Does Nexplanon affect milk supply?

Understanding the Impact of Nexplanon on Milk Supply
Nexplanon, a popular contraceptive implant, has gained traction among new mothers seeking effective birth control without the daily commitment of pills. However, concerns about its effects on breastfeeding, particularly regarding milk supply, have emerged in discussions among healthcare providers and mothers alike.
Nexplanon and Hormonal Composition
Nexplanon contains etonogestrel, a progestin that is designed to prevent ovulation and is considered a safe option for breastfeeding mothers. Unlike contraceptives that contain estrogen, which have been linked to reduced milk supply, progestin-only methods like Nexplanon are generally viewed as more compatible with breastfeeding. This distinction is crucial, as estrogen is known to potentially interfere with milk production, especially in the early postpartum period.
Research Findings on Milk Supply
Despite the favorable profile of progestin-only contraceptives, some anecdotal evidence and case studies suggest that Nexplanon may still impact milk supply for certain individuals. For instance, one report highlighted a case where a mother experienced a complete transition to formula feeding within five weeks of receiving the implant, raising concerns about a possible link between Nexplanon and decreased milk production. Additionally, while the hormone does pass into breast milk, studies indicate that the health of breastfed infants remains unaffected.
Moreover, the LactMed database notes that while progestin-only contraceptives are generally safe, there is still a possibility of decreased milk production, particularly in the initial days following the introduction of any hormonal contraceptive. This suggests that while many mothers may not experience significant issues, there is variability in individual responses.
Expert Recommendations
Healthcare professionals often recommend that breastfeeding mothers wait at least four weeks postpartum before considering Nexplanon. This timing allows for the establishment of a stable milk supply before introducing any hormonal influences. The consensus among lactation experts is that while Nexplanon is a viable option for many, monitoring milk supply after its insertion is advisable, especially for those who may have concerns about breastfeeding.
Conclusion
In summary, while Nexplanon is generally considered safe for breastfeeding mothers and is less likely to affect milk supply compared to estrogen-containing contraceptives, individual experiences can vary. Some mothers may notice a decrease in milk production, while others may not experience any issues at all. As with any medical decision, it is essential for mothers to consult with their healthcare providers to weigh the benefits and potential risks based on their unique circumstances.

Can implant affect breast milk?

In my study, I found implants don’t necessarily have an impact on the mother’s ability to secrete milk. I did note women with a periareolar incision (around the base of the nipple) had more problems with breastfeeding. However, recent studies2-3 have shown no correlation between incision type and breastfeeding ability.

Does Nexplanon make milk supply drop?

Small amounts of the drug have been found in breast milk, but Nexplanon is not known to cause side effects in a child who is breastfed. Note that Nexplanon can decrease the amount of milk you produce.

Why is my milk supply suddenly dropping?

Stress is the No. 1 killer of breastmilk supply, especially in the first few weeks after delivery. Between lack of sleep and adjusting to the baby’s schedule, rising levels of certain hormones such as cortisol can dramatically reduce your milk supply.

Can Nexplanon dry up breast milk?

The implant will is not likely to change the volume of breast milk produced. The implant did not affect the newborns growth even when placed directly after delivery. Approximately 19.86 ng/kg/day of etonogestrel is secreted in breastmilk.

What hormones cause breast milk let down?

Prolactin is responsible for making more breastmilk. Oxytocin causes the let-down reflex so your milk flows.

What causes a drastic drop in milk supply?

A decrease in milk supply can be caused by a variety of different factors. A very common (and solvable) problem is not pumping or feeding enough. Because milk production works on a supply and demand basis, not pumping on a frequent schedule will signal to your body that it does not need to produce milk.

Can birth control make your milk supply drop?

Beginning birth control pills too soon can decrease your milk supply. Wait at least 6 weeks before taking birth control pills and then use only the mini-pill (Progestin). If you still notice a decrease in your milk supply, talk to your doctor about other birth control options.

Does Nexplanon have side effects on breast?

Nexplanon may cause breast pain in some people. Breast pain was a common side effect that people with Nexplanon reported in studies. It’s also possible for Nexplanon to cause other breast-related side effects.

Does implant decrease milk supply?

A hormonal implant is safe for women who breastfeed. It could decrease your milk production and supply. You should talk about this with your health care provider prior to placement, especially if your goal is to exclusively breastfeed.

What hormones decrease milk supply?

TABLE 1.

Hormone	Stage	Effects on lactation Negative (−) or Positive (+) or No effects (×)
Estradiol	Pregnancy	• Ensures adequate prolactin secretion and permits lactogenesis in response to prolactin
Established lactation	• Decreases milk production
• Decreases milk production
• Increases lactose in plasma and urine