Of course, it is also likely that not all women will have a significant decrease; nobody contacts me when they don’t have a decreased production. But it is also likely that only a tiny percentage of women who do have a decrease actually contact me.
I think we need to be prudent and warn women about this possible side effect of the Mirena. All hormonal contraceptive methods should be avoided by breastfeeding mothers if possible.
Please forward to all your contacts.
Jack Newman, MD