Question

A 34-year-old woman presents at 6 weeks of delivery. She wants contraception for the next 3 years. What will be the best contraceptive method in this case?

• A. Copper T
• B. IUCD with progesterone
• C. Injectable progesterone
• D. Nothing besides lactation amenorrhea

Hint:

For breastfeeding mothers, an IUCD with progesterone is one of the most effective and safe long-term contraceptive methods.

Answer 1

The Correct Option is B

Copper T: While the Copper T (IUD) is a good option for long-term contraception, it is not the best option for breastfeeding mothers as it does not provide any hormonal support. Women who are breastfeeding may experience heavy menstrual bleeding or cramping with the Copper T.
IUCD with progesterone: This is the correct answer. The IUCD with progesterone (e.g., Mirena) is a long-acting reversible contraceptive (LARC) method that is safe for breastfeeding women. It provides hormonal support, which can also reduce heavy bleeding and cramping and is highly effective for up to 3-5 years.
Injectable progesterone: Injectable progesterone (Depo-Provera) is another hormonal method of contraception that is effective for up to 3 months. While it is safe during breastfeeding, it may lead to irregular bleeding or delayed return of fertility after discontinuation.
Nothing besides lactation amenorrhea: While lactation amenorrhea can provide some level of natural contraception during the first 6 months of exclusive breastfeeding, it is not a reliable method for 3 years, as fertility can return before the baby is 6 months old. Thus, the correct answer is IUCD with progesterone (2), as it is a reliable and safe method of contraception during the postpartum period.