Postpartum Sexuality and the Lactational Amenorrhea Method for Contraception
Labbok, M.H.
Clinical Obstetrics and Gynecology 58(4): 915-927
2015
ISSN/ISBN: 1532-5520 PMID: 26457855 DOI: 10.1097/grf.0000000000000154Document Number: 640349
This chapter reviews the literature on postpartum coital behavior, anovulatory and ovulatory bleeding episodes, and the methodology and efficacy of Lactational Amenorrhea Method and progesterone-only oral contraceptives. Of interest is the finding that breastfeeding women may resume coital behavior earlier postpartum, but report increased discomfort over time. The high efficacy of the Lactational Amenorrhea Method is confirmed and data illustrating possible relaxation of some criteria are presented. The conflicting guidance of CDC and WHO concerning immediate postpartum use of progestin-only methods is presented. The dearth of recent studies calls for new research on these topics.