At first, after giving birth, Mommy is engaged exclusively in a child. After some time, begins to pay attention to their women's health. The question ripens: “When do menstruations start after childbirth?” After the restoration of normal hormonal levels. And when this happens, depends on the individual characteristics of the organism, some external factors. However, there is a certain time frame when menstruation should appear and the monthly cycle should recover.
Often, uninformed women confuse discharge after childbirth with the onset of menses. Lochia can last up to 2 months after delivery. First, there is abundant blood discharge, but every day their number decreases. Gradually turn brown, then yellow and disappear completely.
This happens due to the fact that during the exit of the placenta the walls of the uterus are damaged. At the place of attachment of the placenta are bleeding capillaries. Over time, they tighten, the uterus is restored, the amount of discharge decreases. When breastfeeding, the uterus contracts faster. Abundant bleeding ends quickly - within 2 days after the start of feeding. Scanty brown streaked with blood may be present for 2 months.
There are no monthly after childbirth - why
For 2 months after giving birth, the woman’s body undergoes numerous transformations, as a result of which systems and organs are restored. Changes affect the endocrine system, cardiovascular, nervous, sexual. At the same time, the work of the mammary glands is activated. In the uterus, complete recovery should occur, there is a process of reverse development. The first 12 days after birth, the bottom of the uterus falls, weight decreases from 400 g to 50 g, internal pharynx is formed. Within 8 weeks after childbirth, the size of the uterus decreases, and the external pharynx closes. At the same time, the endometrium of the organ is restored. The time limits for recovery depend on several factors: the age of the woman, how easy the pregnancy was, the well-being of childbirth, and feeding. The process slows down in such cases:
- After birth, the body is weakened. Having problems with labor. The process of childbirth was difficult and lengthy. The woman lost a lot of blood.
- Birth 3, 4, 5 and so on. Each time the body is more difficult to return to normal. After the second cycle is restored in the same way as during the first birth.
- In the postpartum period there is no opportunity to fully relax, sleep.
After birth, the hormonal balance of the ovaries is disturbed. The lack of estrogen makes it impossible to develop an egg cell. Monthly after childbirth begins only after its recovery. In addition, the process of estrogen production by the milk hormone - prolactin is slowed down. Therefore, the restoration of the monthly cycle after childbirth is directly dependent on breastfeeding.
The effect of breastfeeding on the recovery of the monthly cycle
Breast milk appears on day 3 after birth. This process is managed by the hormones oxytocin, prolactin. The latter is excreted during breastfeeding. Moreover, the amount of milk depends on the prolactin in the body. Monthly after childbirth will not appear until the rate of this hormone is high. Mother Nature thought of everything. While mother is engaged in a small child, the probability of getting pregnant is minimized. Putting your hand on your heart, you can admit that the question of menstruation after childbirth concerns not so much because of health, but because of contraception. In order for prolactin to suppress ovarian function, several conditions must be observed:
- Feeding should be carried out on demand, and not on schedule with an equal period of time.
- The interval between daytime feeding should not exceed 3 hours. It is better if it is 2. Night breastfeeding allows for a break of 6 hours.
- Feeding should be exclusively breast feeding. When mixed feeding or bottle-feeding, the effectiveness of natural contraception is reduced.
Subject to these rules, menstruation after childbirth will appear after 6 months. There are explanations for this.
Starting from 6 months, pediatricians recommend introducing complementary foods. With each spoonful of new product, the amount of breast milk is reduced. As the number of feedings decreases during the day. At night, it is gradually reduced to 1, during the day, the time intervals between feeding are increased. Consequently, the amount of prolactin is reduced. The hormone is unable to inhibit the production of estrogen, restoration of ovarian function. There are first monthly after childbirth.
When fed with formula, the amount of prolactin decreases faster. Monthly after childbirth appear 3-4 months later. With the refusal of breastfeeding or the inability to implement it, menstruation after childbirth appear after 2 months.
There are no reasons for excitement, if menstruation is absent for about a year. This means that hormones restore too slowly, but as a result, periods after childbirth will begin to remind of themselves.
- Influences the restoration of menstruation the nature of menstruation before pregnancy. As well as hormonal background of a woman before childbirth. The menstrual cycle is normalized faster in those women whose monthly periods were regular, without delays.
- Do not panic if there is a delay after successful previous periods. Of course, one of the reasons is pregnancy. A delay of 3 weeks for other reasons is considered normal. The monthly cycle will return to normal after 3 menstruation.
- After childbirth, the nature of menstruation may change. Menstruation can change, both in duration, quantity, and painful sensations. This, too, has its own explanation. Before pregnancy, pain during menstruation was present due to the bending of the uterus. During pregnancy, the body is rebuilt, childbirth contributes to the displacement of the pelvic organs. As a result, the bend of the uterus is eliminated.
Usually the monthly cycle becomes as it was before pregnancy. At first, there may be abundant bleeding or scanty. Then comes back to normal. The pain of menstruation is reduced.
When you need to sound the alarm
Full recovery of the body of a woman occurs within 8 months after childbirth. The absence of menstruation after the cessation of feeding or when artificial feeding should alert. If this process is accompanied by painful sensations, it is necessary to consult a gynecologist.
- No monthly
Missing periods may be due to genital diseases and system failure. For example, inflammation of the ovaries, a tumor. Influences the restoration of the cycle postpartum pathology. Menstruation does not occur because of conception. Monthly talk about the maturation of the egg, ovulation. However, to predict when this should happen is difficult for a woman. The lack of contraception leads to the fact that pregnancy comes suddenly, when a woman is not ready for this. As a result, there are kids the same age.
- Monthly irregular
For the first 3 months there is nothing to worry about. The recovery cycle occurs gradually. If the cycle does not improve, it means that there are pathological changes. The cause may be diseases of the reproductive system, hormonal disorders.
- Abundant or prolonged periods
The amount of blood during menstruation is different for each woman. Determine whether it is abundant or not by comparing with the previous ones. Duration is normally from 3 to 7 days. If the blood continues to run - this is a serious reason to see a specialist.
Accelerates the appearance of menstruation and restores the cycle of the intrauterine device. It is recommended to install a contraceptive device 6 months after delivery. In some cases, allowed after 2 months. In this case, the spiral affects the hormonal background. In 1 month after its establishment, menstruation will begin. At the same time it will be plentiful, long and painful. The condition normalizes after 3 months. The cycle will be restored in six months.
So that the cycle recovers faster
Young mothers need not only to take care of the baby, but also to pay attention to their health. Night waking should be compensated by daytime sleep. Tension of the nervous system, constant fatigue, lack of sleep have a bad effect on the monthly cycle.
Nutrition during breastfeeding is different from the usual. So that the child does not have allergies, the mother has to give up a lot. At the same time food should remain balanced and full. To compensate for the lack of nutrients in the body can be vitamins. Before consulting with a doctor.
Severe childbirth can cause severe depression, which is called postpartum. To help get out of this state should relatives, spouse. A woman should take a sedative, be observed by a doctor. Medicinal products are accepted only for the purpose.
Regular sex life contributes to the rapid recovery cycle. However, it should be started no earlier than 1 month after delivery. To avoid conception, you must use contraception. Breastfeeding is a method with dubious reliability. It is not known when the hormone prolactin gives primacy to estrogen, and a full cycle begins. Pregnancy occurs without menstruation.
Summing up, it should be noted that the restoration of the monthly cycle depends entirely on the characteristics of the female body and the presence of diseases. One month after giving birth, it is recommended to undergo a routine examination by a gynecologist in order to exclude pathologies after labor. And also get information about the methods and means of protection in the period of breastfeeding baby.
When the menstrual cycle is restored after childbirth
The minimum period for which the female reproductive system is restored completely, is slightly more than a month. This happens when postpartum lochia ends, after which menstrual bleeding can begin.
The maximum recovery time of the female cycle can reach several years, which is associated with prolonged breastfeeding. While maintaining lactation, the body of the newly-minted mother continues to produce hormones that inhibit the ovary's monthly production of a large number of eggs. Those, in turn, do not have time to mature and leave the ovary, that is, ovulation does not occur.
However, most often the first bleeding from a woman comes within 4-12 months after the postponed labor, and their occurrence is associated with a large number of factors.
And here is more about how to restore menstruation without hormones.
The reasons why there is no monthly
It has long been believed that a woman cannot become pregnant while breastfeeding, and lactation could continue for up to 3 years, until the child is able to eat food suitable for an adult. With the introduction of complementary foods, supplementation or complete replacement of the infant's breast milk feed in a mixture, the periods of the onset of menstruation in the woman who gave birth significantly shifted. However, there are many reasons for the absence of menstruation:
- The body just did not have time to recover. For a woman, delivery is a huge psychological and physiological stress, and inside of her begins a real riot of hormones. After the reproductive system is fully restored, the period will begin.
- A young mother started or continues to breastfeed. When lactation is established, the hormones oxytocin and prolactin are produced, which together are responsible for the tides of milk. They suppress cyclic processes in a woman’s body and do not allow ovulation to occur. And if there is no ovulation, then there will be no menstruation.
- Compliance with the daily regimen, adequate sleep and good nutrition. Even these 3 factors significantly influence the self-feeling of the newly-made mother. If she has a lack of sleep, nervous or physical exhaustion, the body simply will not be able to recover, which means that the monthly will begin much later. Disruption of the psycho-emotional state, for example, postpartum depression, also has a very negative impact on the process of rehabilitation after childbirth.
- Available diseases in the chronic stage They can also adversely affect a woman's menstrual cycle, pushing farther and farther away, or stopping it altogether.
- Hormonal drugs. Various therapy with similar drugs should be carried out carefully and under the supervision of a competent and experienced specialist. The female body is very sensitive to various hormonal drugs that can make changes in the cyclical nature of menstrual bleeding or eliminate them.
- Age of the woman who gave birth. It is also possible that such a situation when pregnancy and the birth of a child occurred just shortly before the onset of menopause at the mother. Then the female body begins a kind of restructuring and stops the production of eggs, which entails the absence of menstrual bleeding.
It is believed that the number of female germ cells that can appear cyclically in the ovary is limited and determined even in the womb, so it is impossible to predict the age of menopause, each girl will have his own.
It is worth noting that the type of delivery does not affect the time of arrival of menstruation. That is, it will not be an important factor whether the girl was given a caesarean section, or she gave birth in a natural way.
See this video for why there are no periods after childbirth:
Lactation by decision of a woman or for physiological reasons can last several months, and can reach 3-5 years. If a mother feeds at any time, then her body produces the hormones oxytocin and prolactin. The second substance is considered to be a dairy activator, that is, the more often a woman puts her baby to her breast at night, the more and longer her necessary and sufficient milk will be produced for the infant.
The hormone, called prolactin, simultaneously performs another function in the female body during lactation: it prevents the formation of eggs in the ovaries, which excludes the possibility of the onset of the ovulation process. However, the less often the mother will feed the baby, the less milk hormones will be produced.
With the introduction of complementary foods, the infant will consume much less nutrition from the mother’s breast, which can trigger the onset of ovulation and menstruation before the end of the lactation period. Most often when feeding up to six months or a year with the use of ground food by a baby, the female cycle is restored at the same time.
If the child is on the mix
Today, mass production offers a huge selection of breast milk substitutes. Of course, it is an ideal product for a newborn and an older child, but there are reasons for which natural lactation is impossible, undesirable for a baby or is not desired by a woman.
If the newly-made mother does not breastfeed at all or has completed lactation very early for one reason or another, her menstrual cycle is restored much faster. It is possible that already after a month after the birth of the baby, critical days will come. From the moment the menstrual bleeding begins, the woman becomes fertile, that is, restores the ability to become pregnant and have a baby.
Watch this video to see if you can get pregnant with HB:
The sequence of recovery of the menstrual cycle
When a child is born, his mother's body tries to quickly return to the pregenerative state:
- About a week after birth, the cervix and the internal pharynx are restored. During the fights, this kind of canal is stretched wide and decreases in length, so it needs time to return to the previous figures.
- The first 1.5-2 months, the size of the uterus is reduced, and this female organ becomes in volume as a drain. The internal surface after the separation of the placenta also heals, and a woman can observe suckers ̶ vaginal discharge lasting for a month.
- The ovaries also restore their pre-pregnancy function and begin to produce follicular vesicles that contain eggs.
- In the absence of factors suppressing ovulation, the egg cell becomes capable of maturation and fertilization. Critical days are restored, and a woman can again conceive a child.
Features monthly after childbirth
Some women notice that the menstrual cycle undergoes changes after birth:
- Monthly become more regular, their frequency is adjusted.
- Если до родов у женщины в критические дни наблюдалась альгодисменорея, то есть весьма болезненные и неприятные ощущения внизу живота, то после появления ребёнка она может закончиться совсем или же относительно ослабнуть.
Вышеуказанные признаки связаны с физиологическим недостатком. A large number of women have a congenital uterus bend, which provokes blood stasis during critical days, causing painful sensations and even spasms. During childbirth, this pathology is naturally eliminated: the uterus straightens and is more physiologically located among the other organs in the pelvis.
Due to the correct position of the female organ, blood does not accumulate, and the discomfort, called algomenorrhea, does not manifest.
A woman should know what discharge in color and duration will be observed after the birth of the baby, and also what you should pay attention to or be wary of. A good reason to contact a specialist will be the following symptoms:
- lactation is over a few months ago, and the first periods never came,
- several menstrual cycles in a row are observed atypically abundant bleeding,
- during critical days a woman constantly feels weak and dizzy,
- the presence of any established or formed pathologies, such as endometriosis, dysplasia or fibroids,
- suspicion of a possible pregnancy in parallel with lactation or after its recent completion.
Malfunctions of the menstrual cycle can often be prevented if a woman begins to pay attention to her health:
- Overweight stimulates the additional production of estrogen, which knocks down the regularity of menstruation. The establishment of a full-fledged diet and water consumption together with light sports exercises will return the weight and the female cycle to normal.
- Psycho-emotional and physical exhaustion does not allow the body to recover, so you should eliminate or minimize negative factors like lack of sleep, negative emotions.
- The specialist can write out a complex of vitamins, aimed precisely at establishing the regularity of the cycle. Menstrual function will help set up "Cycles", "Time Factor" and similar tools.
Recovery after cesarean section
Childbirth that did not go according to plan, can still make adjustments to the menstrual cycle. For example, due to surgical intervention in the walls of the uterus, its involution may be hampered.
A caesarean section does not pass as easily as it is commonly believed in women who have given birth, as it is an abdominal operation, the incision on the female organ heals much longer than its physiological stretching and contraction during labor. Also, infections may be carried to the seam area, which complicates the restoration of functionality.
Depends on the time of onset of menstruation is no longer on the type of delivery, but on the presence of lactation and the intensity of recovery of the woman's body.
When a woman practices breastfeeding, critical days come later, but if the child is fed, feeding or feeding, the onset of the menstrual cycle is possible early on. Regular critical days can come almost a month after the birth of a baby, and can linger for several years.
And here more about the causes of long periods.
The way of giving birth to an infant does not affect the onset of such days, unless there are additional complications. In case of any indisposition or any atypically abundant discharge, a woman should immediately visit a specialist.
On when they appear, as well as what will be monthly during lactation, many factors affect - the recovery of the body, the cycle before birth, weight, surgery, and others. On average, they start from the first month, and can come in three years.
To understand how to restore menstruation without hormones, it is necessary to first find out the causes of failures. Sometimes only the use of drugs will have a real effect.
Influence on how much may be delayed menstruation, may be internal and external causes, as well as the age of the woman. In adolescents and during menopause, long delays are often the norm.
Sometimes long periods become quite trivial and normal (after an abortion, with heredity). If they are more than 7 days, with severe pain and red clots, then this is a reason to go to a doctor. It is extremely undesirable to carry out treatment independently.
Restoration of the menstrual cycle after childbirth: features and problems
Many women are interested in how the menstrual cycle of the field of childbirth is restored. This question is extremely important, since every woman is unique, and the restoration of the menstrual cycle after childbirth occurs in each differently. Who has the first bleeding begin almost immediately after childbirth, someone can wait for the arrival of menstruation for about a year. Often, women take instead of menstruation bloody discharge, which is characteristic of the postpartum period. Restoration of the cycle is extremely important for a woman’s health, therefore it is necessary to consult with a specialist.
If in the postpartum period, a woman begins to appear bloody discharge, this does not mean that there is a recovery of the menstrual cycle after childbirth. This is just a phenomenon, which in medicine is called lochia. The reasons for the appearance of such secretions are related to the physiology of the woman who has not yet recovered uterus. After childbirth, it is an extensive wound surface due to the separation of the placenta during labor. Like any wound, it needs a long healing process, which is characterized by bleeding. The nature of these secretions changes over time. In the first week they are blood - blood, then change color to yellowish. Complete cessation of discharge occurs approximately 6-8 weeks after birth. Sometimes the process can be delayed, which indicates the pathological changes that have begun in the uterus or its poor contractility.
Many factors affect the recovery of the menstrual cycle. First of all it depends on the nature of feeding the child. If breastfeeding is not taking place by the hour, then menstruation will begin after the end of lactation. If, in addition to breast milk, the baby receives supplements, then it consumes less, and the period may begin even before the end of the process of active feeding. If feeding occurs mixed, then the first menstruation will come in the third - fourth month. If the mother does not feed the infant, the recovery of the menstrual cycle after delivery should be expected in the third month. In addition, this process is affected by the hormonal contraceptive use by the mother, the nature of the birth itself. If childbirth was drugged (especially if hormonal drugs were used in this case), the cycle may begin later. The recovery process can be affected by the course of pregnancy, the age of the woman, proper and balanced nutrition before and after childbirth, the presence of chronic diseases, adherence to the day regimen with proper alternation of sleep and wakefulness.
The absence of menstruation after childbirth is usually associated with the process of feeding. While feeding a baby, the mother’s body produces a hormone that is responsible for the formation of milk. It suppresses the hormonal processes occurring in the ovaries, suppresses the maturation of the follicle and the release of the egg. One of the common mistakes of lactating women is the neglect of contraceptive methods in the absence of menstruation after childbirth. If there is no blood discharge, it does not mean that ovulation does not occur. Because it is better to protect themselves during feeding, especially if it occurs less than six times a day.
The first menstrual cycle, as a rule, is anovulatory. His full recovery will occur approximately the fourth month after birth. After this cycle may change, take place with interruptions. Their term can vary from three days to a week. If the period is more than a week, menstruation has an unpleasant smell, and during their flow pain appears, then you should consult a doctor, as this is a symptom of a disease. If before birth the periods were painful, then after birth they could remain so. This is due to the bend of the uterus and the restoration of the location of the internal organs of the small pelvis. After childbirth, the nature of menstruation may change - they will become shorter and more abundant. This is due to the changed physiology of women after childbirth.
Why do menstruation stop during and after pregnancy?
The menstrual (ovulatory) cycle is similar to a conveyor, at a certain moment the right hormone comes into play, which produces a certain effect.
The first phase of the cycle - follicular - is characterized by a high level of follicle-stimulating hormone (FLG). It is he who “wakes up” the dominant follicle, which “matures” for two weeks. At the same time, the egg cell is not just preparing for fertilization, the follicle itself becomes a “small hormonal factory” - it secretes estrogens, which decrease FLG levels and increase the concentration of luteinizing hormone - LH.
As soon as the concentration of LH and estrogen reaches its maximum, the next phase of the cycle begins - ovulatory. As you understand, it is at this point that ovulation occurs: the basement membrane of the follicle is torn and the ripe egg enters the fallopian tube. The ovulatory phase does not last long, an average of 36 hours.
The body, meanwhile, is beginning to prepare for a possible pregnancy - the third, luteal phase of the ovulatory cycle begins. LH and progesterone intensively prepare the uterus for pregnancy until approximately the 22nd day of the cycle. If pregnancy did not happen, the concentration of hormones is reduced to a minimum, the “fertile” endometrium of the uterus degrades and is rejected - menstrual bleeding begins.
If pregnancy occurs, the picture will be somewhat different: the concentration of estrogen and progesterone will remain high (the latter is even called the "hormone of pregnancy"). This is necessary to relax the muscles of the uterus, reduce the body's immune response to the fetus, and perform many other “works” necessary for a successful pregnancy. But why do menses disappear and a new pregnancy is impossible during pregnancy?
“As you noticed, the cycle is impossible without the first step: an increase in the concentration of follicle-stimulating hormone. However, in the middle of the cycle (and during pregnancy), its concentration on the principle of "feedback" decreases due to an increase in the level of estrogen. At the end of the cycle (and during pregnancy) progesterone becomes such a limiter. Finally, immediately after birth and during breastfeeding, the production of FSH is hampered by prolactin, a hormone that causes the formation of milk in the mammary glands.
So, these three hormones - estradiol, progesterone, prolactin - signal the body: now there is no need to initiate a new pregnancy, we are already preparing for a pregnancy / are pregnant / have just given birth and need to rest.
Breastfeeding and recovery of the menstrual cycle
As you noticed, the hormone prolactin becomes the main “opponent” of the new pregnancy in the body of the nursing mother. However, its content depends on the frequency of nipple stimulation. The baby begins to suckle - prolactin is secreted, milk production is stimulated. The more often the baby takes the breast, the more evenly the prolactin is released, the less likely it is that the FSH level will increase to the level necessary for the start of the ovulatory cycle. This lack of menstruation is called lactational amenorrhea.
How the menstrual cycle depends on the duration of breastfeeding
If for some reason you do not breastfeed your baby, the menstrual cycle is restored 6-8 weeks after delivery.
If you do without nightly feeding (for example, you express milk in advance, and the baby is fed from a bottle by someone from home) or you feed the infant with milk formula, the cycle is restored 3-4 months after giving birth.
If you start to give complementary foods, the cycle will recover 1-2 months after the start of complementary feeding.
If you feed the baby on demand and do not give complementary foods, the cycle will still recover 12-14 months after giving birth.
"It is believed that lactational amenorrhea serves as a natural contraceptive for six months of breastfeeding (subject to exclusive breastfeeding on demand, with intervals between feedings of not more than three hours and night feedings). After this time, even if you keep breastfeeding in the same volume, the probability of recovery of the cycle increases, and breastfeeding can no longer protect you from a new pregnancy!
The normal ratio of hormones in different women is within a fairly wide range. Therefore, the menstrual cycle may well recover even against the background of active breastfeeding. Do not be afraid that this will affect lactation: the amount of milk can decrease only on the day of the menstruation, and only slightly.
Conversely, the cycle may not recover even after the completion of breastfeeding. If you stopped HBG or significantly reduced the number of feedings, and the menstruation did not recover three or four months later, contact your doctor to determine the cause of the problem.
”It is believed that the “southern” brown-eyed brunettes recovers their menstrual cycle after childbirth faster than that of the “northern” blue-eyed blondes. We could not find a single study confirming this hypothesis, so we are waiting for your observations in the comments!
Changes in the menstrual cycle after childbirth
In fact, every menstruation is “micro-childbirth”: the uterus contracts to get rid of unnecessary endometrium. That is why most women are familiar with menstrual pains - one they seem unbearable, others describe their condition simply as uncomfortable. However, after giving birth, some women find that their feelings have changed.
Usually this happens when the initial deviations in the location of the uterus, for example, when bending anteriorly. At the same time, blood accumulates in the uterus and is secreted with difficulty. After birth, the position of the uterus may even out and the pain will go away.
However, it happens the other way around, for example, if during childbirth an infection was introduced into the uterine cavity, then even after a full recovery, the consequences may remain in the form of painful periods. Finally, hormones may change after pregnancy and childbirth. Today, one of the causes of painful menstruation is considered a high (non-pathologically) level of estrogen.
The frequency of menstruation may also change. The first few cycles after childbirth may be shorter or longer than usual, menstruation may stop for a while (a month or two), then the cycle is restored again. When it stabilizes, a woman may find that instead of 30, for example, days, it now lasts 26 or, on the contrary, 32 days.
”Even if nothing bothers you, be sure to visit your doctor when you restore your menstrual cycle. You should also consult a gynecologist if menstruation did not appear 12-14 months after giving birth, and if you stopped breastfeeding, then 3 months after that day.
And, of course, do not forget in which cases you should urgently seek medical help: in case of severe menstrual pain, as well as abnormal blood loss (for two or more days, the lining of the maximum capacity gets wet in less than two hours).
And remember: doctors do not recommend getting pregnant again earlier than two years since the previous birth. Even if it seems to you that you are alert and full of energy, your body still needs to recover properly!
Terms of recovery of menstruation after childbirth: what is the norm and what is pathology?
Young mothers are always interested when menstruation begins after childbirth. During the recovery cycle, it can change the length, monthly often acquire a different character, intensity, duration, become more or less painful than before pregnancy. Often this is the norm, but in some cases consultation with a gynecologist is required.
Postpartum bleeding, or lochia, is a cleansing of the wound surface that forms at the site of the separated fetal membranes and placenta. They last for the entire period of recovery of the inner surface of the uterus.
At this time, the uterus is particularly vulnerable to infection, so you should regularly change the sanitary pads and monitor the nature of the discharge. They are maximally expressed within 3 days after birth, and then gradually weaken.
Sometimes such discharge stops completely every other day. This is due to a delay in blood in the uterus (hematometer), which leads to an increased risk of infection. In this case, you need the help of a doctor.
Normally, the cleaning of the uterus after the process of vaginal delivery lasts from 30 to 45 days. After surgical delivery, this time may increase, due to the formation of the scar and a longer healing time.
How to distinguish menstruation from bleeding after childbirth?
Lochia gradually change their character. By the end of the 1st week they become brighter, in 2 weeks they become slimy. В течение месяца в них может появляться примесь крови, но ее количество незначительное. Обычно женщина легко отличает этот процесс от менструации. Между прекращением лохий и началом первой менструации должно пройти не менее 2 недель.In case of doubt, it is better to consult a gynecologist, or at least start using barrier contraception that protects the uterus from infections.
During pregnancy, menstruation is absent. This is a natural protective mechanism for the preservation of the fetus, which is regulated by hormones. After childbirth begins to restore the normal hormonal status of women. It lasts for a month if breastfeeding is not started.
When should menstruation begin after childbirth?
This period is determined primarily by the type of feeding the child: natural or artificial. Breast milk production occurs under the action of the pituitary hormone prolactin. It is he who inhibits the growth of the egg in the ovary during lactation. The level of estrogen does not increase, therefore, during breastfeeding, menstruation begins, on average, 2 months after birth, more often when feeding & by the hour &.
For many young mothers, this gap extends to six months or more, especially when feeding & on demand &. In very rare cases, while breastfeeding is maintained, even periodically, women note that they have no periods for a year, and sometimes even longer. In such cases, you should regularly use contraception, and if necessary, do a pregnancy test. You also need to consult with your doctor to exclude hyperprolactinemia.
With artificial feeding from birth, the cycle duration is restored in a month - one and a half. At this time, ovulation also occurs, so a new pregnancy is possible.
When a baby eats only breast milk, all this time a woman may not have her period. In this case, the first menstruation after childbirth will begin during the first half of the year after the end of lactation & upon request & or the introduction of complementary foods. However, this is not necessary, and even during breastfeeding, menstruation can recover.
When mixed feeding (from a bottle and naturally) recovery of monthly develops faster, within 4 months after childbirth.
How long do menstruation last in the postpartum period?
Often the first menstruation is very abundant. There may be strong discharge, monthly with blood clots. If you have to change the gasket every hour, you should contact your doctor for help: this may be a symptom of bleeding that has begun. Subsequent periods usually become normal.
In other cases, in the first months of women appear irregular spotting. This is characteristic of breastfeeding, when prolactin synthesis gradually decreases.
Additional factors affecting the rate of recovery of a normal cycle:
- difficulties in caring for a child, lack of sleep, lack of help from relatives,
- unhealthy food
- postpartum depression
- mother’s age is too young or late delivery,
- concomitant diseases (diabetes, asthma and others), especially those requiring hormonal therapy,
- complications after childbirth, for example, Sheehan syndrome.
Irregular periods are often stored for several cycles after delivery. These changes should not be permanent. Within 1-2 months, the cycle normally returns to prenatal characteristics or varies slightly in duration.
- Scanty periods can normally be during the initial 2-3 cycles, especially if mixed feeding is used.
- During the first cycles after giving birth, on the contrary, some women have copious periods. This may be normal, but if menstruation does not become normal in the next cycle, you need to consult a gynecologist.
- The regularity of the menstrual flow is disrupted, that is, the cycle is lost.
- Painful periods may occur, even if a woman has never complained of pain before pregnancy. The reason for this is an infection, too much contraction of the uterine wall. In most cases, on the contrary, menstrual periods that are painful before pregnancy become normal. This is caused by the normalization of the location of the uterus in the body cavity.
- Some women develop premenstrual syndrome or its precursors: nausea, swelling, dizziness, emotional changes before menstruation.
The delay in menstruation after birth appears under the influence of varying hormone levels:
- secretion in the pituitary of prolactin, which helps to excrete breast milk and suppresses ovulation,
- suppression under the action of prolactin production of estrogen, which leads to irregular menstruation or their complete absence during breastfeeding (lactational amenorrhea).
When a baby eats only mother's milk, and & on demand &, and not & according to hours &, and a woman has no menstruation for six months after giving birth - this is the norm.
After the occurrence of menstruation, it is desirable to start using contraception. Although breastfeeding reduces the likelihood of conception, it is still possible. For example, if the period after childbirth began, and then disappeared, the most likely reason for this is a repeated pregnancy. You should also remember that ovulation occurs before the onset of menstrual bleeding. Therefore, it is possible pregnancy even before the first menstruation. If a woman is concerned about why there is no menstrual bleeding for a long time, you must first do a home pregnancy test, and then consult a gynecologist. You may need to consult an endocrinologist.
It is not necessary after the appearance of the menstrual cycle to refuse breastfeeding. Monthly does not change its quality. It happens that a child eats poorly these days, is naughty, refuses to breastfeed. This is usually associated with emotional disorders in a woman, her feelings about the quality of feeding.
During menstruation, nipple sensitivity may increase, feeding becomes painful. To reduce such sensations, it is recommended that before giving the baby a breast, massage it, warm it, apply a warm compress to the nipples. It is necessary to monitor the purity of the chest and axillary region. When menstruation changes the composition of the sweat, and the baby feels its smell differently. This may be another reason for feeding difficulties.
What to do if the menstrual cycle has become irregular:
- In the first months of the postpartum recovery period, do not panic. In most cases, this is a variant of the norm. Each woman normalizes the cycle individually, usually during the first months of the resumption of menstrual bleeding. Irregularity is more common in women who use breastfeeding.
- It takes about 2 months to restore the normal function of all organs and systems. The balance in the endocrine system comes later, especially if breastfeeding is used. Therefore, a woman may feel quite healthy, but at the same time she will experience a lack of menstruation.
- Pay attention to the irregular cycle should be only after 3 cycles. This may be due to inflammation, endometriosis or genital tumor. The delay of the second menstruation is not dangerous, unless it is associated with re-pregnancy.
If you have any doubts, it is better to consult a gynecologist, get a diagnosis in time and start treatment.
Cycle after the pathological course of pregnancy or childbirth
Menstruation after missed abortion is not immediately restored. Only some women have regular bleeding within a month. In most cases, hormonal imbalance, which led to abortion, causes irregularity of the cycle.
After interrupting a stalled pregnancy or abortion, the first menstruation occurs within 45 days. If this does not happen, the woman should seek the help of a gynecologist.
To eliminate the causes of amenorrhea, such as the remaining part of the ovum in the uterus or inflammation, 10 days after the termination of a frozen or normal pregnancy, an ultrasound scan is necessary.
The first menstrual flow after ectopic pregnancy begins at 25 to 40 days after its completion. If they started earlier, it is probably uterine bleeding that requires a visit to a doctor. A delay of more than 40 days also requires consultation with a gynecologist. If the disease has caused severe stress in a woman, it is considered normal to extend the recovery time to 2 months.
Menstruation after a cesarean section is restored in the same way as after normal delivery. During lactation, menstruation does not come within six months. With artificial feeding, there is no menstruation for 3 months or even less. Both at physiological and at birth by caesarean section in a small part of women, the cycle is not restored within a year. If no other pathology is found, this is considered normal.
In the first few months after a frozen, intrauterine pregnancy or cesarean section, the cycle may be irregular. Subsequently, its duration may change from the previous one. But normally it is not less than 21 days and not more than 35 days. Menstruation lasts from 3 to 7 days.
After all the above situations, it is recommended to prevent a new pregnancy for at least six months. It must be remembered that the absence of menstruation is not a sign of anovulation, and even before the first menstruation a woman may become pregnant.
Sometimes bleeding that began in a woman after giving birth is pathological. At the same time, it is not worth waiting for several cycles to normalize, but to immediately consult a doctor.
- Sudden cessation of postpartum discharge - a sign of uterine bend or endometritis, accumulation of lochia in the uterine cavity - lochyometers.
- Scanty periods for 3 cycles or more. Perhaps they are a symptom of hormonal disorders, Sheehan syndrome or endometritis.
- Irregular menstruation six months after its recovery, a break between bleeding for more than 3 months. Most often accompanied by pathology of the ovaries.
- Too much bleeding for 2 or more cycles, especially after a surgical method of delivery or termination of pregnancy. They are often caused by the tissues of the fetal membranes remaining on the walls of the uterus.
- The duration of menstruation more than a week, which is accompanied by weakness, dizziness.
- Abdominal pain, fever, foul odor, discoloration of vaginal discharge is a sign of a tumor or infection.
- Smearing spots before and after menstruation is a likely symptom of endometriosis or an inflammatory disease.
- Itching in the vagina, a mixture of cheesy discharge - a sign of candidiasis.
- Bleeding twice a month, continuing for more than 3 cycles.
In all these cases, the help of a gynecologist is needed.
Sometimes, despite the apparent health of a woman, she does not have menstruation at the right time. This may be a symptom of childbirth complications - Sheehan syndrome. It occurs with heavy bleeding during childbirth, during which blood pressure drops sharply. As a result, pituitary cell death occurs - the main organ regulating the function of the reproductive system.
The first sign of this disease is the absence of postpartum lactation. Normally, in the absence of milk, menses appear after 1.5-2 months. However, in Sheehan's syndrome, gonadotropic hormone deficiency occurs. The maturation of the egg in the ovary is impaired, there is no ovulation, there are no menstrual bleeding. Therefore, if the woman who gave birth does not have milk, and then the cycle is not restored, she needs to urgently consult a doctor. The consequences of Sheehan syndrome are adrenal insufficiency, which is accompanied by frequent infectious diseases and a general decrease in the body's resistance to various stresses.
There is also the reverse problem - hyperprolactinemia. This condition is caused by an increase in prolactin production in the pituitary gland after the end of lactation. This hormone inhibits the development of the egg, causes anovulation, disrupts the normal thickening of the endometrium in the first phase of the cycle. Its excess leads to the absence of menstruation against the background of the continuing synthesis of milk.
The main causes of hyperprolactinemia are pituitary adenoma, gynecological diseases, polycystic ovaries.
When a woman is healthy, her cycle is restored normally. To avoid possible failures, you need to follow some simple guidelines:
- To enable the body to quickly restore the synthesis of hormones, you need to fully eat. Many fruits, vegetables, whole grains and water combined with regular exercise are an effective method of restoring hormonal balance. The menu should be dairy products, cottage cheese, meat. After consulting a doctor, you can take a multivitamin for nursing mothers.
- Do not take birth control pills. They can change hormones and cause unpredictable changes in the cycle. If a woman is sexually active, it is better to use condoms or other non-hormonal methods of contraception.
- Most effectively organize your mode. If the baby does not sleep well at night, you should try to get enough sleep during the day. Do not give up any help from loved ones. The good physical condition of the woman will help her recover faster.
- In the presence of chronic diseases (diabetes, thyroid disease, anemia, and others), it is necessary to visit the appropriate specialist and adjust the treatment.
Features of menstruation and recovery of the body after childbirth
Menstruation after birth has some peculiarities. A cycle can last a different amount of time: from 21 to 32 days - the normal duration of such a period. The main characteristic of monthly stability is their regularity and, accordingly, the constant cycle length. There are various reasons that affect the stability of the intermenstrual period, and one of them is childbirth.
The menstrual cycle - the time period from the beginning of the month to the beginning of the next day. The process is characterized by cyclical and biological complexity of regulation. The phases of the cycle prepare the female body for a possible pregnancy, but if the fertilization process has not occurred, menstruation occurs.
Another option - fertilization occurred, the woman became pregnant. The body changes, hormonal changes take place, the goal of which is now to preserve the pregnancy. During the period of gestation of the offspring do not go.
After nine months of pregnancy, the child is born, and the female body begins to restore functions. The hormonal balance is normalized, organs and systems return to normal functioning, as it was before conception.
All changes during pregnancy and after childbirth are physiological, and recovery lasts up to two months. All organs and their systems come to normal. However, the mammary glands change: their functional development is focused on the process of breastfeeding of the newborn.
Restoration of the reproductive system after childbirth begins with the reduction of the uterus. Then a cervical canal is formed, and the external pharynx closes. The duration of the process depends on various factors:
- the number of postponed childbirth,
- body capabilities
- correct mode
- pathological childbirth.
Women who give birth several times often have a weakened body and recover longer. Birth for the first time after 30 years, postponed pathological childbirth feel physiological changes harder, to return to normal takes more time. Doctors advise to follow the postpartum regime, significantly accelerating the resumption of antenatal functions.
The duration of recovery depends on the method of feeding the child. An important factor in this - lactation.
The cycle time is different for women who are nursing and not breastfeeding. The reason for this is associated with the production of prolactin. The hormone causes the female body to produce milk, and the mother's body directs forces to feed the newborn. And since the birth has already happened, a new conception is not supposed. Based on this & logic &, prolactin and inhibits reproductive function, and with it monthly.
Non-breastfeeding moms, whose babies feed on mixtures, mark the onset of menstruation for 6–8 weeks after giving birth. Prolactin in this case does not suppress the development of the egg, and the first menstruation begins after birth. The specified period is considered average.
Mothers who breastfeed their babies only note that menstruation may begin after the introduction of complementary foods. Prolactin controls the formation of milk, suppressing hormonal processes in the ovaries, and those who breastfeed for over a year do not have menstruation. But there are opposite cases: when breastfeeding is adjusted, the periods can start from 3-4 months after the baby is born.
Lactating mothers are advised to undergo regular gynecological examinations to detect pregnancy, invisible in the absence of critical days, and the diagnosis of possible diseases.
Another case is mixed feeding containing breast milk and complementary foods. The representatives of the weaker sex, connecting these types of baby food, mark the onset of menstruation in a period of 3 to 4 months. Причина состоит в том, что в этом случае продуцируется меньшее количество пролактина.
Восстановление месячных после кесарева сечения и самостоятельных родов немного отличается. Время появления критических дней и нормализации цикла одинаковы, но существуют дополнительные факторы, изменяющие описываемый процесс:
- psychological state,
- food quality,
- possibility of rest, sleep duration,
- age of laboring woman
These factors affect the time of onset of menstruation, the period of arrival of which strongly depends on the characteristics of the organism. The duration of postpartum recovery cycle is always individual.
For the first postpartum menstruation, the following features are characteristic:
- change cycle length
- duration & critical days &,
- abundance of discharge.
The beginning of the menstrual cycle after childbirth is characterized by irregularity. Failure lasts from 2 months to six months (2-3 cycles). An important detail: a monthly cycle that has not returned to normal in six months indicates possible problems. Violation of the menstrual cycle after childbirth is an important issue. A woman in this case needs a professional consultation of a gynecologist.
Females during the first postpartum & critical days & often feel pain. The reasons are hidden in the complicated course of labor, exhaustion, psychological fatigue, pathologies. After six months, the pain gradually subsides. On the other hand, girls who feel the menstrual pain before giving birth often stop complaining about it afterwards. Why? The uterus acquires the correct position, smoothes its possible bend.
Often after the birth of a child, changes in the duration of the menstrual cycle are noted. The standard duration becomes different. Normal antenatal rates (21 or 32 days) often come to an average of 26 days.
Normally, menstruation lasts 3-5 days, but after childbirth, their duration varies, reaching 7-10 days. If the discharge does not end longer than this period, it means that bleeding has developed. Young mothers who notice a reduction in the duration of discharge to 1-2 days or a continuation of more than 10 days require medical advice.
After complicated labor, the abundance of secretions often changes. Blood loss of 50-150 ml is considered standard. Such a parameter is considered normal: with the most abundant secretions, a conventional gasket is not replaced by 4-5 hours. At the same time, abundant menstruation after childbirth is a condition when each new pad is used for 1-2 hours.
Large volumes of unpleasant-smelling dark-colored discharge and pain is a reason for going to the doctor.
The timing of recovery of the menstrual cycle is also influenced by other features: exacerbation of chronic diseases, increased premenstrual syndrome. Normalize the reproductive function helps sleep, the correct daily routine, good nutrition, a stable psychological microclimate.
Doctors advise to adhere to the basic recommendations. The body of the mother who gave birth to the child has special needs. It should be enough to relax, do not exhaust yourself physically. To establish the functions of the ovaries, mammary glands, reduce vitality and microelements to reduce the pain of menstruation. But the course and drugs should be prescribed by the doctor.
Get the right vitamins can eat right. Nutritionists advise to use lean meat products, better boiled, good to drink plenty of milk. The most useful cereal is oatmeal. Thermally processed fruits and vegetables are also considered useful. Nursing mothers are advised to avoid allergens in food.
Newborns require attentive care, but do not forget about the health of the mother. Stable, restful sleep helps to avoid overwork, weakness, psychological depression. Lack of sleep reduces the ability to quickly restore the menstrual cycle. Night sleep and daytime rest will support the health of the young mother.
An important tip is to get tested on time. In the postpartum period, chronic diseases are activated, new ones may appear. Not adjusted menstruation after childbirth, abundance of discharge, long delays, the duration of menstruation for more than ten days - all of these are very good reasons, noticing that you should consult a doctor.
The birth of a child greatly changes the body of a woman. Normalization of the monthly cycle is a complex process that takes a different amount of time and is determined by the individual characteristics, as well as the state of health of the young mother. It is important for a woman to eat healthy foods, maintain a good mental attitude, relax, then the restoration of reproductive function will be faster and without complications.
Sooner or later, every woman who recently became a mother, will begin menstruating. The nature and duration of both menstruation and the menstrual cycle itself depends on the individual characteristics, the course of childbirth and pregnancy, and the complications that have arisen in the postpartum period. But every woman should be ready for changes in the menstrual cycle after childbirth, so as not to miss a pregnancy or illness.
The normal menstrual cycle has 2 phases. In the first, the follicular phase in the ovaries, estrogens are actively produced, under their action the main follicle matures, from which the egg cell will later be released. In the endometrium proliferative processes occur simultaneously, it grows and & swells &. After ovulation has occurred (the dominant follicle has burst), the released egg penetrates the fallopian tube, where it is fertilized by the sperm.
The second phase (luteal) is due to the synthesis of progesterone, and the production of estrogen disappears. Secretory changes occur in the uterine mucosa, and she is ready to receive a fertilized egg. If conception did not occur, by the end of the second phase, the formation of progesterone almost stops, and the overgrown inner membrane (endometrium) begins to be rejected. This process is called menstruation.
During pregnancy, the corpus luteum, which produces progesterone, does not allow the lining of the uterus to be rejected, that is, there is no menstruation. Progesterone protects the pregnancy from interruption and relaxes its muscular system. The entire period of gestation is accompanied by physiological amenorrhea.
On average, menstrual blood loss is 50-150 ml, and the duration of bleeding 3-7 days.
Various factors influence the rate of uterine involution. Of great importance is the age of the woman, the general condition, how was the pregnancy and childbirth, the presence of lactation and so on. Subinvolution of the uterus (delayed contraction) is observed in the following situations:
- parity (many births in history),
- first birth at 30 years or more
- prolonged, complicated childbirth,
- non-compliance during the postpartum period.
Since after the separation of the placenta, the uterus from the inside is a huge wound surface, it takes time to heal. The discharge that goes during the postpartum period is called lochia, but many women consider them to be monthly. Lochia does not relate to the menstrual cycle and is associated with the restoration of the uterine mucosa. Lochia stops after 30 - 40 days.
Recovery of menstruation after childbirth is directly related to breastfeeding. If a woman has refused to breastfeed for any reason, then, as a rule, the menstrual cycle is restored in 6 to 8 weeks, and first menstruation after childbirth. Menstruation in women who are breastfeeding are absent for almost the entire lactation period, at least 6 months, until complementary foods are introduced into the baby’s diet. This fact is caused by the action of the hormone - prolactin, which stimulates the production of milk and suppresses the hormone-forming function of the ovaries. Consequently, the less often a young mother breastfeeds, the less prolactin is synthesized and the more likely the ovaries begin to produce hormones.
Monthly at the feeding women are absent at least 6 months. The first menstruation after birth often occurs on the background of the anovulatory cycle. That is, the maturation of the dominant follicle occurs, but it does not burst with the subsequent release of the egg cell, but undergoes a reverse development (regresses). However, this does not happen in all cases, and ovulation is possible, which means there remains a risk of getting pregnant. The trick is that a woman who is breastfeeding is not aware of the hormonal processes that occur in her body, and instead of menstruation, she is faced with an unplanned pregnancy, because ovulation occurs 2 weeks earlier than menstruation. That is why the method of lactational amenorrhea does not guarantee 100% protection against pregnancy (For details on all methods of postpartum contraception, read here). The effectiveness of this method reaches 98% under certain conditions:
- The intervals between feedings are no more than 4 hours during the day and 6 hours at night,
- feeding the child only with breast milk, without feeding water.
After delivery, the duration of the menstrual cycle can change, usually in the direction of shortening, the menstruation itself and their nature. Usually, postpartum months are more abundant and shorter, which is associated with anatomical changes of the cervical canal (it is somewhat shortened and expanded). Pain syndrome may also disappear during menstruation if it was caused by an incorrect position of the uterus (excessive bending or folding of the uterus posteriorly). If menstruation is long, abundant, or accompanied by pain, this is a reason to consult a doctor.