Can You Use Plan B While Breastfeeding? Navigating Emergency Contraception
Yes, you can use Plan B while breastfeeding. Plan B, a form of emergency contraception, is generally considered safe for breastfeeding mothers, as minimal amounts of its active ingredient pass into breast milk.
Understanding Plan B and Emergency Contraception
Plan B, also known as the morning-after pill, is a form of emergency contraception designed to prevent pregnancy after unprotected sex or contraceptive failure. It contains a high dose of levonorgestrel, a synthetic progestin hormone similar to the progesterone produced naturally by the body. Emergency contraception is not a regular form of birth control and should not be used as such. Regular birth control methods are far more effective and should be the primary choice for preventing pregnancy.
Is Plan B Safe for Breastfeeding Mothers?
The primary concern for breastfeeding mothers is whether the medication will be passed to the infant through breast milk and what, if any, effects it may have. Studies have shown that only a very small amount of levonorgestrel is transferred into breast milk after taking Plan B. This amount is considered to be insignificant and unlikely to harm the baby. Most healthcare providers agree that Plan B is a safe option for breastfeeding mothers who need emergency contraception.
How Plan B Works
Plan B works primarily by:
- Delaying or preventing ovulation: The high dose of levonorgestrel can prevent the release of an egg from the ovary.
- Interfering with fertilization: Plan B may also affect the sperm’s ability to reach the egg or hinder the egg’s ability to implant in the uterus.
It’s important to note that Plan B is most effective when taken as soon as possible after unprotected sex, ideally within 72 hours.
Potential Side Effects for the Mother
Like any medication, Plan B can cause side effects. These are generally mild and temporary. Common side effects include:
- Nausea
- Vomiting
- Headache
- Fatigue
- Dizziness
- Breast tenderness
- Changes in menstrual bleeding
These side effects usually subside within a day or two. If vomiting occurs within 2 hours of taking Plan B, another dose may be necessary. It is best to consult with your doctor or pharmacist.
Impact on Breast Milk
While the amount of levonorgestrel that passes into breast milk is minimal, some mothers choose to pump and dump their breast milk for a specified period after taking Plan B as a precaution. However, major medical organizations do not recommend this practice. The Academy of Breastfeeding Medicine specifically addresses emergency contraception and states that there is no need to interrupt breastfeeding after taking Plan B.
Alternatives to Plan B
Other forms of emergency contraception exist, including the copper IUD. The copper IUD is highly effective and can be inserted up to five days after unprotected sex.
| Emergency Contraception Method | Effectiveness (when used within specified timeframe) | Requires Prescription? | Safe for Breastfeeding? |
|---|---|---|---|
| Plan B (Levonorgestrel) | Up to 72 hours after unprotected sex | Over-the-counter | Yes, generally considered safe |
| Copper IUD | Up to 5 days after unprotected sex | Yes | Yes, highly effective and safe |
Timing and Effectiveness
The effectiveness of Plan B decreases with time. It is most effective when taken within 24 hours of unprotected sex and becomes less effective as time passes. Taking Plan B beyond 72 hours after unprotected sex may significantly reduce its effectiveness.
Frequently Asked Questions (FAQs)
Can You Use Plan B While Breastfeeding? Is there a specific age limit for babies?
No, there is no specific age limit for babies regarding the use of Plan B by breastfeeding mothers. The amount of medication transferred into breast milk is considered minimal and safe for infants of all ages, including newborns. However, always consult with your doctor if you have any specific concerns.
Will Plan B affect my milk supply?
Plan B is unlikely to significantly affect your milk supply. The high dose of hormones could potentially cause a temporary decrease in milk production for some women, but this is typically not a long-term issue. Continue breastfeeding regularly to maintain your milk supply.
Is it necessary to pump and dump after taking Plan B?
No, it is not generally necessary to pump and dump after taking Plan B. Major medical organizations, such as the Academy of Breastfeeding Medicine, do not recommend interrupting breastfeeding after taking Plan B. The amount of hormone transferred to breast milk is considered insignificant.
What if my baby has a reaction after I take Plan B?
While rare, if you notice any unusual symptoms in your baby after taking Plan B, such as excessive fussiness, diarrhea, or vomiting, contact your pediatrician immediately. Although, it’s crucial to remember that these symptoms are unlikely to be related to the Plan B.
How soon after taking Plan B can I breastfeed again?
You can breastfeed immediately after taking Plan B. There is no need to wait.
Does Plan B protect against sexually transmitted infections (STIs)?
No, Plan B does not protect against STIs. It only helps prevent pregnancy. If you had unprotected sex and are concerned about STIs, get tested.
If I take Plan B while breastfeeding, when will I get my next period?
Your next period may be earlier, later, or on time after taking Plan B. It can affect your menstrual cycle. If you don’t get your period within a few weeks of when you expect it, take a pregnancy test. Confirming you are not pregnant is essential after taking Plan B.
Where can I purchase Plan B?
Plan B is available over-the-counter without a prescription in most pharmacies.
Does Plan B always work?
No, Plan B is not 100% effective. Its effectiveness depends on how quickly you take it after unprotected sex. It is less effective for women with a higher body mass index (BMI).
Can I take Plan B more than once in a cycle?
While technically possible, taking Plan B multiple times in a cycle is not recommended. It’s much less effective and can significantly disrupt your menstrual cycle. Regular birth control is a better option.
Are there any long-term effects on my baby if I take Plan B while breastfeeding?
No long-term effects on the baby are expected when a breastfeeding mother takes Plan B. The amount of medication that passes into breast milk is minimal.
What other questions should I ask my doctor?
Discuss any existing health conditions, medications, or allergies you have with your doctor. You should also ask about effective and reliable methods of contraception to prevent future unintended pregnancies. Discussing different forms of birth control can provide peace of mind and ensure you choose a method that suits your lifestyle and health needs.