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Once any of these conditions changes, or if the woman decides she no longer wants to use LAM, she should use another family planning method to avoid pregnancy.
A breastfeeding woman can also use other nonhormonal and hormonal methods of contraception. Condoms can be used immediately after childbirth, and the copper IUD inserted within 48 hours of childbirth (otherwise insertion should be delayed for four weeks). Tubal ligation can be performed within one week after childbirth, otherwise delayed for six weeks. Breastfeeding women should delay the use of fertility awarenessbased methods of contraception until menses resume. The use of the diaphragm and contraceptive methods containing progestin should be delayed for six weeks after childbirth, and the use of contraceptive methods containing estrogen should be delayed for six months after childbirth.
To help decide which contraceptive method is best for her, a breastfeeding woman should seek advice from a family planning provider. If she chooses to use LAM, a followon contraceptive method to LAM can be given in advance. For example, a woman can be given a supply of condoms or, if she has no medical condition that would prevent using progestin-only oral contraceptives, she can be given these pills, with instructions for taking them, to use when LAM no longer applies or when she no longer wants to rely on LAM.
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