Can you get pregnant while breastfeeding?
Disease description:
I am 28 years old, four months postpartum, and exclusively breastfeeding my baby. My menstruation has not resumed yet. Recently, I had unprotected sex with my husband. My mother-in-law says that it is impossible to get pregnant while breastfeeding. However, my friend warned me about the risk, and I now feel confused. Is it really impossible to get pregnant during breastfeeding? Do I need to use contraception?
Doctor's answer (1)
Dr. Zhang Lu
During breastfeeding, women may become pregnant, although the hormonal changes during lactation can suppress ovulation. However, this is not a reliable method of contraception. Some women may resume ovulation within a few months postpartum without realizing it, and without proper protection, pregnancy is possible. Additionally, the frequency and duration of breastfeeding, as well as whether supplementary foods are introduced, can all influence the timing of ovulation resumption. Once a mother begins supplementing with other foods or the baby starts consuming solid foods, the inhibitory effect of breastfeeding on the ovaries diminishes, increasing the likelihood of ovulation. Therefore, breastfeeding alone cannot be fully relied upon to prevent another pregnancy.
It is recommended to consult a healthcare provider after childbirth to choose an appropriate contraceptive method, ensuring the body has sufficient time to recover and prepare for another child. If immediate pregnancy is not desired, barrier methods of contraception can be considered. At the same time, closely monitor changes in the menstrual cycle and record any signs of ovulation, such as fluctuations in basal body temperature or changes in cervical mucus. If planning for a second child, communicate with a healthcare provider in advance to assess whether the body is ready for another pregnancy. Maintaining a healthy lifestyle and properly managing breastfeeding and rest periods can aid overall recovery.
