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Safyral and Breastfeeding

Because Safyral is a combined contraceptive (it contains an estrogen and a progestin), it is usually not recommended for women who are breastfeeding. Safyral can decrease the production and quality of breast milk, as well as increase the risk of jaundice and breast enlargement in male babies. If you are breastfeeding, talk to your healthcare provider about an alternative to Safyral.

Is Safyral Safe During Breastfeeding?

Safyral™ (drospirenone/ethinyl estradiol/levomefolate calcium) is a combined contraceptive, containing both a progestin and an estrogen. It also contains folate, a B vitamin. In general, combined contraceptives are not recommended for breastfeeding women.
 
Women who are not breastfeeding may start Safyral as soon as four weeks after giving birth, but not sooner, due to the increased risk of blood clots during the postpartum period.
 

Breastfeeding and Safyral: What Does the Research Say?

The hormones in Safyral do pass through breast milk in low amounts -- probably too low to cause significant problems in breastfeeding infants, although this has not been confirmed by any studies.
 
However, there is some concern that Safyral could cause problems in male babies, because drospirenone (one of the hormones in Safyral) works against testosterone and other male hormones. Also, there have been reports of problems such as jaundice and breast enlargement in babies whose mothers took similar birth control pills while breastfeeding.
 
More importantly, combined contraceptives may decrease the production and quality of breast milk. For this reason, healthcare providers almost always recommend progestin-only oral contraceptives (also known as "mini-pills") instead of combination contraceptives for women who are breastfeeding.
 
However, progestin-only contraceptive pills are usually less effective than combination contraceptives. As soon as you stop breastfeeding, it may be a good idea to ask your healthcare provider about switching to a combined contraceptive product such as Safyral.
 
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