Not all methods are equally suitable – An exhausting birth, a newborn who wants to be cared for around the clock, as some couples may not even care about birth after birth.
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Is contraception necessary after birth?
The menstrual period has not yet returned; you may be breastfeeding your baby. Breastfeeding causes prolactin to be released. The hormone is responsible for milk production:
The more breastfeeding, the higher the prolactin level and the lower the activity of the ovaries.
Theoretically, you can not get pregnant at all if you are fully breastfeeding? That is only partially true.
Despite the limited activity, ovulation can re-emerge within a few weeks of childbirth and the menstrual period sets in again after that. Also, the prolactin level decreases when the gaps between breastfeeding are even greater.
Therefore, a new pregnancy without contraception cannot be ruled out. If you do not breastfeed or not fully, you must start from a possible earlier and higher fertility anyway.
Find a suitable method
There are many ways of contraception. However, not everyone is right after birth or ideal for nursing mothers: On the one hand, the method should be as safe as possible, on the other hand, you and the baby will not hurt. There are also other factors to consider.
Consider whether you want to get pregnant again shortly, or if you have a child planned. How disciplined are you and how important is spontaneity? Has become a regular gain menstrual cycle set? Also to be considered are any allergies and medication income as well as the costs associated with contraception.
The pill is considered quite safe. A condition for the reliability is the regular ingestion. Moreover, the effect must not be affected by medicines or a disease.
There are combination preparations of estrogen and progestin. These are by no means recommended to breastfeeding mothers because their milk production and quality is impaired and the baby would absorb some of the hormones through breast milk.
Alternatively, the so-called mini-pill, which contains only progestin offers. This does not affect milk production, but part of it is also delivered via breast milk.
In addition to the regular pill, there is the option of a three-month syringe – the hormone preparation is injected under the skin every three months. An implant has an even longer effect, which is placed under the skin of the upper arm and releases small doses of progestogen up to about three years.
After a similar principle and for about five years, the hormonal spiral acts. This is used directly in the uterus and gives off small amounts of progestin.
The amount is even lower than the implant, as it exits directly “on the spot.”
The copper spiral is made of a flexible material, which is surrounded by copper wire. It is inserted into the uterine cavity, where it releases small amounts of copper for about two years. This affects so on the uterine lining and the environment that the spermatozoa no longer reach the oocytes. The insertion costs about 180 euros.
Seed killing methods and barrier agents
In the pharmacy, you will receive suppository suppositories and sponges for vaginal insertion before sexual intercourse. These contain a seed killing agent which is released after injection. While a suppository dissolves, the sponge must be removed after a few hours. The costs depend on the manufacturer and the packaging unit but are not very high.
The term barrier means diaphragm, portiocap and lea are summarized. All three methods work on the same principle: they are inserted vaginally before sexual intercourse and sit – assuming a correct application – in front of the cervix. Thus, they prevent the penetration of spermatozoa, almost like a condom. For safety’s sake, a seed-killing gel may be applied before insertion.
Dealing with these cap-like contraceptives requires some practice. The costs are approximately between 25 and 50 euros.
Another type of barrier agent is the condom. The man on the erect penis pulls this and also prevents the penetration of the spermatozoa when used correctly. A condom is already available for less than one euro.
Temperature and Billings method
Both are not contraception in the strict sense, but the determination of the fertile days for abstinence.
The temperature method measures your body temperature every morning at the same time. After ovulation, this increases by about 20 percent for three days. This procedure only requires a digital thermometer and discipline, but is quite uncertain:
Ovulation has already occurred when the temperature rises, and disease can lead to fluctuations at any time.
In the billings method, the mucus of the cervix is checked daily for its consistency. Before ovulation, this becomes glassy and thinner – a sign of the fertile days. After four to five days, the consistency changes again. Again, strict discipline is required, and experience and a regular cycle are beneficial for the correct assessment. Absolute security is not given here either.
This is probably the safest method of contraception, but also a definitive measure: you can cut through the fallopian tubes or your partner, the vas deferens. The procedure is complex but unique.
Special features after pregnancy
If hormone supplements are chosen for contraception, breastfeeding mothers are always at risk for the baby.
Another problem is the not yet healed uterus, which is noticeable by the weekly flow. Invading germs find here an ideal breeding ground; it can come to infections. For this reason, physicians generally advise against intercourse without a condom during the first weeks after birth.
But even if the week flow is over, the uterus can still be very sensitive, which is why the insertion of a spiral is often only months later possible. The still irritated intimate area can also complicate the introduction of barrier agents, these are also not always perceived as pleasant. The same applies to the ingredients of suppositories and sponges.
Any method used immediately before sexual intercourse requires adequate resources and spontaneity to suffer.
The postpartum constitution differs from woman to woman, and the sexual preference is different for each couple, so there is no patent solution to the correct method of contraception.
If you are unsure, you can contact a gynecologist. He advises you, taking into account the individual circumstances, which method of contraception is suitable and informs you from when an application is eligible.
Surveillance options at birth
- Diaphragm, Portiocap, Lea
- Suppositories, sponges
- hormone preparations
- Temperature and Billings method