Lactational Amenorrhea Method (LAM) Toolkit

The Lactational Amenorrhea Method (LAM) is a modern, temporary contraceptive method based on natural infertility resulting from certain patterns of breastfeeding. All postpartum women who meet the following three criteria can use LAM:

1. Menstrual bleeding has not resumed; AND

2. The infant is fully or nearly fully breastfed frequently, day and night; AND

3. The infant is under six months of age


This toolkit, developed by the LAM Interagency Working Group, is for health policy makers, program managers, service providers, and others who are interested in adding or improving existing LAM services, or who need accurate, evidence-based information about the method. Expanding access to LAM with high quality services helps fulfill women’s right to contraceptive choice and can facilitate use of other family planning methods during a critical time in a woman’s reproductive life, following the birth of a child.


Links to resources about Essential Knowledge; Advocacy and Policy; Training; Information, Education, and Communication Tools (IEC); Program Experiences; Monitoring and Evaluation (M & E); and Research are available.


Of particular interest is a link to the Most Frequently Asked Questions about the method from USAID, the Institute for Reproductive Health at Georgetown University, and Jhpiego. This document, under Essential Knowledge, explains whether a woman who is HIV infected can use LAM. 


Information about program experiences from Egypt, Ethiopia, Guatemala, India, and Mali can be found under the Program Experiences section. If you have an experience to share about provision or introduction of LAM, we invite you to tell us about it through the feedback form, where you can also suggest new resources. To find out if a resource has already been included in this Toolkit, type the title in the search box. Currently, there are resources from 10 organizations and publishers in this Toolkit.


Go to the About link at the top of this page to find more detailed information about this and other K4Health Toolkits.

Toolkit last updated: September 21, 2015