Question

Which one of the following hormonal contraceptives CANNOT be used during lactation?

• A. Mini-pill
• B. Norplant
• C. DMPA
• D. Combined oral contraceptives

Hint:

Estrogen reduces milk supply; progestin-only methods do not.

Answer 1

The Correct Option is D

Step 1: Understanding the Question:
The question asks which hormonal method is unsafe to use while a mother is breastfeeding.

Step 2: Key Formula or Approach:
Progestin-only methods do not affect milk supply and are considered safe during lactation. Estrogen-containing methods, however, reduce the quantity of breast milk and are best avoided while breastfeeding, especially in the early months.

Step 3: Detailed Explanation:
The mini-pill contains only a low dose progestin and has no real effect on milk volume, so it is safe during lactation.
Norplant is a progestin-only implant and does not affect milk supply either.
DMPA is a progestin-only injectable and is also considered safe for a breastfeeding mother.
Combined oral contraceptives contain both estrogen and progestin; the estrogen component lowers both the volume and quality of breast milk, so these pills are avoided during lactation, particularly in the first six months.

Step 4: Final Answer:
Combined oral contraceptives cannot be used during lactation, option (D).