Lactational amenorrhea method (LAM) - Breastfeeding

Lactational amenorrhea method (LAM) is a temporary contraceptive method that relies on the effects of breastfeeding on fertility. It works by preventing release of the egg from the ovary. Certain conditions have to be met for LAM to be used as an effective contraceptive method.

  • How good is LAM at preventing a pregnancy?

    When all of the conditions for the lactational amenorrhoea method are met, about 2 out of 100 users will become pregnant

  • What are the advantages of LAM?
    • LAM supports optimal breastfeeding practices, providing health benefits for the baby and mother while also preventing pregnancy.
    • LAM costs nothing and requires no special supplies or visits to a health provider.
    • LAM can be effective for up to 6 months after childbirth.
    • LAM has no side effects or health risks
  • What are the disadvantages of LAM?
    • To be effective, LAM requires frequent breastfeeding, day and night. Giving the baby ‘top up’ feeds can make this method less effective
    • LAM is ONLY effective for the first 6 months after a baby is born.
    • LAM is ONLY effective if the mother’s monthly bleeding has not returned
    • Condoms are the only contraceptive method which protect against sexually transmitted infections. To ensure protection from both pregnancy and infection, we recommend "dual protection". This means using a male or female condom in addition to the contraceptive method of your choice to prevent pregnancy
  • How do I use the lactational amenorrhea method (LAM)?

    The lactational amenorrhea method (LAM) requires three conditions in order to work. All three must be met:

    • The mother’s monthly bleeding has not returned
    • The baby is fully breastfed and is fed often (day and night)
    • The baby is less than 6 months old