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Just wondering what you mamas are planning to do (if anything) for birth control after this baby is born?<br><br>
I have a really intense (possibly irrational?) fear of getting pregnant again really soon after Brynn is born. DH and I seem to be extremely fertile (2 unprotected sexual encounters at ovulation = 2 pregnancies), so I am worried that I might get pregnant during that small window when I first begin to ovulate again but before my first post-partum period shows up. I know the chances are small, but it's enough to make me feel like I need a plan.<br><br>
Charting won't work because I won't know until *after* I ovulate that I've ovulated, and condoms are really unrealistic because DH and I both hate them. So that leaves either the pill or abstainance, neither of which are appealing. I was on the pill for about 15 years before I finally got off, and I really feel that I don't want to put the synthetic hormones back into my body, but I also kind of think that maybe I could do it for a few months and it wouldn't be that big of a deal. But is it harmful (for the baby) to be on the pill while breastfeeding?<br><br>
So...I don't know. What is your strategy?
 

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There is one pill that is safe during breastfeeding. Your health care provider should be able to provide info on that.<br><br>
I can understand your concern - I knmow a few people who got pregnant before they even got their first period back after delivering. But all nursing moms are different - I know women who had their periods within 6 weeks of delivering who were nursing as much as women who didn't get their periods back for 2 years.<br><br>
You can look at the other non-hormonal methods, like diaphragm or a spermicide. I know Planned Parenthood recommends the IUD and I have a friend who is using one and loves it. I might consider it.<br><br>
Personally, we are looking at vasectomy for DH, because we feel that a family of 4 is right for us.
 

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Well, breastfeeding is *reasonably* effective at delaying fertility, provided you nurse very frequently (I will try to dig up the reference for this but it seems that the frequency, not the total amount, is the key to delayed fertility) and that you have a normal to low body fat percentage. Breastfeeding is not as reliable a contraceptive in women who have more than (I think?) about 20-25% body fat because there is no biological "need" to delay fertility; technically, they have the resources to handle closely spaced pregnancies.<br><br>
I've always heard that it was safe to take the pill while breastfeeding though. I personally wouldn't, because synthetic hormones do very bad things to my system, but if you can tolerate the pill and your care provider is comfortable with it, I'd say go for it. Another option is an IUD; I had one for a couple years after DH and I got married because there was no other option for us (latex allergy, can't take pill, irregular cycles...). It wasn't too bad. I wouldn't say it was perfect - I got period cramps for the first time since high school, and occasionally it would get bumped during sex and that was uncomfortable, and I had an irregular pap right after it was removed, but overall, definitely a good thing.
 

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We're going in for the Big Snip Snip. For him, not me.<br><br>
After the first baby, our trusted form of BC was withdrawal. I've heard all the arguments, and I quit telling my ob/gyn to spare myself the lectures... All I can say is - it worked for us, for five years! When we stopped using this method, whammo - pregnant. So we figure we're of the Fertile People and need a very reliable, failsafe method after this baby is born.<br><br>
(yes, I know even vasectomies are not 100% - but they're MORE 100% than most other forms, which we would either use poorly or not at all)<br><br>
BTW: I got my period back at 18mos PP, when I nightweaned. So that seemed to make some sort of difference for my body.
 

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Yep, withdrawl here, too. Worked for us for 4 years, and the two "misses" (or I guess they would be hits) resulted in two pregnancies. I'm not saying I put my faith in this method -- I don't put my faith in any of them -- but that is most likely where we'll be postpartum.
 

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Just a word of caution on the pill - many pills run the risk of decreasing your milk supply. My OB prescribed a lower-level pill that wouldn't mess with my milk supply... but then suggested that we use a back up form of bc until I had been on that pill for 3 months, aaargh! So, if supply issues factor in at all for you, be careful.<br><br>
But this reminds me that I have to have this discussion with my MW at my next appointment - I've heard great things about the new IUDs, and I'm wondering how soon after birthin' out my babe I can have one inserted - does anyone know?
 

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*Amy*, I could have written your post! I too know that I am extremely fertile, have a HUGE fear of getting pg again "too soon", don't trust charting (don't see how knowing I am just about to ovulate or have ovulated is going to help me with those sperm that can hang around for up to 5 days, plus the whole idea of not being "on birth control" scares me to death & I think I'd be distracted by my own pregnancy paranoia so much I couldn't even enjoy sex), AND I've been on the pill for 15 years also, minus my 3 pregnancies & I too have decided that that's probably *plenty* of time to have shoved hormones in my system. The whole theory that the longer you are on the pill the greater your chances of getting breast cancer is scares me away from them at this point.<br><br>
But, I have no idea what I'm going to do instead!!! And it's so stressful.<br><br>
I was thinking diaphragm, but just yesterday spent a little time doing BC research online & read that it's only around 80% effective. I pondered the IUD, but I have this weird fear of having that THING stuck inside my uterus! It sounds scary & painful! And I think the thread from it hangs down into the vagina which gives me images in my head of this like fishing wire cutting DP's weiny head off or something horribly painful.... ugh, I don't know. THEN I was thinking about the Nuva Ring. I'm going to read some more about that. Supposedly it releases a small fraction of the hormones the pill does. I want to research what folks have said about any hormones AT ALL & breast cancer. One site I came across said that the Ring isn't good to use while breastfeeding but that confuses me because I was on the pill all the while I bf my other 2 kids & there's so much more hormones in them ? Arg, so overwhelming.<br><br>
I breastfed exclusively both my kids until they were 15/16 months, & both times started my period right back up, totally regularly, 8 weeks post partum. Fertile much?? :LOL<br><br>
I'd love to hear more from all of you about what your plans are. And I need to sit in front of this glowing screen & read about all of the pathetic choices out there for about a zillion hours so I can make up my own mind, too.
 

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But this reminds me that I have to have this discussion with my MW at my next appointment - I've heard great things about the new IUDs, and I'm wondering how soon after birthin' out my babe I can have one inserted - does anyone know?</div>
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I think after you stop bleeding? We tried the new IUD (Mirena) but it fell out after a few days. That was an expensive mistake...apparently they recommend it more for people who've had at least two children already - something about the uterine strength?
 

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Aubrey, I am also totally freaked out by IUDs. I'm sure that I would think it hurts, even if it didn't; just the idea of it being in there would cause me pain! :LOL<br><br>
Well it looks like withdrawal might be our method of choice too, maybe along with some spermicide (that stuff is SO messy though, and it burns!). It's frustrating...there's just no real easy choice. This being only our first child, neither DH nor I would be ready to choose a vasectomy or tubal ligation. I'm kind of jealous of you who can do that!
 

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No intercourse itself until husband gets... "snip snip." Best way to be 100% safe. We have other ways of having fun. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/whistling.gif" style="border:0px solid;" title="whistle">
 

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Count us as another withdraw couple! I had the same feelings of going back on the pill, so that wasn't an option. Condoms are not realistic for us when we're catching a quick minute here and there between waking babies, and the IUD made me nervous because there was a chance of not getting pregnant after it was removed. We are also quite fertile, two leave-it-ins and two kids!<br><br>
This time, perhaps in a few months/year, I will do the IUD, depending on what we are thinking about adding another little bean to the family eventually. Oh, and I got my period back exactly 6 weeks after I delivered! I think the reason we were comfortable with withdrawl is because while another baby right away was not at all ideal, it wasn't the end of the world either. We could deal. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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Can you imagine the gynecologists shuddering in horror while reading this thread? All these withdrawal women, completely deluding themselves! All the guilt and tut-tutting and rolling eyes still didn't change their minds...the female gyns were the ones who were the worst about it.<br><br>
Sorry. I'm a little catty about it all, after hearing lecture after lecture, like I might be the most stupid woman on earth...which I might well be, but not on this front. "Lucky" for five years in a row - I only wish I had jackpot odds like that!
 

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Big concern for me, too- thanks for bringing it up- I was going to at some point! We are totally not unplanned pregnancy type people or ones who want kids really close together! (Although of course we'd love an accept whatever we got b/c wonderful surprises do happen!)<br><br>
It seems like every option I'd consider has it's downsides and isn't ideal! I was on the pill for 8 yrs before having ds, no problems whatsoever, it was great. Then started the minipill (that's the one for BF moms) at 6 weeks pp and it was fine for a year- never got my period back or any fertility signs for an entire year, even though ds nightweaned at 6 mos and for the last few mos. I was only nursing 1-2x per day! (I feel so guilty- so many moms get their periods back while nursing round the clock or even tandem nursing!)<br><br>
Then I went back on the regular pill and it was HORRIBLE- tons of side effects, bleeding all during the month, infections, miscarriage, etc- NEVER again will I use the pill or any hormonal methods!<br><br>
Plus, all the charting I"ve done to get pg has really opened my eyes and given me a new appreciation for my body- I don't want to suppress it- I want it to do it's thing and know where I"m at in my cycle!<br><br>
It's not just charting or knowing when you'll ovulate to prevent pregnancy- b/c as pp's have said, that wouldn't help with the long-lived sperm! it's also monitoring the other fertility signs to detect approaching fertility days before you O- cervical position, cervical fluid. Then you can abstain or use another form of BC during any 'unsafe' times. I'm not an expert on lactation and fertility, but I hope to study it a lot more before the time comes and do this plus use condoms during unsafe days. And I never considered using a diaphram before but now it seems like it may be a possibility.<br><br>
The thought of an IUD just scares the heck out of me...a piece of foriegn object inside my uterus...I'd be terrified at every cramp and twinge! I sure hate condoms, but I'd also hate to do withdrawal, too!<br><br>
Ugh, why does it have to be so complicated????
 

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Flyingspaghettimama: The picture of that will have me grinning for a week. Anything you all can do to piss off the gynecologists has my 110% support. We'd try withdrawl, but I'm kind of tempted to say "screw it" and just not bother with BC at all... it took 18 months, and a ton of medical intervention -both western and chinese- to start this baby, and I can't imagine another one getting started without the same sorts of procedures! I don't know that I'm foolhardy enough to try it, yet but it's DAMN tempting. Perhaps we'll temp for a while and see what happens.
 

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I have the Mirena IUD and I can tell you this:<br><br>
1.Generally, I am not aware that it is there, but if I bend deeply or at an odd angle, I get a sharp twanging pain.<br>
2.A few times (too many in our opinion) the string has injured DH (and uhm...dh is not shall we say all that anatomically gifted in that department so that was not the issue)<br><br>
However, I have not had abnormal cramping, periods are very light if existant at all.
 

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Belleweather said:
Flyingspaghettimama: The picture of that will have me grinning for a week. Anything you all can do to piss off the gynecologists has my 110% support. We'd try withdrawl, but I'm kind of tempted to say "screw it" and just not bother with BC at all... it took 18 months, and a ton of medical intervention -both western and chinese- to start this baby, and I can't imagine another one getting started without the same sorts of procedures! QUOTE]<br><br><br>
You never know, maybe once your body has done this once, it may be a lot easier next time!<br><br>
And anything that pisses off doctors is a-ok in my book! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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When I became pregnant with my dd when I was 16, I had skipped 3 BC pills so we decided that, to be safe, while I was visiting her bio dad for the weekend, that we'd just have oral. Then, just before we left we decided we'd have intercourse just once, but standing up and with him pulling out. We did, he pulled out, & my dd was conceived. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/upsidedown.gif" style="border:0px solid;" title="upsidedown"><br><br>
I personally will not ever try the pull out method. :LOL
 
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