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 child 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.
According to your description, it is better to use condoms for contraception during breastfeeding. Based on your delivery time, 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 recommended not to breastfeed, as it may affect the child.

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