When I went through training as a family planning counselor it was
recommended that women try a trial month on the mini-pill before going to the
depo-provera shot or norplant.  This would alert them to side effects and
enable them to make a decision before getting locked into a three month or
long term (not to mention expensive)  method that was not acceptable.  I find
that if I have the opportunity to discuss the potential for milk reduction
(however rare and regardless of what the manufacturer says) they look at this
option a little differently.  Unfortunately most LC's don't have the
opportunity to discuss family planning methods with mothers unless the damage
is done and there is a problem.

Denise Parker, BA, IBCLC