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Can you take oral estrogen while breastfeeding?

Can You Take Oral Estrogen While Breastfeeding?
The question of whether it is safe to take oral estrogen while breastfeeding is a nuanced one, with various factors influencing the decision. While there is limited information available, current guidelines and studies provide some insights into the potential effects of estrogen on breastfeeding.
Impact on Milk Supply
One of the primary concerns with taking oral estrogen, particularly in the form of combined oral contraceptives, is its potential impact on milk supply. Research indicates that hormonal contraceptives containing estrogen can suppress lactation, especially if they contain more than 30 micrograms of ethinyl estradiol. This suppression can lead to decreased milk production, which may necessitate increased supplementation for the infant and could even result in earlier cessation of breastfeeding.
Timing and Administration Routes
The timing of when estrogen is introduced postpartum is also critical. It is generally advised to avoid estrogen-containing contraceptives during the first three weeks after giving birth, as this is a crucial period for establishing milk supply. After this initial period, some healthcare providers may allow the use of estrogen-containing methods, but caution is still recommended, particularly for mothers who have experienced challenges with milk supply.
Moreover, the route of administration plays a significant role in how much estrogen is transferred into breast milk. For instance, vaginal administration of estradiol results in measurable amounts in breast milk, while transdermal patches do not appear to transfer significant amounts. This suggests that if estrogen is necessary, alternative methods of administration might be preferable to minimize exposure to the breastfeeding infant.
Recommendations and Cautions
Given the potential risks associated with oral estrogen, many experts recommend progestin-only contraceptives as a safer alternative for breastfeeding mothers. These alternatives are less likely to affect milk supply and are generally considered safe for use during lactation.
In summary, while it is possible to take oral estrogen while breastfeeding, it should be approached with caution. The potential for decreased milk supply and the timing of administration are critical factors to consider. Consulting with a healthcare provider is essential to weigh the benefits and risks based on individual circumstances and to explore safer alternatives if necessary.

Can too much estrogen cause lactation?

Normal Lactation and Prolactin
Ironically, high levels of estrogen and progesterone also inhibit lactation at receptor sites in the breast tissue. The precipitous drop in the levels of these hormones after delivery, in the presence of an elevated prolactin level, facilitates lactation.

How can I increase my estrogen while breastfeeding?

How to increase estrogen levels during breastfeeding

  1. Legumes – lentils and beans.
  2. Garlic oil.
  3. Nuts and seeds.
  4. Flaxseeds and sesame seeds.
  5. Soy-miso and tofu.
  6. Fruits – dried fruits and oranges, strawberries and peaches.
  7. Vegetables – kale, sprouts, celery.
  8. Dark chocolate.

What is not recommended for breastfeeding?

Medical Contraindications for Breastfeeding
There are a few medical contraindications to breastfeeding, and these include: An infant who has the metabolic disorder of classic galactosemia (galactose 1-phosphate uridyltransferase deficiency). A mother living with human T-cell lymphotrophic virus type I or type II.

Can you take estrogen postpartum?

Estrogen delivered in the acute postpartum period is not without risk and has been associated with changes in breast milk production, as well as an increased risk of significant thrombo-embolic events, including stroke and deep vein thrombosis.

Can you breastfeed with estrogen?

Summary of Use during Lactation
Maternal doses of up to 200 mcg daily transdermally do not increase estradiol or estriol in breastfed infants or cause any adverse effects in breastfed infants.

What supplements should I avoid while breastfeeding?

Dietary Supplements and Herbs to Avoid When Breastfeeding

  • Answer: Certain herbals, high dose vitamins, and other dietary supplements can be dangerous to breastfed babies through breast milk.
  • Aloe latex.
  • Ashwagandha.
  • Berberine/goldenseal.
  • Bilberry.
  • Black cohosh.
  • Butterbur.
  • Dong quai.

Is it safe to take estrogen pills while breastfeeding?

Taking HRT while breastfeeding
Although there are some studies that suggest the estrogen can pass into breastmilk, there is no evidence that it leads to any effects on the baby.

Why no ashwagandha while breastfeeding?

Although it is rare, there have been a number of cases that link liver injury to ashwagandha supplements. Ashwagandha should be avoided during pregnancy and should not be used while breastfeeding.

What are the signs of low estrogen?

Signs of low estrogen include:

  • Dry skin.
  • Tender breasts.
  • Weak or brittle bones.
  • Trouble concentrating.
  • Moodiness and irritability.
  • Vaginal dryness or atrophy.
  • Hot flashes and night sweats.
  • Irregular periods or no periods (amenorrhea).

How to increase estrogen postpartum?

Eat Proteins – Proteins are necessary for your body to produce and regulate hormones. Try including more proteins and lean meats. Eat Fiber – Your body releases estrogen through bowel movements, so constipation can cause excess estrogen to be absorbed back into the bloodstream. Eat enough fiber to help you go.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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