Self-Assessment Questions

23. The breast and lactation

• How does breastfeeding affect ovulation?

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  Correct answer:
  Breastfeeding, specifically the suckling reflex, inhibits GnRH release and ovulation typically does not occur, particularly during the first several weeks after initiating exclusive breastfeeding The amount of inhibition is related to the frequency and duration of breastfeeding. Inhibition declines after several weeks of breastfeeding, even if the mother continues to use this as the sole source of infant nutrition.