Will I get pregnant after sex during lactation?

Patient's question:

I am currently breastfeeding and my milk supply is good. I am 8 months pregnant now, but I am wondering if I might get pregnant in the future after my period or after sexual intercourse.

Doctor's answer:

Yes, women often have irregular ovulation before menstruation returns. If you haven't taken any contraceptive measures during recent sexual activity, you should have a blood HCG test at the hospital two weeks after intercourse. Sexual activity during breastfeeding should be accompanied by contraceptive measures, as most women begin ovulating before menstruation resumes and can become pregnant at any time due to restored ovulation. Not having a menstrual period during breastfeeding does not mean there is no ovulation. Breastfeeding mothers should not take oral contraceptives, as these can enter the infant's body through breast milk, affecting normal development. Contraceptive tools are generally more suitable in this case.
Mothers who have had a cesarean section need to be particularly cautious about contraception. The uterus typically takes about two years to recover after a cesarean section. While pregnancy after two years may not pose significant harm to the uterus, pregnancy during this recovery period can cause serious harm to the mother's body.
If intercourse occurs during or two days before ovulation, pregnancy is highly likely. A blood HCG test can confirm pregnancy one week after intercourse, while an early pregnancy test can be used to check morning urine or a urinalysis can be done at the hospital 14 days after intercourse to determine if pregnancy has occurred.

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