BTDT: Extended BFing and BC

iVillage Member
Registered: 09-12-2008
BTDT: Extended BFing and BC
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Tue, 06-21-2011 - 10:11am

This is kind of a part 2 to my previous thread - 'What the heck'. I don't mean to exclude anyone here but I really need responses from BTDT's that are extended BFing only to make an accurate decision.

As I just updated in my previous thread, I had my appt with the OB today. She basically said that I'm no longer protected on the minipill and that I either need to stop BFing (which is out of the question), or switch to another form of BC. She is recommending the Mirena IUD since it supposedly won't affect my milk supply but still provide protection. I have to see if it will be covered under our insurance, otherwise she said it's about $700. I'm going to have a chat with DH about it soon so we can figure out what to do.

I would love to just ditch BC altogether and go back to FAM, but we do not have maternity coverage at the moment (as most of you are previously aware) so we absolutely cannot afford an oops right now, otherwise I'll be having a homebirth and praying I don't need to be transferred to a hospital, lol! We don't use condoms because DH has ED issues related to his prostatitis (sp?),

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iVillage Member
Registered: 08-04-2003
Tue, 06-21-2011 - 12:22pm
I had Mirena put in 6 weeks PP with Ray. It didn't affect my ability to BF. It worked wonderuflly and I loved it for the first 3 years, the next 2 years were iffy. Then I had it replaced and a new one put in, and that just sucked as I put on a ton of weight and was always PMSing, but never had AF. Would I use it again, probably, but only for a few years.

Theodore was conceived within our first week of trying, my IUD was removed 3 months before that. So no affect fertility wise, my periods came back and on cylce right away.

Does your insurance cover it? When I had my second one put in my DR had to jump through hoops to get it covered (it had to be billed for heavy periods, not BC).

Also, I have problems w/ getting them removed my OB needs to soften my cervix to do that. Putting it in is not an issue however.
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iVillage Member
Registered: 10-15-2001
Tue, 06-21-2011 - 1:20pm
I have no solid knowledge of IUDs, but I can certainly vouch for FAM. We have been doing FAM/ NFP for all but the first 3 months of our 10 year marriage (excluding pregnancies), and we've never had even a near "oops." If you are really following the rules for prevention and you give yourselves a wide margin for error, you can feel very secure with FAM. When done correctly, it's as effective as other forms of birth control.

All that being said, I know every couple is different. Some might get swept up in the moment more than others! ;) I totally understand what you are saying about condoms. Been there!
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Avatar for berry81
iVillage Member
Registered: 02-27-2008
Tue, 06-21-2011 - 1:25pm

*For those of you who are extended BFing (past one year), what are you currently doing for BC?

I have not had a PP AF yet, so perhaps my situation is a bit different...?

iVillage Member
Registered: 10-11-2005
Tue, 06-21-2011 - 3:12pm
We did NFP after both Desmond and Eloise's birth and the plan is the same with Sully, until DH gets snipped. That being said, we did not have to worry if we had a slip up since we did have maternity coverage. Which was good because I counted wrong and here is Sully *grin*.

I have heard mixed reviews about the Mirena, about half the people I know who have it love it, the other half hated it/had it removed. It would probably be what I was looking into if I was going to use birth control again, because I hate the pill. Well actually I would probably look into the copper IUD with no hormones, but the same basic concept.

I have not heard of it affecting your milk supply and after a year of nursing I would be less worried about it, then I would be pre-12 months, but that is just me. It might be good to contact one of your local LLL leaders and see if they have any information about it as well.



Thank you for the sig Mary

iVillage Member
Registered: 04-29-2008
Tue, 06-21-2011 - 5:32pm
*For those of you who are extended BFing (past one year), what are you currently doing for BC?
I used NFP/FAM when I was BFing Evan until we TTC. We had no problems, but I also realized once we were TTC that my body won't allow me to get PG until I am only BFing twice a day--any more than that and I had a chemical pregnancy that month.

*For those of you who have the IUD/Mirena, how do you like it? I've never tried it (BCPs have too many hormones for me) but a lot of the Moms in Evan's PG had issues with the Mirena-- a few switched to a different nonhormonal IUD that they liked better.
iVillage Member
Registered: 08-24-2005
Tue, 06-21-2011 - 7:52pm

I did EBF, but I used condoms, so my experience is not very useful.
I agree with Erica, the FAM, if well used, is really effective, at least more than condoms.
The thing is that not every couple can use it effectively, some tend to get carried away in the moment, in other cases the woman has trouble charting and so on.

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Avatar for berry81
iVillage Member
Registered: 02-27-2008
Tue, 06-21-2011 - 10:12pm
"(yes, i'm that close to my mom!LOL)"

LOL, that's cool Mari! I'm close to my mom, too, but we haven't made it to that topic so specifically yet... :)

iVillage Member
Registered: 08-24-2005
Wed, 06-22-2011 - 7:24am
Poor mom... I've asked her some really embarrasing questions over the years!!!! I'm glad she always answered them, it really helped me have a healthy mindset about sexuality and motherhood.

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iVillage Member
Registered: 09-12-2008
Wed, 06-22-2011 - 2:16pm

Thanks so much everyone for your contributions. Very helpful (and some humorous, lol!)

DH and I talked briefly about it last night, didn't have a lot of time since he had school, but he is surprisingly on-board for doing FAM for the next few months! I was shocked! We're hopeful that I'll have a job with benefits soon, if not then we'll have to revisit the issue again, but I'm definitely not going for the IUD (or seeing that OB again).

I did send the same note out to my LLL group and they basically concurred with what you guys said here. My leader did say there are other kinds of pills out there that don't affect milk supply so I'm going to meet with her this weekend to go over the ones in her meds/BFing book.

So final question, since I'll be done with my pack in less than 2 weeks, should I finish it up, or just stop taking them altogether? I'm still having cramping and occasional light bleeding so it's definitely still causing havoc to my system.

Thanks!

iVillage Member
Registered: 12-04-2007
Wed, 06-22-2011 - 3:48pm
I would just finish it up personally, I've had issues with stopping bcp's mid cycle.

About health insurance, I'm not sure what state you live in, but if you live in a state that has Kaiser (I'm thinking you probably don't, but can't remember where you live), their private health insurance changed this January, and it now covers maternity at no extra cost. I'm not sure why they changed it, but if they did, other companies may have as well, so it may be something to look into. I currently pay $150/month, and maternity is included in that. The deductible is a little high I think, but it's definitely better than having no maternity coverage, and I know you can decrease the deductible if you're willing to have a higher monthly charge. Just thought I would put that out there in case you have not re-looked into health insurance options this year ;-)
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