Postpartum Contraception: When to Start and Which Method to Choose

1. Why plan contraception early

Ovulation can return before your first period, often around 6 weeks if not breastfeeding and sooner with partial breastfeeding. Waiting at least 18-24 months between births helps you recover and lowers risks in the next pregnancy.

2. Common methods

• Condoms: usable as soon as intercourse resumes, with no effect on breast milk.
• Progestin-only pill, implant or injection: suitable while breastfeeding, discuss with your doctor.
• Intrauterine device (IUD): highly effective, can be fitted 4-6 weeks after birth as advised.
• Combined estrogen pill: usually delayed until after 6 weeks and carefully considered while breastfeeding.
• Lactational amenorrhea (LAM): works only if the baby is under 6 months, exclusively breastfed and your periods have not returned.

3. When to start

Discuss it with your doctor at the 4-6 week postnatal check. Not wanting another baby right away is completely normal. Choose a method that fits your health, habits and family plans.