My professional and personal opinion:
Breastfeeding mothers should avoid any hormonal birth control (including
IUD's with progesterone and minipills) for at least six months.
There may not only be possible decreased milk production, but also
quantitative and qualitative changes in the components of breast milk with
hormonal birth control.
The body naturally decreases progesterone supply after birth so that milk
production can be maintained.
The prevention rate for conception is as good or better with total
breastfeeding than with hormonal birth control.
The answer seems so simple, yet it gets so complicated.
Frank J. Nice, DPA, CPHP

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