When menstruation begins after childbirth – this issue concerns every woman who has recently given birth. And it’s not just the inconvenience, from which women become unaccustomed during pregnancy. The resumption of menstruation is an external manifestation of internal hormonal processes.
When menstruation begins after childbirth, a woman has a risk of becoming pregnant again. And while the child is very small, it is undesirable primarily from a medical point of view. Therefore, all young moms really want to know how long after giving birth you can not think about the danger of getting pregnant again and living sex without using contraceptives.
MMonthly in a month after childbirth?
It is a widespread myth that if a woman breastfeeds a child, then her period does not resume. In contrast, each gynecologist (and perhaps several girls from among your acquaintances) can tell more than one story when a woman finds out about a new pregnancy, only by feeling a suspicious movement inside her. Or alarmed in earnest about the tummy, which is not something that does not decrease after childbirth, but grows.
Yes, menstruation a month after birth does not appear often. The relative norm (if the woman did not even try to put the baby on her chest for some reason) is considered to be the resumption of menstruation two months after the birth. If the discharge after birth came to you before – this is a loud signal for an urgent visit to the doctor. After all, the earlier after childbirth, discharge appeared, the higher the likelihood that this is not menstruation at all, but a symptom of problems in the reproductive system of a woman.
The first menstruation after childbirth – what is the norm?
The resumption of menstruation after childbirth is closely interrelated with breastfeeding. After all, both of these processes are hormone-dependent and mutually exclusive. In its simplest form, this process can be explained as follows: the hormone prolactin, which is produced in the body of a nursing woman in large quantities and which is necessary to ensure the lactation process, inhibits the production of hormones that trigger menstruation.
That is, if a woman feeds the child only with breast milk and the lactation process works perfectly, the probability of early resumption of menstruation is very small. If the lactation process is insufficient and the baby is therefore mixed feeding, it means that the woman’s body lacks the hormone prolactin. And this deficiency makes room for hormones that stimulate the resumption of menstruation.
If you switch to the language of clear numbers, then as an answer to the question When the monthly periods after birth begin, you can immediately suggest a few options:
- 1.5-2 months after delivery, if the woman does not breastfeed;
- 3-4 months if the baby is mixed feeding;
- in 6-12 months, if the baby has not received any other nutrition except breast milk for up to six months. In any case, you need to understand that each woman’s body has individual characteristics. And a clear answer to the question whether there is a pathology in the early resumption of menstruation after birth, or what to do if menstruation after birth does not begin a year or more after the baby is born, only a doctor can give. And only after the necessary examinations.
Caesarean section: when menstruation begins in this case
A little higher we said that the onset of menstruation after childbirth is a hormone-dependent process and is directly related to the hormone prolactin. This means that the mode of delivery has almost no effect on the timing of the restoration of menstruation after birth. Only the presence or absence of breastfeeding matters.
Unfortunately, despite the rather wide informational and educational work of breastfeeding counselors and doctors who actively support breastfeeding, it is still widely believed that after a cesarean section, a woman cannot breastfeed. This is not true!
Having put the baby to the chest in the delivery room, if the operation took place under epidural anesthesia or a little later, if there was a need to use general anesthesia and then applying the crumb to the chest more often, the mother can successfully breastfeed the baby after cesarean section as much as she wants. And thus delay the onset of menstruation after childbirth.
Unfortunately, many women at the theoretical, long outdated level are confident that after cesarean section to breastfeed will not work. And therefore they do not make any effort to establish a successful lactation. Hence, the strong belief that in women after cesarean section, menstruation begins earlier.
If menstruation after cesarean does not begin long
Sometimes after a cesarean section, periods do not start for quite a long time even against the background of complete abandonment of the infant’s breastfeeding. This happens if the cesarean section has had complications. The process of normalization of ovarian function after complications takes longer. In addition, the presence of a large and long healing suture on the uterus can prevent the contraction of the uterus and the restoration of its normal size. In such cases, the woman may need appropriate therapy and the help of a gynecologist. And in such cases the periods after birth are absent for quite a long time.
What else affects menstruation after childbirth?
In addition to breastfeeding and the individual characteristics of a woman’s body, the following factors can affect the timing of the onset of menstruation after childbirth:
- complications during pregnancy and childbirth;
- age of the woman in labor;
- good nutrition;
- correct sleep and rest;
- psycho-emotional state;
- chronic and acute diseases.
Features monthly after childbirth
Many women are interested in whether the duration of menstruation, its abundance, will change after childbirth, may or may appear (or vice versa – disappear) pain during menstruation.
Childbirth – a natural process, which in most cases is to benefit the female body. Therefore, the majority of young mummies say that the painfulness of menstruation, if it was before birth, has noticeably decreased. Duration and abundance of secretions usually does not change. True, in the first 2-3 months, the discharge may be more abundant, but soon it passes: the nature of the monthly is normalized. If your periods after childbirth have changed for the worse (they have become noticeably longer, more abundant and painful), you need to see a doctor.
Irregular menstruation can provoke many gynecological diseases and hormonal disorders. Endometriosis and polycystosis of the ovaries, inflammatory and autoimmune processes, circulatory disorders and tumor processes of the reproductive organs, uterine trauma and toxic effects can become a frequent cause of a violation of the regularity of the monthly cycle.
Too much or scant discharge may indicate gynecological pathologies. Most often, abundant periods after childbirth indicate the presence of endometritis or endometriosis.
Months and Breastfeeding Myths
The onset of menstruation after childbirth is closely associated with many myths, most of which, in turn, are associated with breastfeeding. The most common ones are:
With the onset of menstruation after childbirth, the milk becomes bitter and the baby can abandon the breast. The beginning of the month does not affect the taste of milk. Breast milk has a fairly stable taste, which, by the way, does not even depend on the diet of the mother. There may be, of course, small changes in taste, but by two months the child already knows this clearly and subtle changes in the taste of milk from her mother’s breast do not come as a surprise to him, rather a pleasant variety in the diet.
With the onset of menstruation, breastfeeding should be discontinued. When a woman recovers cycle, she should continue to breastfeed the baby without any changes. In rare cases it happens that lactation can be reduced by 1-3 days, but it is easily restored. It happens that the nurse during the period of critical days becomes irritable – this is what the child considers and can also become restless and capricious. But as soon as mom calms down, the same thing happens with a crumb.
With the onset of menstruation, the baby refuses breast. Most often, the reasons for the failure of the child from the breast are very different reasons that coincide with the beginning of menstruation after birth. For example, a baby is given a pacifier, a bottle of water, or a mixture along with the breast. It is these attributes of artificial feeding that disorient the baby, and he begins to refuse breastfeeding. And restoring the cycle could just coincide with this.
Therefore, when menstruation begins after childbirth, do not consider this in any negative relationship with breastfeeding. Both breastfeeding and the restoration of menstruation after childbirth are natural processes. And their peaceful coexistence in one female body is also quite natural. Good breastfeeding and calm, harmonious recovery after childbirth!