Dear Dr. Mariano,
Thank you for your indepth response. After each of my pregnancies I have been placed on the mini-pill for the first year while I nurse my children, so I am familiar with using that form of birth control. But as soon as I am done nursing, the OB/GYN always suggests I switch back to the “standard synthetic birth control.” Back then, I was not as enlightened as I am now regarding the effect that synthetic hormones have on my body so I always switched to whatever the doctor suggested. I am due to deliver my third child any day now and my OB said that after my first 6 weeks past delivery that I need to have a plan for birth control. Although I imagine I will be sleep deprived, and desperetly wanting sleep, the option of the high dose progestrone which can be sedating is not feasible for me while raising three little ones. I read some studies on the use of melatonin and they all suggested to stay clear of using it while nursing. From the options given and the research I’ve seen, I feel the mini-pill would be the best and safest option of birth control for the next year. Do you suggest adding the dose of natural progesterone in addition to the mini-pill while nursing or wait and add it after weaning?
Thank you again for your time Dr. Mariano.