Lactational Amenorrhea Method (LAM)

Lactational Amenorrhea Method (LAM)

Lactational amenorrhea is medical speak for when a woman who breastfeeds consistently after giving birth doesn’t ovulate. This method can be 98% effective at preventing pregnancy IF… 1) It has been less than six months since the baby was born; 2) The baby is only nursing (that means no formula, bottles, or food); AND 3) Your period has not started again. If you aren’t exclusively nursing your baby, you can ovulate as soon as three weeks after giving birth!




How LAM Works:
• When a woman breastfeeds, there are hormones in her body that prevent the egg from leaving the ovary.
• Changes lining of uterus so that a fertilized egg may not implant.

LAM Works Only If
• You breastfeed your baby and do not give baby any other food, formula or drinks.
• You breastfeed your baby every 4 to 6 hours day and night, no exceptions. LAM may not work as well if you give your baby a pacifier.
• You have not started your monthly period since your baby was born.
• Your baby is younger than 6 months.

LAM Does Not Work If:
• You pump the milk instead of breastfeeding.
• Your baby is older than 6 months.
• You have started your period since your baby was born.
• You give your baby any other food, formula or drinks.

• Do not have to visit clinic for birth control.
• Does not interrupt sex.
• Breastfeeding is good for mother and baby. Helps keep baby healthy.
• Can be used with some other methods including condoms, spermicides, IUD, Depo-provera, mini-pills, Norplant, natural family planning, and sterilization.

Possible Problems or Disadvantages:
• No protection from STls and HIV/AIDS.
• May not work if you have sudden schedule changes.
• May not work if mother and baby are separated a lot.
• Must be ready to use another method when LAM will not work.
• Cervical caps and sponges do not work as well as they did before baby was born.
• Mother may have less milk if using birth control methods that have estrogen.

How Well Does It Prevent Pregnancy?
If used perfectly, 2 out of 100 women get pregnant in a year while using the LAM method.

birth control methods

  • Abstinence
  • Fertility Awareness
  • Withdrawal (“Pulling Out”)
  • Lactational Amenorrhea Method (LAM)

Access Esperanza Clinics offers:

  • Free Condoms
  • The Shot
  • The Ring
  • The Patch
  • The Pill
  • The Implant
  • The IUD
  • Emergency Contraceptive (“Plan B”)


Contact us and ask how we can help!

At Access Esperanza Clinics, we offer opportunities and hope for people to plan their futures and stay healthy. You can count on us for quality, affordable, and confidential care at all of our Health Clinics.

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You may qualify for free or low-cost services 

If you are concerned about your ability to pay for services, you may qualify for one of our programs that would pay all or most of your services. Each program has its own set of eligibility. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day.

We offer programs that can help pay some or all of the cost of your family planning and preventive health services. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day. Programs are for female and male adults and teens in their reproductive years. Eligibility is based on your age, household income (you and, if married, your spouse), and family size. Some programs have additional eligibility requirements. You do not have to be a U.S. citizen or have legal residency to qualify. 

To apply for for a funding program, please bring the following documents with you when you come to our clinic: 

  1. Proof of Household Income – Bring any/all you have:
  • Family member’s Children’s Medicaid card, with date of enrollment
  • WIC, TANF or Food Stamp approval letter, dated
  • 2 paystubs within 60 days
  • FAFSA (student federal aid application)
  • Award notice, letter, or written statements from Social Security Administration
  • Form H1028: Employment verification (to be completed by your employer)


  • Photo ID- Texas Driver’s License, Texas ID card, work or school ID card with photo


If you are an adult female and a U.S. citizen or Permanent U.S. Resident, also bring

  •  U.S. birth certificate, passport, passport card
  • Certificate of U.S. naturalization
  • Religious record of birth with date and place of birth, such as baptism record
  •  I-551 card (permanent resident card)
  • Social Security Cards for you, your spouse, and your children 

Household Income (You and Your Spouse) to Qualify for Free Services               

Household Size   Monthly Maximum
1 $2,603
2 $3,523
3 $4,444
4 $5,365
5 $6,286
6 $7,207