There are a few things to consider. Above all, it is important to know that the most suitable pill to take during breastfeeding is the progestin-only pill, which has the advantage of not increasing the risk of thrombosis and not influencing the quality and quantity of milk.
If you decide to breastfeed, the combined pill, the ring or the patch can be used safely only after at least 6 months postpartum.
If you decide not to breastfeed, you can start taking the combined pill after a period of at least 3 weeks postpartum. This is because the risk of venous thromboembolism is high not only during pregnancy, but also during the first three weeks after birth, decreasing slowly after 3 weeks and returning to its baseline within 6 weeks. Alternatively, you can also choose the ring or the contraceptive patch.
In cases where after giving birth there is a risk of thromboembolism that is higher than normal (e.g. in the case of cesarean section, hemorrhage and/or postpartum transfusion, obesity, being a heavy smoker, a long period of immobility and other conditions), it is better to postpone taking estrogen-progestin contraception again for at least 6 weeks. In any case, it is important to consult your gynecologist.
