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Breastfeeding and Fertility: The Dynamic Duo Every Mom Should Know

How Does Breastfeeding Impact Your Menstrual Cycle?

The Role of Prolactin: The Key Hormone During Breastfeeding


Discover how breastfeeding affects your menstrual cycle and how the Symptothermal Method can help you maintain natural control over your fertility.

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World Breastfeeding Week, celebrated each year from August 1 to 7, is a perfect time to dive into a crucial topic for moms: breastfeeding and fertility. For many women, the breastfeeding period raises questions about how this natural process can affect their reproductive health. It’s essential to understand how breastfeeding not only nourishes your baby but also plays a key role in your menstrual cycle and your ability to conceive again.


OK so, how does breastfeeding impact your menstrual cycle?

During breastfeeding, a hormone called prolactin is produced by the body. This hormone is responsible for milk production and also suppresses ovulation. This means that many women who exclusively breastfeed don’t ovulate during the first few months after giving birth. This phenomenon is known as lactational amenorrhea.


Breastfeeding and fertility are intrinsically linked through this natural process. The absence of ovulation is one way the body protects itself from an immediate pregnancy after childbirth. However, it’s important to note that breastfeeding isn’t a guarantee that you won’t ovulate or get pregnant again. The return of menstruation varies widely among women, depending on how often and how long you breastfeed, as well as other individual factors.


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The Lactational Amenorrhea Method (LAM): A Natural Ally

The Lactational Amenorrhea Method (LAM) is a natural family planning method based on the relationship between breastfeeding and fertility. For LAM to be effective, certain criteria must be met:


  1. Exclusive Breastfeeding: The baby must be fed exclusively with breast milk, with no other foods or liquids.

  2. Less than Six Months Postpartum: The method is most effective during the first six months after childbirth.

  3. No Return of Menstruation: The mother must not have had her first postpartum period.


When these criteria are met, LAM can be up to 98% effective as a contraceptive method. This means that only two out of every hundred women using LAM correctly might get pregnant in the first six months after giving birth.


Breastfeeding and Fertility: What Happens After Six Months?

As your baby grows and starts eating solid foods, breastfeeding frequency usually decreases, which can lead to the return of ovulation and eventually, your menstrual cycle. At this point, many women wonder how to continue managing their fertility naturally. This is where the Symptothermal Method becomes an invaluable tool.



Integrating the Symptothermal Method During Breastfeeding


The Symptothermal Method is a natural family planning method that combines tracking basal body temperature, observing cervical mucus, and noting other fertility symptoms to identify the fertile days of your menstrual cycle. During breastfeeding, your menstrual cycle might be irregular or even absent, making the Symptothermal Method especially useful for those wanting to avoid or plan a pregnancy naturally.


How the Symptothermal Method Works During Breastfeeding

  1. Basal Temperature: Basal temperature can be trickier to interpret during breastfeeding since ovulation may be unpredictable. However, a sustained rise in basal body temperature usually indicates that ovulation has occurred.

  2. Cervical Mucus: Cervical mucus is a key fertility sign. During breastfeeding, you might notice changes in mucus consistency as your body prepares to ovulate again. Learning to identify these changes is crucial for effectively using the Symptothermal Method.

  3. Secondary Symptoms: Additional symptoms like breast tenderness or changes in libido can also provide clues about the return of fertility.

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Breastfeeding and Fertility: Myths and Realities

There are several myths surrounding breastfeeding and fertility that can confuse new moms. Here’s a breakdown of some common misconceptions:


  • Myth: “You can’t get pregnant while breastfeeding.” Reality: While breastfeeding can suppress ovulation, LAM is only recommended during the first 6 months with exclusive breastfeeding. Ovulation can occur before you notice your first postpartum period, meaning you could get pregnant without realizing it. The Symptothermal Method is especially useful for detecting the return of fertility and confirming ovulation when it happens.

  • Myth: “Your fertility won’t return until you stop breastfeeding completely.” Reality: Many women experience the return of fertility while still breastfeeding. This might happen gradually, with irregular cycles at first, but it eventually normalizes.

  • Myth: “The Symptothermal Method isn’t reliable during breastfeeding.” Reality: Although breastfeeding can complicate interpreting fertility signs, the Symptothermal Method remains a valid and effective option when used with knowledge and attention. Specific rules help you determine your fertile window with more confidence and clarity. I recommend using it with the guidance of a certified instructor like me..


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Tips for Using Natural Family Planning Methods During Breastfeeding


For moms who want to use natural family planning methods like the Symptothermal Method or LAM, here are some practical tips:


  1. Education: Make sure you’re well-informed about how each method works. Consider taking a course or consulting a natural fertility specialist for personalized guidance.

  2. Consistency: Regularly monitor your fertility signs, even if your cycle is irregular or hasn’t fully returned.

  3. Patience: The return to fertility can vary widely. Don’t get frustrated if your cycle doesn’t follow a predictable pattern.

  4. Communication: Talk with your partner about your family planning goals and ensure you’re both on the same page regarding the methods you're using.



Conclusion: Breastfeeding and Fertility, A Natural and Conscious Journey

Breastfeeding and fertility are deeply connected on the journey of motherhood. Understanding how breastfeeding affects your menstrual cycle and how to use natural methods like the Symptothermal Method and LAM empowers you to make informed decisions about your reproductive health. During World Breastfeeding Week, celebrate not only the nutrition and bond you provide for your baby but also your ability to manage your fertility naturally and consciously.


Remember, every woman is unique, and what works for one might not be the best option for another. The most important thing is to choose an approach that makes you feel confident and empowered on your motherhood journey.


Resources:

  • World Health Organization (WHO): Breastfeeding Guide.

  • Prolactar RD: Support and Resources for Breastfeeding Mothers in the Dominican Republic with International Virtual Care.

  • La Leche League International: Support and Resources for Breastfeeding Mothers.



Disclaimer:

This blog provides general information and discussions about health and related topics. The information shared on this website or in any linked material should not be considered or used as a substitute for advice, diagnosis, or medical treatment. In case of medical concerns, it is recommended to consult a healthcare professional for personalized advice.

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