Patient's question:
Hello, my baby is already 7 and a half months old, but I haven't had my period yet (cesarean section). Do I need to use contraception? Can I get an IUD?Doctor's answer:
Breastfeeding requires contraception. If contraception is used effectively, an intrauterine device (IUD) can be temporarily avoided. It is also possible to insert an IUD during breastfeeding, but the risks are higher than usual. If medication is required after IUD insertion, breastfeeding should be temporarily stopped. However, during breastfeeding, milk should be expressed daily using a breast pump and discarded to ensure continuous milk production. Generally, it is advisable to wait at least three months postpartum before inserting an IUD.However, it should be noted that if this period coincides with breastfeeding, even without menstruation, pregnancy is still possible—what is commonly referred to as a "hidden pregnancy." Therefore, women who have not yet experienced menstruation after childbirth should first consult a doctor to check for pregnancy. Only after confirming that pregnancy has not occurred should they proceed with IUD insertion.