Sir what is the best procedure to avoid pregnancy I and my wife got first baby with scissoring and baby is now 45 day old we want to have 5 years gap or even may be permanent solution without any surgery please suggest thanks.

Dr. Niraj MahajanGynaecologist14yrs exp

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While choosing a method of contraception, it is important that it not interfere with lactation or have negative effects on the infant. Iucd or copper t is more effective than condoms and progesterone only pills. Oc pills suppresses milk production. Estrogen containing contraceptive pill either it is standard dose or low dose, it reduces the volume of breast milk. Progestin-only contraceptives like cerazette for 28 days are safe for use by breast-feeding mothers if copper t is not acceptable. 

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