Family Planning

Woman’s situationSwitching froma hormonalmethodFully or nearly fullybreastfeedingLess than 6 monthsafter giving birthMore than 6 monthssince giving birthWhen to startóóóóóóóImmediately, if she has been using the methodconsistently and correctly or if it is otherwisereasonably certain she is not pregnant. Noneed to wait for her next monthly bleeding.No need for a backup method.If she is switching from injectables, she canhave the LNG-IUD inserted when the repeatinjection would have been given. She will needa backup method for the first 7 days afterinsertion.If she gave birth less than 4 weeks ago, delayinsertion until at least 4 weeks aftergiving birth.If her monthly bleeding has not returned, shecan have the LNG-IUD inserted any timebetween 4 weeks and 6 months. No needfor a backup method.If her monthly bleeding has returned, she canhave the LNG-IUD inserted as advised forwomen having menstrual cycles (see p. 161).If her monthly bleeding has not returned, shecan have the LNG-IUD inserted any time it isreasonably certain she is not pregnant. She willneed a backup method for the first 7 days afterinsertion.If her monthly bleeding has returned, she canhave the LNG-IUD inserted as advised forwomen having menstrual cycles (see p. 161).Partially breastfeedingor not breastfeedingLess than 4 weeksafter giving birthóDelay LNG-IUD insertion until at least 4 weeksafter giving birth.162 Family Planning: A Global Handbook for Providers