Beyond the strict conditions of the lactational amenorrhea
method (LAM), to what extent should the protective effect of amenorrhea be acknowledged in policies and programming?
The lactational amenorrhea
method (LAM) of contraception requires fertility awareness, exclusive breastfeeding, and an ability to recognize the physiologic signs and circumstances that suggest that ovulation is resuming.
12) Most of this research deals with the appropriate choice and timing of contraceptive use in general and with the reliability of the lactational amenorrhea
method in particular.
Although amenorrhea is related to a low risk of pregnancy at the population level, the absence of menses does not guarantee protection from pregnancy for individual women (except in the restrictive time frame of the lactational amenorrhea
The new guideline addresses the use of hormonal contraceptives, emergency contraceptive pills, intrauterine devices for both pregnancy prevention and emergency contraception, barrier methods, sterilization, and "natural methods," including coitus interruptus, lactational amenorrhea
, and fertility awareness.
The combined qualitative and quantitative results from this study gave program planners interested in promoting the lactational amenorrhea
method "both broad and in-depth data," the authors wrote.
If the mother fully breastfeeds her child, she can, at least for the first 6 weeks, rely on the contraceptive effect of lactational amenorrhea
She was G3P2L2 delivered vaginally 1 year 2 months back and IUCD insertion was done 8 months back at PHC during which she had lactational amenorrhea
Other reported methods included condoms, the pill, IUD and lactational amenorrhea
The study was limited by several factors, including the use of self-reports, a lack of data from all parts of the United States, and a lack of data on several additional contraceptive methods such as spermicides, emergency contraception, and lactational amenorrhea
METHODS: An evaluation was conducted of a behavior change communication intervention integrated into the existing government program to increase knowledge and use of the lactational amenorrhea
method and postpartum contraception through counseling by community workers.
In this study, female-only methods included the pill, IUD, injectable and implant; couple methods included male and female condoms, the diaphragm, foam, jelly, withdrawal, the lactational amenorrhea
method and periodic abstinence--that is, methods that require at least the awareness of and a certain degree of support and cooperation from husbands.