On Wed, 11 Jan 2006, Marc Carlson wrote:

> I could have sworn that back in anthropology 101 they taught us that
> extended breastfeeding was used to make a woman less likely to get
> pregnant, not that it stopped menstruation.

It does both.

Breastfeeding temporarily stops ovulation, which in turn stops
menstruation -- menstrual periods are a direct result of ovulation. You
don't have periods without ovulating.

(It is possible to bleed without ovulation; this is considered "abnormal
uterine bleeding" and not menstruation, and sometimes looks similar but
typically does not follow the regular pattern of monthly periods.)

(The monthly bleeds that occur during cyclical hormone therapy or the use
of oral contraception look like periods, but they're not. They're enforced
bleeds created by the adjustment of hormone dosage. They don't enter into 
this discussion, in any case.)

Breastfeeding doesn't always stop pregnancy, since when you start
ovulating and having periods again, you ovulate first (before you've had
your first period return). So you can get pregnant before your periods
come back, and I know people who have done so (oops). It's generally
advised not to rely on the lack of periods as absolute birth control; you
can be assured of a delay, often a long one, but eventually you might hit
it just as your ovaries get back in action.

--Robin
medical editor

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