The postpartum period is quite difficult for mom. In the troubles of the infant and the well-being of loved ones it is difficult to find time for yourself, think about health. Family planning concerns fade into the background, and a new pregnancy will be an unexpected surprise. There may be prolonged heavy uterine bleeding that weakens the body and reduces hemoglobin levels. In order to avoid this, it is important for each woman to know how the cycle is restored after childbirth, and what nuances should be paid attention to.
Physiology of the menstrual cycle in women
The menstrual cycle is accompanied by periodic changes in the reproductive system. They are held with the participation of the endocrine glands, blood vessels, heart, blood-forming organs. The cycle is the time interval from the first day of the previous to the start of the next menstruation. Normally, its duration - 21-35 days.
If a woman does not have health problems, her period comes on a clear date (only during a failure in the body’s work it can be slightly delayed). The regular cycle includes the following periods:
- Estrogen production. This process causes swelling of the endometrium, the follicle matures in the ovary. During ovulation, the egg from it enters the abdominal cavity. This is accompanied by an increase in luteinizing hormone levels.
- The release of the egg into the fallopian tube. Fertilization can occur within 12-48 hours; it is during this period that it remains viable. In this phase, the ovaries begin to produce progesterone, which prepares the endometrium for implantation of a fertilized egg.
- In the absence of fertilization, progesterone production decreases, the endometrium is rejected. In this case, start bleeding, the first day of which is the beginning of a new cycle.
When do menstruation begin after childbirth, and what is considered normal?
In the postpartum period, which begins with the release of the afterbirth, the reproductive system is gradually restored. The process takes about 8 weeks, including the reduction of the uterus and the closure of its external os. The speed of recovery is affected by:
- weakened mother's body
- multiple births with short breaks in between,
- birth pathology,
- lack of regime in the mother.
After the release of the afterbirth, the uterine mucosa is seriously damaged at the site of attachment of the fetal membrane. There are many thrombosed vessels. Blood clots and particles of the placenta go for three days, according to the indications it is possible to carry out curettage. On average, endometrial tissues are restored in 12 days. The mucous membrane comes to a normal state in 2 months.
During the healing of the tissues of the uterine cavity, pink mucous discharge will begin - lochia. They disappear 1.5 months after the birth process. Changes also occur in the ovaries. The corpus luteum (gland, which functioned in place of a bursting follicle) develops in the opposite direction. The production of hormones by the ovaries is restored, which leads to the restoration of menstruation.
In lactating mothers, during active lactation, menstruation is usually absent. Prolactin, which is responsible for the production of milk, inhibits the hormonal activity of the ovaries. The mother's body works in a different direction - which is why periods during this period are not provided for by nature.
Usually, menstruation returns after breastfeeding, or it can happen when the baby is gradually being transferred to supplemental feeding and he eats less milk. If the baby is from birth is mixed feeding, on average, menstruation will come in 5 months.
The first periods after prolonged breastfeeding go against the background of anovulation. The egg cell does not leave the follicle, and conception is excluded. However, this is not always the case.
It happens that a mother who is breastfeeding learns about a new pregnancy. The lack of understanding of how long and when the cycle will be restored after childbirth is the main reason for the appearance of children in a family the same weather. If the second baby is not included in the plans of the parents, it is recommended to use contraception.
When artificial feeding
If the baby is breastfed, the period of his mom can resume immediately after the reproductive system is restored. This usually occurs in a period of 1.5-2 months. The duration of the discharge remains the same, but the volume may increase.
Gynecologists recommend young mothers to use sanitary pads with a smooth surface, change them every 4 hours. Means with a net and tampons should not be temporarily used.
Additional factors affecting cycle recovery
To fully recover the period, three periods should pass. When the discharge is not resumed within six months, provided that the lactation has ended, an examination is required.
Cycle recovery is additionally affected by:
- during pregnancy and childbirth,
- gynecological problems of the mother (myoma, pathology of the ovaries),
- hormonal and psychological background.
Features monthly after childbirth
The first postpartum periods can be scanty, irregular or, conversely, abundant and painful. This does not mean that it will always happen. For three cycles, everything should come to normal indicators. If a mother keeps a diary and notes everything that happens during her period (how they went, whether there are unusual sensations, etc.), this will be an additional advantage when visiting a gynecologist.
Lochia - postpartum discharge, which appear when restoring the mucous membrane of the uterus. Gradually, the muscular organ returns to normal, and the nature of the Lohii changes:
- in the first days there is blood and small clots in the discharge,
- on the third day, the false periods have the appearance of ichor and the smell of rotten leaves,
- in 1.5 weeks the daily volume noticeably decreases, the lochia brightens and liquefies,
- from the third week in scanty lochia, mucus from the cervical canal can be observed,
- by the sixth week there is a termination of "daub".
Duration, nature of discharge, frequency
After the birth of a child, the duration of the cycle often approaches the average indicator. If before the pregnancy the cycle was stretched for 21 or 32 days, after birth, its duration is usually 26-28 days. The average cycle length is 3-5 days. Normally, the discharge can go up to 10 days, while the dark blood replaces the scarlet blood.
The amount of menstruation may change. Standard blood loss per cycle is 50-150 ml. If the gasket is replaced every 2 hours, the discharge is considered abundant. When severe blood loss continues, it is a signal of violations in the reproductive system.
Can I continue to feed the baby?
After the return of the cycle, the mother has no reason to refuse to feed the baby with breast milk. Its composition does not change, however, the baby may not be able to take the breast in critical days. Perhaps this is associated with hormonal changes, the new smell of mom. In order for the baby to eat comfortably, you should take a shower before each feeding.
Sometimes a woman herself experiences discomfort after a cesarean or childbirth. The breast becomes very tender and sensitive, which makes the feeding procedure painful for milk. In this case, massage and warm compresses will help.
In which case it is necessary to consult a doctor?
If after 3 months the monthly could not go normally, it is worth to be examined. The reason for the unscheduled visit to the doctor are the following symptoms:
- An abundant dark discharge with an unpleasant acrid smell begins,
- abrupt termination of lohii
- scanty discharge over the last 4 cycles - they can be caused by inflammation, hormonal imbalance,
- there is no regularity of cycles after 4 months from the date of how the monthly ones arrived,
- any changes in the nature of secretions - the beginning of tumors, inflammation,
- started with heavy and frequent bleeding, which persisted for a long time.
Recommendations for a young mother to restore the menstrual cycle
If the health of a young mother is all right, her period will normalize with time, for this you should observe the following recommendations:
- A full diet rich in vitamins and trace elements. The diet is selected based on whether the mother is breastfeeding, is overweight and chronic pathology of the digestive system. In any case, preference should be given to light dietary dishes from vegetables, chicken meat, dairy drinks, cereals.
- Before the restoration of hormonal levels can not be protected with pills. The doctor may recommend other methods of contraception.
- Treatment of chronic diseases of the endocrine, digestive, urogenital systems. It is possible to visit preventive specialists three months after the birth of a baby.
- Good rest and friendly atmosphere in the family.
You should not tolerate severe abdominal pain, not paying attention to heavy bleeding. Timely inspection will solve many problems and prevent the development of complications.
The appearance of the first selection
In the body of a young mother who has given birth, a long rehabilitation of the organism takes place. The first stage of this process is the reduction of the uterus to its pregenerative condition and size by contraction. It lasts 1-2 months.
Do they go monthly with her recovery? In the first days, mom has a bloody discharge. Many people think that these are the first critical days, but this is not so. This is lochia. The reason for their appearance is the detachment of the placenta. These secretions are especially strong in the first 5–7 days. Go up to 40 days. By the end of the flow, the color changes to pale yellow. Mommies should know that ovulation is possible at this time, during sexual contact you need to remember about contraception.
Doctors say that sex until the end of the uterine contraction process is unsafe and can lead to serious problems. Within 2-3 months after birth, it is recommended to visit a gynecologist, to make sure everything is in order, and whether it is possible to return to a full-fledged sex life.
The timing of the return of menstruation
To say exactly when the first menses should come is impossible. The expected time of their arrival varies greatly and depends primarily on whether a woman is breastfeeding a baby or not. When feeding the child with the mixture and the absence of milk, the uterus returns to its original size faster, and, accordingly, menstruation begins earlier. Breastfeeding and menstruation are interrelated, due to the natural postpartum processes in the body of the newly-made mother.
Breastfeeding ensures the production of prolactin - a hormone that stimulates and regulates the appearance of milk, and also stops the onset of ovulation.
Can monthly breastfeeding go if the hormone is produced? Yes, the monthly during lactation can go, but they come later - in the period when there is an expansion of the diet of the child or a complete transfer of the crumbs to the food mixture. This drastically reduces the amount of prolactin produced by the female brain.
In 70% of cases, the first menstruation after childbirth with breastfeeding comes no earlier than six months. The process of complete rehabilitation of the cycle goes gradually. The first periods are irregular. Therefore, it will be difficult to say whether monthly periods during breastfeeding will be long or abundant. Postpartum menstruation is changing dramatically. Unbearable pains disappear, the discharge is now more or, conversely, less severe when compared with the critical days before pregnancy.
Completely different terms of the arrival of the first menstruation are waiting for the mother, whose child is on artificial or mixed feeding. In this case, the first menstruation should be expected within 3-4 months after delivery.
Regardless of the type of baby food, menstruation does not begin the first two months, until the end of the process of complete recovery of the uterus.
Critical days after cesarean section
After the COP, the waiting time for the arrival of the first critical days does not differ from the periods after physiological delivery and lactation. The difference is only the abundance of lohii - their volume after the COP can reach 0.5 liters. This is much more than after a natural birth.
After a COP, complications occur more often that affect the flow of critical days, including:
- Too scanty discharge is one of the signs of stagnation of blood in the uterus due to insufficient contractions.
- Long non-occurrence of cycle stability.
- Previously, termination of lochia can speak about the bending of the uterus.
- A strong smell is a sign of infection of the reproductive system.
- Itching and discharge of cheesy consistency - the first symptom of thrush.
In addition to lactation and the mode of birth, there are several other factors that affect the time of onset of menstruation after birth:
- age of woman
- food and lifestyle
- lack of rest,
- complications while carrying a baby
- chronic diseases.
In women who have given birth after 30 years, the recovery of the body occurs a little longer. It does not speak about any deviations in health. Unnecessary stresses or poor lifestyle practices are also reflected in the balance of hormones. This leads to the loss of milk and the approach of critical days, as well as to interruptions in the cycle and their later onset.
Will menstruation begin when breastfeeding
Breastfeeding can restart the return of critical days to a year. But it does not exclude their natural appearance earlier, especially with the expansion of the baby’s diet.
When menstruation comes with HBV, many mothers start to panic. Why they appeared, whether it is normal, and whether the discharge affects breast milk. Having read the unverified information, the moms immediately call the gynecologist: “I feed on breast milk, can monthly go? Should GW continue? ”
Doctors explain that it is perfectly normal if the periods come during lactation, and do not give recommendations on the termination of breastfeeding. On the contrary, its sharp interruption will entail a situation when the nursing mother starts the inflammatory process with further complications.
If periods come during breastfeeding, then for the time they flow the amount of milk decreases. After the cessation of secretions, milk production is restored in the same volume.
There is no need to be nervous if your menstruation suddenly began during breastfeeding. Gynecologists claim that their appearance is the norm, and they will not affect the GW.
Both the arrival of menstruation during lactation, and their absence is not considered a violation. The time of their return for each mom is very different.
Impact on feeding and child health
There is an opinion that the taste of milk deteriorates during menstruation: it starts to taste bitter. Because mothers are worried that the baby will stop taking milk when menstruation appears even during breastfeeding. Doctors disprove these myths.
It happens that when menstruation occurs during breastfeeding, the sensitivity of the nipples increases, and this creates difficulty in feeding the baby. What to do to reduce pain? It will help light massage and application of a compress to the nipples.
Particular attention, if a woman is breastfeeding, should be paid to hygiene these days. Since they are often accompanied by increased sweating, and the lactation period is no exception. The baby may refuse breastmilk due to a change in the smell from the mother. The unexpected nervousness and the whims of the crumbs during critical days can be explained by a simple reflection of the state of the parent.
The process of rehabilitation of the body and its return to the pre-pregnant state goes gradually. Therefore, irregular periods as with HB, so when feeding the baby with a mixture - the norm. They differ from each other in duration and interruptions for the first 2-3 months after their occurrence.
If there is a long delay, and during breastfeeding, menstruation abruptly stopped with an active sex life without protection, be sure to do a test and check if it is not a second pregnancy.
Other causes of delay and non-return of the period after breastfeeding are too long:
- lack of rest,
Menstruation after cessation of lactation
According to statistics, in 80% of cases, critical days do not begin with breastfeeding. In 10% they do not return in the first months and after completion of the GW. This does not necessarily indicate a deviation in health. Sometimes prolactin remains at a rather large level even after termination of hepatitis B.
In any case, you need to check with the gynecologist to exclude or confirm deviations. Clarify how much menstruation begins after breastfeeding stops.
If another pregnancy is planned, and the monthly ones did not go either during breastfeeding or after it, the doctor will assign drugs to suppress the production of hormones in such an amount.
After the end of HB, menstruation may not come or disappear for several reasons:
- overweight or underweight
- bad habits,
- hormone imbalance.
Symptoms for an emergency call to a doctor
In the process of rehabilitating menstruation after breastfeeding, problems may arise in which you can urgently call your doctor:
- Irregularity When after the arrival of menstruation half a year has passed, and they continue to go and are sporadic. It doesn't matter if a woman is breastfeeding, you need to see a doctor.
- Duration If critical days go only a day or two or more than 5 days, you need to tell your doctor about it.
- Too abundant periods when breastfeeding. If the gasket is not enough for 5-6 hours, and it has to be changed much more often, the rate is exceeded.
- Unpleasant sensations. If pain accompanied critical days before pregnancy, it leaves due to the uterus straightening - this is how birth affects it. If painful sensations appear in the postpartum period, we immediately register with a gynecologist.
- A bitter or sour smell. The appearance of a strong odor in the discharge indicates inflammation.
- Long delay. Abrupt loss of menstruation is a bright signal of unplanned pregnancy. Many forget about the need for protection at this time.
During lactation, regardless of the presence or absence of critical days, with the resumption of sex, you need to remember about the need for contraception!
These are not all the difficulties that stand in the way of a newly-made mother in the process of rehabilitating the cycle and menstruation during breastfeeding or after the termination of this process. Regular visits to the doctor will reduce the likelihood of abnormalities.
So, the answer to the common question: "Can menstruation begin with breastfeeding?" - an unequivocal "yes." In terms of their recovery, it is considered normal when periods begin after 2–3 months and up to 1.5–2 years after the baby is born. The timing of the return of the month depends on the artificial or natural way of feeding the crumbs and many other factors. If your mother is tormented by doubts or pain, you must visit a gynecologist and consult on exciting topics!