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It is very reliable indeed, but there's still variation.

Compare https://pubmed.ncbi.nlm.nih.gov/3726904/ :

> Data that were collected prospectively from a child health study conducted in Gaza show a strong relationship between breastfeeding and two major components of birth intervals, the postpartum anovulatory period and the waiting time [from resumption of menstruation] to conception.

> The finding of a strong positive association between breastfeeding and the length of postpartum amenorrhea is as expected from numerous other studies.




The effect appears reliably when looking at groups of people. It is not a reliable method of birth control.




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