woman can switch to another method any time she wantswhile using LAM. If she still meets all 3 LAM criteria, it is reasonably certain she is not pregnant. She can start a new method with no need for a pregnancy test, examinations, or evaluation.
To continue preventing pregnancy, a woman must switch to another method as soon as any one of the 3 LAM criteria no longer applies.
Problems with breastfeeding or LAM affect women’s satisfaction and use of the method. If the client reports any problems, listen to her concerns, give her advice and support, and, if appropriate, treat. Make sure she understands the advice and agrees.
Offer to help the client choose another method—now, if she wishes, or if problems cannot be overcome.