Beyaz and Breastfeeding

Beyaz is not recommended for nursing women. The hormones in this product have been shown to pass through breast milk, and may also lower the amount of milk produced. Progestin-only birth control pills, while generally less effective than combination pills such as Beyaz, are often recommended for breastfeeding women, as they do not affect the production and quality of breast milk to the same extent.

Can Breastfeeding Women Use Beyaz?

Beyaz™ (drospirenone/ethinyl estradiol/levomefolate calcium) is a combination contraceptive, containing both a progestin and an estrogen. It also contains folate, a B vitamin. In general, combination contraceptives are not recommended for breastfeeding women.

What Does the Research Say?

The hormones in Beyaz 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 Beyaz could cause problems in male babies, because drospirenone (one of the hormones in Beyaz) 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, combination 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 Beyaz.

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Last reviewed by: Kristi Monson, PharmD
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