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Lactation amenorrhea - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2519 Questions
User :   I have delivered a girl baby on Oct 2009. Still I did not get my periods.I had contact with my hubby last week. I have doubt whether I am carrying. Will that affect my breast milk.
User :   Hello doctor
Doctor :   hi
Doctor :  
ok
Doctor :  
getting pregnant again will not affect brest milk
User :   When can I check whether I am pregnant doctor
Doctor :  
are you stil breast feeding the babay?
User :   yes doctot
Doctor :  
*baby?
User :   we used condoms
Doctor :  
if you are stil feeding th ebaby, then chances of pregnancy is less
User :   but then it teared at that time
Doctor :  
as it causes lactationamenorrhea
User :   oh ok
Doctor :  
in which there is no egg release
Doctor :  
so it gives a natural protection if you breast feed baby
Doctor :  
but we canot say for sure what has happened in your case
User :   but for the past 2 weeks I think my milk supply has decreased
Doctor :  
so to put your mind to rest
User :   my baby is 5 months old
Doctor :  
do a pregnancy test after 1 months of the sexual contact
User :   this month 13th we had contact
Doctor :  
also since the baby is very small , you shuld go in for other contraception methods like BCP and / or IUD
User :   that is last saturday
Doctor :  
after consulting your doctor
Doctor :  
ok
Doctor :  
so next month after 13th you can check for pregnancy test
Doctor :  
in the meantime use alternate birth control measues
User :   Eventhough if I am pregnant after how many week milk supply will decrease
Doctor :  
since you are breast feeding the baby, then going for IUD will be best
User :   still I did not get my periods
Doctor :   you will not get the milk supply decreased
Doctor :  
it will remain the same
Doctor :  
if the baby continues to suck
User :   My baby was born on Oct 2009
User :   Till November end I had bleeding
Doctor :  
have ou followed what i have said?
User :   now its been 3 months
Doctor :  
please get back to me in case of any doubts
User :   yes doctor
Doctor :  
after delivery not having periods like before pregnancy can last upto 6 months or sometimes even 1 year in few women
Doctor :  
it is variable
Doctor :  
as each woman is difrent
Doctor :  
your concern is whether or not you are pregnant
Doctor :  
so this can be confirmed or ruled out after 1 month of the intercourse
User :   ok the thing is if i am geting periods I can assume that i am carrying if I did not get the periods in time
User :   but now in my case its not like that
Doctor :  
incase conception has really taken place, then you will get a positive result
User :   that's what I had fear doctor
Doctor :  
and also i explained you the concept of lactation amenorrhea
Doctor :  
so right now you cannot do anything much
User :   yes
User :   so when I do the home pregnancy test doctor?
Doctor :  
as we do not know whether you are ovulating or not
User :   I has contact this minth 13th
Doctor :  
after 13th of next month
User :   shall I do home pregnany test will that be genuine
Doctor :  
usually yes, it should be fine
Doctor :  
in case it comes negative and you are stil in doubt
Doctor :  
then go for a beta HCG blood test
Doctor :  
and a scan
User :   ok doctor
Doctor :  
Is there any thing else I can help you with?
User :   In case of I am carrying is there any tablets for not having the baby
User :   Since i am feeding will that affect my baby
Doctor :   most probably you are not carrying. in case you do then your gyne doc will decide depending on your condition what best to do for you
Doctor :  
as you have delivered just 5 months back
Doctor :  
so again stress of abortion willnot be good
Doctor :  
please folow adequate birth control measures to avoid pregnancy
Doctor :  
go for a IUD insertion if not found pregnant
Doctor :  
such that you can delay pregnancy for as long as you want till yout this baby grows up
Doctor :  
having another pregnancy wil not affect the feeding that you are doing right now in any ways
Doctor :  
so do not worry about that, take care of your jhealth
User :   ok doctor thank you so much
Doctor :  
eat well balanced diet and consult your gyne if you notice any symptoms
Doctor :  
Is there any thing else I can help you with?
User :   I wnat to take care of my baby so I don't wnat next baby now
User :   by mistake we were together If I take piils for aborting the baby will that be good
Doctor :   then continue to follow birth control measures
Doctor :  
it wil not be good, as you do not know what other effects it wil have
User :   I don't understand doctor
Doctor :  
and it will not be good since you are breast feeding the baby
Doctor :  
the hormones in the pills will get passed on to th ebaby
Doctor :  
through your breast milk
User :   you mean the pills will affect my nany's health sine i am feeding
User :   oh ok
User :   so what should I do if its positive docot please help me in this case
Doctor :   consult your gyne. your gyne doc will decide depending on your condition what best to do for you as you have delivered just 5 months back
Doctor :  
so the decision wil depend based on your health
User :   oh ok
Doctor :  
Please fill the feedback form say done when done.
User :   is there any way to find out now whether i am pregnant now
Doctor :   no. since the contact was just 1 week back you cannot find out so early
User :   what I can have to increase my breast milk doctor
Doctor :  
you have to wait for a months time
Doctor :  
eat well, have milk two glasses daily, drink plenty of water
Doctor :  
breast feed baby well
Doctor :  
for about 15-20 minutes on each side
User :   at time she is crying without gape as some one has beated her
Doctor :  
it willensure good emptying of brest
Doctor :  
and good milk production
User :   what thst is happening doctor and moreover she is having ligh cold
Doctor :  
breast milk has 3 parts and proper timing is necessary for ensuring that baby has got all 3 parts in the feed
Doctor :  
to satisfy hunger
Doctor :  
else baby will keep crying
User :   If i press my breast not getting enough milk
User :   if she sucks will she get?
Doctor :  
sucking at breast produces stimulation for milk production
Doctor :  
and milk comes out little only
User :   only breast milk is sufficient for her
Doctor :  
you cannot expect to press breast and get lots of milk
User :   shall I start giving her cerelac rice
Doctor :  
what is present in teh lactiferous ducts that only will come out
Doctor :   only bresat milk i ssufficeinet til 6 months
User :   oh ok
Doctor :  
and at that time slowly the outside foods should be introduced
Doctor :  
give her only mashed rice
User :   is this the good time to introduce solid food to her
Doctor :  
if she tolerates
Doctor :  
then introduce slowly one food item every week
User :   today I am taking her to the hospital to put 4th month injection
Doctor :  
ok
User :   but she is having mild cold will they put injection?
Doctor :  
get yourself also checked and see if IUD insertion can be done for you
Doctor :  
to prevent further such complications resulting from unprotected intercourse
Doctor :  
or mishap during intercousre
User :   my doctor told me only after I get my period they will do that is that so?
Doctor :  
inserting IUD at period time is convienient as the uterus is open at that time so
Doctor :  
dilating teh uterus opening is not needed
User :   ut she is having mild cold will they put injection?
Doctor :  
yes they will
Doctor :  
minor cold is not a contraindication for not giving vaccine
User :   now i am giving my milk and lactogen twice a day will that be sufficient fo her
User :   also she is having little cough
Doctor :  
only your milk should be sufficient, avoid giving outside milk as it wil not provide immunity and also cause problem with digestion
Doctor :  
and diarhrea
Doctor :   proper breast feeding tecnique will ensure good milk supply to baby
User :   earlier my breast was weight i can feel that i have milk
Doctor :  
with no necessity of giving upper feeds
User :   but now its been vey loose
Doctor :  
it means it is getting empty
Doctor :  
so feed the baby more often
User :   is that mean i don't have enough milk
Doctor :  
every 2-3 hours you should feed the baby
Doctor :  
it will ensure proper milk production
Doctor :  
as\lso if baby gets used to teh bottle, it wil stop suckingproperly at brest
Doctor :  
and so milk production wil be affected

Doctor :  
the more harder baby sucks at breast, the more milk it produces
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