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Getting back to birth control after childbirth

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Your bundle of joy is finally here and you have managed to hold the reins of the hustle that comes with a newborn. Your body has healed and you feel you are ready to resume sex. Then you wonder whether it’s possible to get pregnant so soon after delivery. The long and short of it is yes. So you must take precaution. We give you some useful advice on birth control methods you can use.

Awoman is recommended to wait for at least a year before getting pregnant again after childbirth so as to give their body time to fully recover. Doctors advise against close pregnancies as breastfeeding while carrying another baby can deplete the store of essential nutrients. According to medics, a woman’s period resumes anywhere between four to 10 weeks after childbirth. However, a woman would have already been fertile two weeks ahead meaning you can effectively become pregnant just two weeks after childbirth. Doctors also concur that post delivery is among the most fertile times for a woman. If you aren’t in the mood of adding to the nursery just yet, it’s best to use birth control. Here’s a summary of your choices.

Barrier methods

These are methods that prevent the sperm from reaching the egg. They include:

Condoms: They neither require a visit to the physician nor affect breastfeeding or hormones. They are available for both genders: simply slip one on.

Diaphragm: It is a shallow dome shaped cup lined with a spermicide that is inserted into the vagina. It works by preventing the movement of sperms into the vagina while the spermicide kills the sperms. The cup is inserted before intercourse and should stay inside one’s vagina for six hours after the last sexual encounter, or must be re-lined with spermicide again in the event of an encounter before the lapse of or after more than six hours. Do not leave it in for more than 24 hours.

Intra-uterine devices (IUD): It is a copper lined t-shaped device inserted into the cervix by a service provider and can be done within 48 hours post delivery. The copper affects the movement and survival of sperm so as to curtail the implantation of fertilised eggs.

Hormonal methods

Synthetic hormones are introduced into the body to curtail ovulation. They also thin the uterus lining to prevent implantation or stop sperm from reaching eggs through thick cervical mucus. They include:

The Pill: It is given in several forms.

The mini pill: It contains progestin hormone which tricks one’s body into thinking they are pregnant already hence preventing the release of an egg. It is taken at the same time, everyday for 28 days to ensure steady supply of the hormone. It is recommended for those with high blood pressure, are obese and lactating.

The combined pill: It contains both oestrogen and progesterone hormones and prevents pregnancy by thinning the uterus wall to prevent implantation while thickening the cervical mucus to prevent penetration by sperms. There are 21 active pills and seven placebo pills to be taken strictly at the same time everyday for 28 days. The placebo pill is intended to keep the user in the habit of taking a pill everyday and may contain an iron supplement for menstruation purposes.

The injection: It works as the pill except one gets it through a shot renewed after every three months.

Implants: They work like the mini pill except tiny rods are inserted under a woman’s upper arm where the hormones are released slowly.

Natural methods

Breastfeeding method: When one breastfeeds, the same hormones that manufacture milk, prolactin, also suppress the hormones that cause a woman’s eggs to mature and nourish the wall of the uterus. This method is only effective for six months, with strict adherence to exclusive breastfeeding and on demand for at least four to six hours everyday.

Rhythm method: In this case you only have intercourse on your ‘safe days’, that is when your body is not fertilising eggs which can be calculated using your menstrual cycle. An egg is released 14 days before you start your next cycle, thereby making it easy to know which days are ‘dangerous’ or ‘safe’ to have intercourse

Withdrawal method: this method is not highly recommended due to a high failure rate and needs highly motivated couples to pull it off, literally. In this case, the man retracts and refrains from ejaculating inside a woman’s vagina thereby stopping the penetration of sperms.

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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