Lactational Amenorrhea Method

• 99-98% effective up to 6 months

• IF 100% lactation, no supplements including suckling= no pacifiers

• Need suckling impulse to suppress pituitary

• Hypoestrogen effects

• 25% ovulate before 1st menses, back up at 3-6 months, if no lactation=ovulate at 3 wks

Notes: