I cringe at the idea of women messing with their reproductive hormones right after birth; how can we think/say that this will not affect lactation, which is part of the same system, at all? And while I have heard the claims of increasing milk supply, I have yet to hear the rationale explained technically--- can someone out there explain what active part of the drug acts as a galactogogue? Meanwhile, there are some contrary anecdotes of negative impacts on milk supply, and since this form of BC is not easily reversed, I hesitate strongly to recommend it. While we will all agree that breastfeeding is not a form of contraception per se, the protective effects are so high in the initial period when exclusive and unrestricted bfg are practiced that there is little need for such aggressive and irreversible coverage. The studies I have read emphasize this and recommend that mothers understand that adding BC is usually doubling their coverage and is not their "only" safety net. I try to persuade moms who wish to use hormones to wait three months and use mechanical secondary coverage during that time rather than play roulette; the risks of messing with their body are higher than the "risks" they are taking in combining excl bfg and barrier devices, IMHO. -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************