Earliest times that a woman can start a family planning method after childbirth are:

Family Planning Method

Fully or Nearly Fully Breastfeeding

Partially Breastfeeding or Not Breastfeeding

Lactational Amenorrhea Method

Immediately

(Not applicable)

Vasectomy

Immediately or during partner's pregnancy

Male or female condoms

Spermicides

Immediately

Progestin-only pills

Implants

Immediately

Copper-bearing IUD

Levonorgestrel IUD

Within 48 hours, otherwise wait 4 weeks

Female sterilization

Within 7 days, otherwise wait 6 weeks

Progesterone-releasing vaginal ring

4-9 weeks postpartum

If breastfeeding at least
4 times a day, start at
4–9 weeks postpartum
Not breastfeeding:
Does not apply

Diaphragm

Can be fitted 6 weeks after childbirth

Fertility awareness methods

Start when normal secretions have returned (for symptoms-based methods) or she has had 3 regular menstrual cycles (for calendar-based methods). This will be later for breastfeeding women than for women who are not breastfeeding.

Progestin-only injectables

6 weeks after childbirth§

Immediately if not breastfeeding§

6 weeks after childbirth if partially breastfeeding§

Combined oral contraceptives

6 months after childbirth§

21 days after childbirth if not breastfeeding§

6 weeks after childbirth if partially breastfeeding§

Monthly injectables

Combined patch

Combined vaginal ring

If a man has a vasectomy during the first 6 months of his partner’s pregnancy, it will be effective by the time she delivers her baby.

§ Earlier use is not usually recommended unless other, more appropriate methods are not available or not acceptable.

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