to prevent unwanted pregnancies that can catch you by surprise.

The most effective and safest measure for contraception while breastfeeding is still to wear condoms.100% contraceptive as long as there are no slips or holes during intercourse.

The least recommended contraceptive during breastfeeding is oral contraceptive pills, which can affect the quality of breastmilk. If oral emergency contraception is needed for an accidental contraceptive failure, the mother should express breast milk for 2 days.

Before the popularization of contraceptive methods, we would like to remind our girlfriends that even without menstruation during the breastfeeding period, as long as there is sex, it is also possible to get pregnant, especially for women who are not breastfeeding, ovulation tends to resume earlier, and it is necessary to take good contraceptive measures. So how should you use contraception while breastfeeding?

1. With a condom

Condoms are the best choice of contraception for breastfeeding women. In addition to contraception, it also effectively prevents infection and transmission of bacteria, fungi, trichomonas, protozoa, gonorrhea, and viruses, preventing sexually transmitted diseases and saving the reproductive tract, which is weak in resistance after childbirth, from infection.

2. Intrauterine devices

Intrauterine device (IUD), commonly known as "IUD", is highly effective and can remain in use for 5-10 years.WHO recommends that breastfeeding women have an IUD that releases levonorgestrel at least four to six weeks after delivery, and there is no evidence that it has any effect on the total quantity and quality of breast milk. The IUD should be placed only six months after a caesarean section.

3. External contraceptives

Topical contraceptives are surfactants that interact with the protein membranes of sperm cells, altering the permeability of the spermatogonia, thereby killing the sperm and achieving contraception.External contraceptive pills have a contraceptive effectiveness rate of 94%-97%. Oral contraceptives are not recommended because they contain testosterone, progesterone, and estrogenic derivatives, which inhibit the production of prolactin, reduce milk production, and are also detrimental to the growth and development of infants.

4. Contraceptive vaginal ring

The contraceptive vaginal ring is a gentle, transparent ring with an outer diameter of 5.4 mm and a 92% success rate in preventing pregnancy. It is placed only once a month and can be easily inserted into the vagina by the woman herself, after which no other contraception is required.

Breastfeeding after childbirth suppresses ovulation and has some contraceptive effect, but this contraceptive effect is not 100 percent effective. It is advisable for all women to start contraception from the first sexual intercourse after delivery.

Instructor: Dr. Tengfei Long, Attending Physician, Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University.

Specialties: menstrual disorders, infertility, benign gynecological diseases, gynecological endocrine diseases, pelvic floor dysfunction diseases. Such as polycystic ovary syndrome and other endocrine diseases, uterine fibroids and other benign gynecological diseases, leakage of urine, uterine prolapse and other pelvic floor disorders of surgery and rehabilitation.

Learn more about health science, stay tuned:Medlink Media

Dr. Li Xiaocui, Deputy Chief Physician of the Family Planning Department of Shanghai First Maternity and Infant Health Hospital, introduced:

The most suitable methods of contraception during breastfeeding are intrauterine device (IUD), subcutaneous implantation of contraception, condoms and external contraceptive pills, safe period contraception, use of compound oral contraceptive pills and compound contraceptive injections are not recommended. However, if the mode of delivery is cesarean section, the contraceptive method is not recommended to use IUD, because IUD may cause damage to the wound of cesarean section, or it may lead to drenching menstruation, it is better to consider subcutaneous implantation of contraception. Subdermal implants are removed after about three years, just in time to plan for a second child. Subdermal implants are a more efficient form of birth control and still have a relatively high success rate of 99%. Although subdermal implants are hormonal birth control with a small amount of progesterone, don't worry, it doesn't affect estrogen levels in your body. As opposed to an unplanned pregnancy after your cesarean section, if the pregnancy is on the cesarean section scar, it is very dangerous and prone to hemorrhage, you will need to do an embolization, which will have an impact on the uterus and the person's physiological function, and once it happens, the consequences are unimaginable.

I'm going to take a bite out of33There's always a question about contraception that you want to know!

Hold on to your seat. It's not the kindergarten bus today.

- 01 -

Q:What's the most effective form of birth control? Is it condoms?

A:Check out this graphic ......

Translated from American College of Obstetricians and Gynecologists【1】

The value of the percentage is the number of contraceptive failures per 100 persons over a 1-year period when the corresponding method of contraception is used.

For example, in the penultimate row, "male condoms, 18%".

It means that with this form of contraception, about 18 out of every 100 people fail to use contraception in 1 year. So it can also be assumed that the male condom, as a form of contraception, is about 82% effective.

- 02 -

Q:Condoms are only 82% so low? Impossible! I don't believe it! I don't believe it! I don't believe it!

A:The results depend on the actual operation.Condoms come in different sizes.Too big or too small will increase the contraceptive failure rate, and you should choose the right SIZE, gay men!Don't be "blindly confident"

Also, there is a "proper use" of condoms, so don't just rush, read the instructions first!

Q:Do condoms come with instructions?

A:Of course! For those who don't know, are you exposed sen mo......

- 03 -

Q:So the more effective method of contraception is?

A:The first line of the picture, "subcutaneous implant, IUD, ligation", is currently considered a very effective method of contraception.

Q:What about counting safe periods?

A:Good luck ...... As for men who say things like, "Don't worry, I won't be she in there" - Mushroom, there are two books you can read:

- 04 -

Q:Does breastfeeding mean you can't get pregnant?

A:That's not necessarily true.

The statement that you can't get pregnant while breastfeeding is not accurate.It's true that breastfeeding suppresses hormone levels in a woman's body, but that doesn't necessarily mean that she won't ovulate; it's still possible to ovulate without you realizing it.

Theoretically, high breastfeeding and amenorrhea do have a high contraceptive effect【2】However, there are still many mothers who are breastfeeding and have not yet resumed menstruation who are "lucky winners".

- 05 -

Q:How can you get pregnant when your period hasn't recovered yet?

A:Of course you can. Ovulation precedes the appearance of your period.

- 06 -

Q:So when should a mom who has had a baby start using birth control?

A:Start by having sex!If you have resumed your sex life and have no plans to have another baby, you should take care of your birth control.

- 07 -

Q:I haven't weaned yet, will it matter if I get pregnant again?

A:Getting pregnant again while breastfeeding may cause problems such as a decrease in milk supply, so whether or not you are planning to get pregnant again, you should go to the hospital in time for a checkup to confirm your pregnancy and your health.

- 08 -

Q:What is the best way to use birth control while breastfeeding?

A:Condoms are recommended.

- 09 -

Q:What about birth control pills? Can I take it while breastfeeding?

A:If you are taking birth control pills, there is a single oral contraceptive pill with very low dose of progesterone, which can be used during breastfeeding. Unfortunately, there are no such pills available in China.

Domestic available "combined oral contraceptives containing estrogen" are not suitable for continuous use during breastfeeding. Therefore, in conclusion.For breastfeeding contraception, condoms are recommended.

- 10 -

Q:What if you don't use a condom and do what you love to do ......?

A:If you have resumed menstruation before and are experiencing delayed periods again, rush to the hospital. Still, it is advisable for moms and dads not to have unprotected sex so as not to be caught off guard.

- 11 -

Q:What about the emergency contraceptive pill? Is it bad for you?

A:Common emergency contraceptive pills are "high-dose potent progestin", absorption and metabolism faster, 24 hours after the body is basically cleared, the occasional use of a time, do not have to be too nervous.

However! Emergency contraceptive pills should only be used in "emergency" situations and are not recommended.

- 12 -

Q:While breastfeeding, can I take emergency contraceptive pills?

A:The ingredients in emergency contraceptives can enter breast milk, and while there are no clear studies on whether they can have adverse effects on babies, these medications have a greater impact on a woman's hormone levels, so using them more than 2 times a year, whether or not you are breastfeeding, is generally not recommended.

- 13 -

Q:I took the emergency contraceptive pill and found out I'm still pregnant, does it matter?

A:Generally, the fetus can be retained in the occasional case of contraceptive failure with the use of emergency contraceptive pills.

However, you should seek prompt medical attention, talk to your doctor, carefully explain the timing and dosage of the medication, and ask for an evaluation.

- 14 -

Q:How can I use birth control when I am not breastfeeding?

A:Placing an IUD, taking the pill, and using a male condom are the more common methods used today.

- 15 -

Q:Which birth control pill is better?

A:There are so many types of birth control pills. Nah, these are, and there are plenty of them in the country ......

You can't just say "which pill is best".

If you are considering using this form of contraception, you need to be examined by an obstetrician/gynecologist to see which one is most suitable, and then make a decision after that.

- 16 -

Q:Don't they sell birth control pills at the drugstore? Why go to the hospital?

A:It is not recommended to buy and use on your own, it is best to be checked by a doctor first.

- 17 -

Q:What did the doctor say? They give me some birth control pills?

A:It's to check your body ...... Everyone's health is different, whether the medication is right for you, whether you can take it for a long period of time, and what you need to be aware of must be discussed with your doctor first, so see your OB/GYN.

Also note that if you have other medications that you are taking at the same time, inform your doctor as well, as some medications can reduce the effectiveness of oral contraceptives.

- 18 -

Q:Is there any harm in taking birth control pills for a long time, side effects or anything?

A:The principle of action of oral contraceptives is that estrogen and progesterone are orally absorbed to increase blood concentrations, and negative feedback inhibits the hypothalamic gonadotropin-releasing hormone ...... is it too difficult?

In a nutshell.Oral contraceptives are safe to take for long periods of time.When taken correctly, contraception can be more than 90% effective. It is a good choice for contraception for non-lactating women.

- 19 -

Q:So breastfeeding moms can't take the pill, can't take emergency contraception, can't be left unguarded ...... can only use condoms?

A:While breastfeeding, consider using an IUD, commonly known as an "IUD".

- 20 -

Q:Can I have an IUD while breastfeeding?

A:Yes, with medical advances, there are many different types of "rings" available, so talk to your doctor to see which one is best for you.

42 days after delivery, the uterus is recovering well;Six months after cesarean sectionIf the uterus recovers well, the IUD can be considered for contraception.

- 21 -

Q:"Is it possible to get pregnant again after an IUD?

A:Yeah, but the odds are really slim. Have you seen the famous "Don't fuck with me" photo? It's a nurse posing, but it's so cute!

The baby holding the birth control device. It's a posed picture.

If you suspect that you have won the lottery after using an IUD, go to the hospital immediately to confirm the situation.

Typically, in the presence of a copper ring or IUD, the foreign body can restrict and interfere with the normal development of the fetus, so your doctor may recommend considering a termination of pregnancy.

- 22 -

Q:Some people say that people who are on time for their period can be very accurate in counting their safe periods?

A:If you have a stable period and are skillful in the "fire", you can have a reliability of about 76%. But it also means that there is a 24% failure rate.

Success or failure, it's a matter of "life and death" ......

- 23 -

Q:There are a lot of weird birth control methods circulating on the internet, standing up and popping, flushing with water and whatnot ......

A:Don't toss it. Tadpoles can swim a lot faster than you think.

- 24 -

Q:What about drinking coke to kill sperm?

A:Hahahahaha, it's true that drinking coke makes you fat.

- 25 -

Q:And they say that peeing right after a fap will get the *** out ......

A:Failed Physiology and Hygiene class, recommended to be repeated. Appraisal complete.

- 26 -

Q:Is it an excuse for a man to say he's allergic to condoms?

A:Allergies to condom use do exist.

Condoms are a rubber product, and some people are allergic to rubber products; in addition, most condoms are coated with lubricants, and a very small number of people are also allergic to such substances.

If an allergy is suspected, you should discontinue use, try switching to a non-rubber condom brand, or change birth control methods.

Whether it's an excuse or not, you'll just have to judge for yourself.

- 27 -

Q:Why is it that women are the ones who have to use contraception? Women are the ones who have to use IUDs and pills, and women are the ones who have to bear the burden when they fail. Are there any male methods?

A:Condoms are the most common and best method of contraception for men. Other than that, there is sterilization!

- 28 -

Q:Is ligation okay? Will it just ...... you know ......

A:Know what you want to ask. It's the vas deferens that are ligated, not the testicles that are cut off, and it has no effect on your sex life.

- 29 -

Q:It really won't?

A:Look at the picture ......

- 30 -

Q:Are there any after-effects? Like when you get old?

A:Medical research in this area is still ongoing and inconclusive.

However, it is reassuring to know that the ligation technique in regular hospitals only amputates the vas deferens and has no effect on other parts of the body.

If you're worried about male ligation, you can actually have female ligation as well.

- 31 -

Q:What? How and where do women tie it?

A:Women can have their tubes tied. There are different techniques, look at the picture ......

- 32 -

Q:Forget it, the details are not very want to know ...... what to do if you regret your ligation? Can it be saved?

A:Depends on the method of ligation, but frankly, it's really hard to completely unclog it.

If you really want to save it, you can consider IVF, but it's complicated, and you must consult and have the procedure done at a regular, assisted reproductive technology-qualified hospital.

- 33 -

Q:So to summarize, the 100 percent effective method of birth control is?

A:If I were to say "100 percent," it would be, no! Snap!

Notes:

All content in this article about medication use comes from the advice and guidance of Pang Yi, Director of Pharmacy at Yukon Clinic.

References:

[1] American College of Obstetricians and Gynecologists Guidance on Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancies

[2] Zhu Li, Study on contraception for lactational amenorrhea, China Modern Physician, August 2007, Vol. 45 (12)

my editor said

To summarize:

In order to avoid unexpected surprises, having sex requires contraception.

For contraception during breastfeeding, condoms are recommended, and methods such as IUDs may also be considered.

Many people think that they don't need birth control because they don't get their period while breastfeeding, which is a mistake.



Do I need birth control while breastfeeding?

It is true that breastfeeding women are affected by the hormones in their body, which inhibit ovulation, and it is not easy for them to get pregnant. However, the absence of menstruation does not mean that there is no ovulation.

Medically, the ovaries are ready to ovulate about 42 days after delivery. Usually, women who are not breastfeeding can resume ovulation and menstruation 8 to 12 weeks postpartum, while breastfeeding moms will have a slight delay in resuming normal ovulation until about 18 weeks postpartum.

A word of caution: if you ovulate an egg occasionally during this period and happen to be without contraception, you can get pregnant unexpectedly.

Therefore, breastfeeding women also ovulate and need contraception.



How do I use contraception while breastfeeding?

Oral contraceptives are not recommended during breastfeeding, some European and American countries have special oral contraceptives for breastfeeding women, which are rarely seen on the market in China, in order to avoid the drug affecting the baby through the milk, or try to use other contraceptive methods.

  • Condoms: Condoms are preferred for contraception during breastfeeding. The use of condoms for contraception will not affect the mother's endocrine system or interfere with the quality of her milk, and it is also a good method of contraception.
  • Intrauterine birth control: Generally, women who have a normal delivery can have the ring placed 42 days after delivery, when the uterus recovers better after review, and caesarean sections need to be about six months after delivery.
  • Emergency Contraceptive Pill: In case you forget to use a condom, or if you are not taking any contraceptive measures, or if the condom falls off or breaks, it is advisable to take the emergency contraceptive pill orally, but you need to stop breastfeeding for about 3 days after taking the pill.



If you have an unwanted pregnancy while breastfeeding and do not intend to have a child, it is recommended that you terminate the pregnancy as soon as possible. If you choose a medication abortion, you need to stop breastfeeding for about a week, and if it is a surgical abortion, which is a more risky procedure medically, try to go to a regular hospital and find an experienced doctor.

That's why it's a good idea for breastfeeding women to come prepared and use birth control if they have no plans for a second child in the near future, when couples applaud their love.

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