With my second child, I nursed exclusively.  I began taking the Progestin-
only pill at six weeks postpartum.  I did not menstruate until my daughter
was fifteen months old, at which time I returned to a normal ovulatory and
menstrual cycle.  I did not experience the decreased milk supply that it
seems most women do.
Because the Progestin-only pill contains the same amount of hormone for
every day (no placebo week as with the regular BCP), it does  not induce
menstruation.  From what I understand, the mini-pill only affects
fertility in that it thickens the cervical mucus to prevent sperm from
entering.  It does not regulate the menstrual cycle as the estrogen pill
does.

I am sharing this as personal experience, not as information that I
personally would share in counseling clients.  I just wanted to share that
I experienced LAM even while on the mini-pill so that it can be recognized
as one of the normal patterns.  (I want to add that I have no known
medical conditions and have experienced normal fertility throughout my
life.)

Christine Staricka
CLE, Nursing mom
Bakersfield, CA

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