Key takeaways

• There’s no one-size-fits-all approach to birth control after pregnancy—your body, lifestyle, and goals all matter.
• Some methods, like the mini pill or implant, are safe to start right after birth (even while breastfeeding).
• Others, like combined hormonal options, may require a few weeks’ wait depending on your recovery and whether you’re nursing.
• Long-acting methods like IUDs and implants offer low-maintenance protection and can often be placed before you even leave the hospital.
• If you’re not planning more children, permanent options like tubal ligation or vasectomy may be worth considering.
• Your provider can help you choose a method that supports your healing, milk supply (if breastfeeding), and future plans.
• Planning ahead during pregnancy can make the postpartum transition easier—and help you feel more in control.

What are your options for birth control after pregnancy?

Choosing birth control after pregnancy can feel like one more thing on an already full plate, but it’s an important part of caring for yourself as you navigate life with a newborn. 

Your body is healing, your routine is shifting, and your future plans might be evolving, too. Thinking about birth control now can help you feel more in control of what comes next, whether or not you’re planning to grow your family again.

There are plenty of options to choose from, including hormonal methods like the pill, patch, or IUD, as well as non-hormonal options like condoms or the diaphragm. Some methods are safe to start right away after delivery, while others may depend on your health, whether you’re breastfeeding, and what works best for your lifestyle. 

When can you start taking birth control again after pregnancy?

Your body needs time to heal after giving birth, and that includes deciding when and how to start birth control. The right timing depends on your recovery, whether you’re breastfeeding, and the type of birth control you choose.

Some options can start right away

Progestin-only methods like the mini pill can be started immediately after delivery, even if you’re breastfeeding. They’re safe, effective, and won’t affect your milk supply. 

The birth control implant can also be placed in your arm before you even leave the hospital, providing up to 3 years of protection.

Other methods need a bit more time

If you’re considering a combined hormonal method (like the pill, patch, or vaginal ring) that contains both estrogen and progestin, your provider may recommend waiting. 

These methods can slightly increase the risk of blood clots (including deep vein thrombosis), so it’s typically best to wait at least 3 weeks postpartum if you’re not breastfeeding, or 6 weeks if you are.

Planning ahead can help

If you’re still pregnant, it’s a great time to talk with your provider about your postpartum birth control options. Some people choose to have an IUD inserted immediately after delivery or during a C-section, while the cervix is open. 

That way, you’re protected from the start without needing a separate appointment later on.

Long-acting reversible methods

If you’re looking for birth control that’s low-maintenance and long-lasting, long-acting reversible contraceptives (LARCs) are a great option. They’re safe to use after pregnancy, highly effective, and don’t require daily upkeep—so you can focus on recovery, bonding with your baby, and adjusting to new routines.

Intrauterine devices (IUDs)

An intrauterine device (IUD) is a small, T-shaped device placed in your uterus during a quick in-office procedure. There are two types:

• Hormonal IUDs release a low, steady dose of progestin to prevent pregnancy.
• Copper IUDs are completely hormone-free and work by creating an environment that prevents sperm from reaching an egg.

IUD insertion typically takes just a few minutes. Some people experience cramping during or shortly after, but it usually eases quickly. Hormonal IUDs last 3–8 years, depending on the brand, while copper IUDs can provide up to 10 years of protection.

The birth control implant:

The birth control implant is a tiny, flexible rod that goes just under the skin of your upper arm. It releases a small amount of progestin to stop ovulation and is more than 99% effective. The implant works for up to 3 years and is safe to use while breastfeeding. It can even be placed before you leave the hospital after giving birth.

Hormonal methods

Hormonal birth control can be a great fit for life after pregnancy, whether you’re breastfeeding, recovering from delivery, or just figuring out your new normal. These methods are effective, easy to use, and come in a range of options to fit your needs.

Progestin-only pills (mini pills)

The progestin-only pill (often called the mini pill) is a good choice for people who are breastfeeding. It contains just one hormone (known as progestin), so it won’t interfere with your milk supply.

To work effectively, mini pills need to be taken at the same time every day. Even being a few hours late can lower their ability to prevent pregnancy, so setting a daily reminder can be helpful.

Nurx providers frequently recommend the mini pill for postpartum care, especially for new parents looking for a simple, safe, and affordable option, whether or not you have insurance.

Combined hormonal methods

Combined hormonal methods (like the combination pill, patch, or ring) use both estrogen and progestin to prevent ovulation. These are typically not recommended right away after delivery, especially if you’re breastfeeding, because estrogen can reduce milk supply.

If you’re not breastfeeding, your provider may recommend starting a combined method around three weeks postpartum. If you are breastfeeding, it’s generally best to wait at least six weeks. In addition to preventing pregnancy, these methods can help regulate your cycle and reduce period symptoms.

Barrier methods

If you’re looking for birth control that doesn’t involve hormones, barrier methods can be a great fit, especially during the postpartum period. These options work by physically blocking sperm from reaching the egg, and they’re used only when needed, which gives you more day-to-day flexibility.

Condoms

Condoms are one of the most accessible birth control methods available. You don’t need a prescription, and they offer the added benefit of protecting against sexually transmitted infections (STIs). For many people, condoms are a simple and effective option, especially when you first become sexually active again after childbirth.

Diaphragms and cervical caps

Diaphragms and cervical caps are small devices placed inside the vagina to cover the cervix before sex. If you used a diaphragm or cervical cap before pregnancy, you’ll need a new fitting after giving birth. Your body changes during pregnancy, and a proper fit is important for effectiveness. It’s best to wait at least six weeks postpartum before getting refitted.

Natural family planning

Natural family planning (also known as fertility awareness) can be a hormone-free way to prevent or plan pregnancy by tracking signs like cervical mucus, body temperature, and cycle patterns. It doesn’t involve medications or devices, which is appealing to some.

But after giving birth, your body is still adjusting. Hormone levels shift, ovulation may be delayed, and cycles can stay irregular for several months, especially if you’re breastfeeding. These changes can make it more difficult to identify fertile days with accuracy, which is key to making natural family planning work effectively.

This method takes daily consistency and careful attention, and for many new parents adjusting to life with a baby, that can be a lot to manage.

Many patients prefer birth control options like the pill, patch, or ring. They’re easy to start, simple to manage through our platform, and can offer more peace of mind during a busy postpartum season.

Permanent sterilization

If you’re sure you don’t want more (or any) children, permanent birth control can offer lasting peace of mind.

Tubal ligation, often called “getting your tubes tied,” is a procedure that blocks the fallopian tubes so sperm can’t reach an egg. It can be done right after childbirth, including during a C-section, or scheduled as a separate procedure later on.

Vasectomy, a form of male sterilization, is another permanent option. It’s a simpler outpatient procedure than tubal ligation, but it’s important to know that it doesn’t prevent pregnancy right away. It usually takes about three months for sperm to fully clear.

Because these methods are considered permanent, they’re best for people who feel confident they won’t want to grow their family in the future. Reversals are possible in some cases, but they’re complicated and not always successful.

Permanent methods are a personal decision, and talking to a provider can help you feel more secure in your choices. 

How breastfeeding affects your birth control options

If you’re breastfeeding, it’s important to choose a birth control method that supports both your recovery and your milk supply. Not all contraceptives impact lactation the same way, so let’s walk through what’s safe and effective while nursing.

Exclusive breastfeeding

When you’re exclusively breastfeeding (nursing at least every 4–6 hours, around the clock), haven’t gotten your period back, and your baby is under six months old, you may have some natural protection from pregnancy. 

This is called lactational amenorrhea and can be up to 99% effective, but only when all those conditions are met. Still, many people choose to use additional birth control for extra peace of mind.

Progestin-only methods

These are often the first choice for new parents who are nursing. Options like the progestin-only pill (also called the mini pill), the birth control implant, and hormonal IUDs are safe to use while breastfeeding and won’t interfere with milk production. They work by thickening cervical mucus—and sometimes by stopping ovulation, depending on the method.

Combined hormonal methods

Birth control that contains both estrogen and progestin—like the combination pill, patch, or ring—can sometimes reduce milk supply if used too early. That’s why healthcare providers typically recommend waiting at least six weeks before starting these methods if you’re breastfeeding.

Barrier methods

Condoms, diaphragms, cervical caps, and spermicide are hormone-free and won’t affect your milk supply. They work right away and can be good options if you prefer non-hormonal methods. Just a heads-up: diaphragms usually need to be refitted after giving birth since the shape of your cervix may have changed.

Planning postpartum birth control before baby arrives

Thinking through your birth control plan before giving birth can help take one thing off your plate during those early (and often overwhelming) postpartum weeks.

Start by considering your future family goals. If you’re open to more children down the line, health experts recommend spacing pregnancies at least 18 months apart to give your body time to fully recover.

Next, think about what fits your lifestyle. Many new parents who use Nurx choose birth control pills, the ring (NuvaRing®), or the patch (Twirla®), all of which are effective, easy to manage, and available for delivery through Nurx after a consultation with one of our providers. 

Your medical history is also important. If you have certain conditions, like high blood pressure or a history of blood clots, your provider can help guide you toward safer options.

And don’t forget the practical side—like what your insurance covers. Looking into that before your delivery can help you avoid stress later.

Common side effects to think about

Every birth control method can come with side effects, some mild and temporary, others more serious but rare. Here’s what to keep in mind:

Hormonal birth control side effects:

• Irregular bleeding
• Mood changes
• Mild nausea
• These usually improve within the first few weeks as your body adjusts.

Serious risks to watch for (rare):

• Combined hormonal methods (with estrogen and progestin) slightly increase the risk of blood clots.
• Seek immediate care if you experience:
• Severe leg pain or swelling
• Sudden chest pain or shortness of breath

Non-hormonal birth control side effects:

• Copper IUDs may cause heavier periods or more cramping, especially in the first few months.
• If symptoms persist beyond three months, consider discussing other options with your provider.

Your postpartum journey, your choice

Choosing birth control after pregnancy is a personal decision that affects your health, family planning, and everyday life. Whether you’re considering immediate postpartum options like the progestin-only mini pill, methods that start weeks later, or thinking long-term with permanent solutions, there’s a birth control method designed to fit your unique needs.

Whether you’re breastfeeding, planning for more children, or seeking a permanent option, you have choices. Trust yourself to make the best choice for you and your family. With clear information and the right support, you can confidently take charge of your reproductive health and plan your future on your terms.

Ready to explore your postpartum birth control options? Visit Nurx today to start your online consultation and get birth control delivered discreetly to your home.

Frequently Asked Questions (FAQ):

How soon can you start birth control after having a baby?

Many birth control options can be started soon after delivery. Progestin-only pills can be taken right away, even while breastfeeding. Combined hormonal pills usually require a wait of a few weeks, especially if you’re nursing. IUDs and implants can often be placed immediately after birth or during the hospital stay.

Why do doctors want you on birth control after having a baby?

Postpartum birth control helps prevent unplanned pregnancy and supports healthy family planning. Medical experts suggest waiting at least 18 months between pregnancies to give your body time to recover and reduce health risks for you and your baby.

What happens if you go on birth control after getting pregnant?

If you take birth control pills before knowing you’re pregnant, they don’t cause miscarriage or harm your pregnancy. These hormones work by preventing ovulation and thickening cervical mucus, but don’t affect an existing pregnancy.

How long does it take for the body to adjust to birth control?

Your body usually adjusts to hormonal birth control within 2 to 3 months. Some side effects might last a little longer—up to 6 months—but often improve over time as your body adapts.

The information provided is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon this content for medical advice. If you have any questions or concerns, please talk to a medical professional.