No period yet, but I've already started to think about birthcontrol options even though Ela isn't sleeping anywhere near 10 hours at a stretch. She still eats every few hours, but I just don't trust breastfeeding to keep me from getting pregnant again, so I talked to my Dr and decided to go with Mirena. I had it inserted last Thursday (so almost a week ago) and so far I have had a tiny bit of spotting and cramping but nothing bad.
However, I've just had a slightly uneasy feeling about the whole thing, so I got online and did some more "research" tonight and I'm surprised by what I found. My Dr told me that the level of hormone released by the Mirena was such a low level that it only works locally on the uterus. Well, according to the internet that's not true and it does in fact get into the breast milk. On top of that, the risk of uterine perforation is apparently increased for breastfeeding mothers, although I was "sold" the Mirena as an ideal form of BC for use while breastfeeding. I haven't been able to find actual numbers on the general risk of uterine perforation or the increased risk for bf moms. But even if it's really really low, if I happened to be one of the unlucky few I'd be screwed because I have no insurance and certainly can't pay for ultrasounds and CT scans and laproscopic surgery. Besides the fact that these complications can lead to infertility. I really wish I'd known all of this before I had the Mirena inserted!
DH and I talked about it tonight and although we REALLY don't want to get pregnant for at least another 2-3 years, I think we'd be more able to deal with an unintended pregnancy than the complications of perforation. And infertility would absolutely KILL me. We're sure that we want at least one more.
So now I'm leaning towards getting a diaphragm instead. I feel bad having the Mirena removed so soon after having it inserted though (we didn't have to pay for it, I'm covered under CA's Family PACT program.)
Mama to Conejita 2/2/10 and Little Stinker 6/28/13. Expecting a surprise in late March!