Can sexual life during lactation lead to pregnancy?

Patient's question:

My child is two months old and still breastfeeding. When the baby was six weeks old, my husband and I had sexual intercourse without using contraception. Now I've noticed that my milk is decreasing and not enough for the baby to eat. Am I pregnant? What should I do?

Doctor's answer:

Hello: It is not ruled out that you may be pregnant. I suggest you take a pregnancy test to check.
Based on your description, it is best to use condoms for contraception while breastfeeding. From the time of your delivery, you can also choose to have an IUD inserted for contraception.
However, whether or not you have your period, ovulation can still occur, so the situation you mentioned can lead to pregnancy. Generally, if you take emergency contraception, it is best not to breastfeed, as it may affect the child.

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