Monthly after cesarean section: features of the onset


The absence of menstruation in the postpartum period is the result of hormonal disruptions. Prolactin, produced during breastfeeding, prevents the maturation of the egg and delays the arrival of critical days for an indefinite period. After a cesarean section, the principle of body recovery is exactly the same. The appearance of menstruation is directly dependent on the duration of breastfeeding.

How is the recovery after cesarean section

During the operation, the natural mechanisms of labor are violated. Bleeding becomes more intense than with physiological labor. It may seem that it will leave an imprint on the body's recovery process. However, the speed of bringing the reproductive system to normal does not depend on the type of labor.

During surgery on the uterus, an incision is made through which the child is removed. Next, stitches are put on the wound. After birth, the internal organ is gradually compressed, pushing excess blood and tissue out. Such discharge is called lochia. They have nothing to do with menstruation. Duration is 40-50 days.

Already at the stage of their appearance, they find out how correctly the woman's body is restored. Discharge should be abundant - from pinkish to dark red. The presence of clots and mucus is not a cause for concern. With a sharp decrease or increase in blood volume should consult a doctor. Increased body temperature, the appearance of putrid odor and severe discomfort in the pelvic area indicate pathological processes. In case of acute pains, a woman in emergency mode is placed in a hospital.

Discharge after cesarean section is distinguished by the following features:

  • large clot inclusions
  • blood volume exceeds 500 ml per day,
  • bleeding is accompanied by cramping pains,
  • the duration of lohii is longer than with natural childbirth.

After surgery in the first three years of pregnancy is contraindicated. The process of regeneration of the uterus is very slow. Her stretching as a result of re-conceiving a child can cause seam divergence. Therefore, the question of protection should be considered before the first critical days.

When to wait for menstruation

It is impossible to predict with accuracy when menstruation begins after a cesarean section. The recovery period depends on many factors. Every woman's menstrual cycle is normalized individually. The rate of arrival of critical days depends on whether lactation is established. If a woman refuses to breastfeed, her period begins. 2-3 months after delivery.

If you follow the principles of breastfeeding, the reproductive system freezes. The lack of hormones responsible for the growth of the egg and endometrium, prevents the onset of menstruation. If a woman violates the principles of feeding, then the probability of maturation of the egg increases. Two weeks later, critical days come.

Usually, bleeding begins the next cycle after breastfeeding is canceled. Most often this occurs after 6-12 months from the moment of delivery. During lactation, menstruation may begin in the following cases:

  • violation of the regime of feeding,
  • prolonged absence of a woman next to a child
  • mixed feeding
  • introduction of complementary foods.

On the cycle recovery rate also affects the health of a woman. The abundance of stress affects the reproductive system. Of great importance is the support of loved ones. It is advisable to share with them the duties of the house and the care of the baby. With the development of infectious or inflammatory diseases, menstruation may be absent. At the same time there are intense pains in the lower abdomen and general malaise. In rare cases, the normalization of the menstrual cycle depends on the individual structure of the organs and the hereditary factor.

The nature of the discharge at the completion of the operation

A woman must visit a gynecologist no later than six weeks after the labor. At this point, the lochia ceases. The beginning of the first menstruation is also a reason for a visit to the gynecologist. The presence of abnormalities will help diagnose postpartum complications on time. If a woman had problems with the regularity of the cycle before pregnancy, then after birth they disappear.

At the end of the caesarean section, the bleeding should not significantly differ from the menstruation characteristic of the prenatal period. In the absence of pathologies, the color of discharge varies from dark brown to scarlet. Feelings should be moderate. The first 2-3 cycles are observed. intense discharge. The optimal duration of menstruation is 6-8 days. Deviations of several days are not considered critical.

The first year after birth is accompanied by irregular cycle. Delays are associated with unstable hormones. To exclude the presence of pregnancy during this period, a woman should do a monthly test. Anovulation in the first six months after birth is also the norm.

Atypical periods indicate the development of diseases of the reproductive system. Failure to follow the rules of hygiene provokes infection in the uterus. This leads to an inflammatory process. The result is formation of adhesionsthat bring discomfort and pain. Another cause of inflammation is stagnation in the pelvic area. They occur due to insufficient contraction of the uterus.

Pathology is considered not only abundant, but scanty discharge. A common cause of short periods is bend of the uterus. It occurs as a result of the inflammatory process. The danger of pathology is to reduce the ability to conceive. With deviations in the reproductive system, menstruation is distinguished by the following features:

  • spotting brown or dark red color a few days before or after menstruation,
  • heavy bleedingin which the gasket has to be changed more often five times a day,
  • sharp and unpleasant smell from the genitals,
  • irregular critical days
  • Availability purulent discharge,
  • excessive presence mucous secretion,
  • itch genitals.

How to ensure the restoration of the reproductive system

The speed of this process depends on the lifestyle of a woman. After birth, the body is in a vulnerable state. The risk of developing diseases increases several times. Doctors recommend sticking to the following rules:

  1. Sex life can begin only after the approval of the gynecologist. In the absence of complications, the ban is lifted three months after delivery.
  2. Ensuring cleanliness of the genitals will reduce the chance of infection. Cleansing procedures are carried out at least twice a day. To do this, it is desirable to use products with a neutral pH.
  3. Empty your bladder on time. This will avoid excessive pressure on the uterus.
  4. During pregnancy, the internal organs are displaced. Wearing a bandage will allow to fix them in one position that promotes the fastest normalization.
  5. In order to prevent inflammation in the pelvis hypothermia should be avoided.
  6. Vitamin supplements strengthen the immune system, which will resist various diseases.
  7. You can not play sports until approval by the gynecologist.
  8. Extremely it is undesirable to lift weights in the first months after the baby is born. It threatens the divergence of the suture on the uterus.
  9. When the occurrence of critical days is preferable use pads. Tampons are one of the causes of bacteria in the vagina.
  10. Balanced sleep and rest normalizes the state of the nervous system. This has a beneficial effect on the recovery cycle.


Cases where menstruation comes 5-6 weeks after cesarean section are quite rare. Most often, the work of the reproductive organs is restored six months after delivery. The main influencing factors are the duration of breastfeeding and compliance with the recommendations of the doctor. Women who gave birth by caesarean section are more likely to experience complications. Therefore, it is especially important for them to monitor their health after the baby is born.

With the right approach, after 7-8 months after birth, normalization of the menstrual cycle is observed.

Cesarean section instead of childbirth

Modern medicine allows for surgery with minimal damage to the health of women and children. It is carried out, if it is supposed that in the process of natural childbirth the expectant mother or the child can suffer. It is easy to guess that you should only trust the procedure to an experienced doctor. Any surgical intervention affects the general state of health, causes side effects, abnormal discharge. In the case of a medical error, the negative impact is increased several times.

After caesarean section, all the necessary processes in the body continue to take their course. Milk appears in the chest. The woman begins to feed the baby. In this case, psychologists say that the first time women after surgery are under stress. Obstetrician gynecologists notice that the process of lactation is different. Although scientific evidence of this fact has not. To reduce the psychological trauma and the load on your own body after childbirth, you should set yourself up for the operation in advance. Be prepared for some difficulties in the first month.

Menstruation after cesarean section for the first time

At the time of the birth of the child in the body, the reverse process of restructuring starts. The woman will again have to endure hormonal changes. The process of involution in natural childbirth lasts almost as long as the pregnancy lasts. On average 8 months. After cesarean section surgery, the full recovery of the body will occur within 3 years. The first allocation of the monthly appear much earlier. Theoretically, the body will be ready for a new conception and pregnancy. Practically - big problems will arise if this happens. To avoid trouble, you should worry about contraceptives in advance.

The exact date of appearance of the first discharge of the month after cesarean section is difficult to determine. Because it depends on the quality of the operation, the individual characteristics of the woman’s body. In order for the reproductive function to improve, the central nervous system, the sexual system, must return to normal. Must bounce back the entire body as a whole.

The appearance of the first menses after cesarean section is no different from the natural process of childbirth. The speed is not influenced by the way a baby appears, but by the feeding process, the flow of postpartum processes.

Postpartum processes after cesarean section

A woman's body begins to recover immediately after the completion of pregnancy. The uterus contracts within 2 months. Gradually takes the size that was before pregnancy. During the day falls by 1 cm, after 2 months, the uterus takes the same place. In women who feed the baby too often and for a long time this process is faster. The uterus may become even smaller than it was before pregnancy. Ovaries should recover and improve their functions. Because how quickly this happens, the appearance of the first menses after cesarean section depends.

In parallel with this, a woman has postpartum discharge - lochia. Blood spotting can last up to 2 months. But every day their number should be reduced. Subsequently, they turn brown, then disappear altogether. This way the uterus is cleaned. And lochia indicate the natural and proper healing of the penis.

The main factor affecting the rate of onset of menstruation

The main factor that speeds up or slows down the arrival of menstruation after cesarean is breastfeeding. Frequent attachment of the baby to the breast contributes to the rapid recovery of the uterus and genitals in general. Approximately one month after the operation, theoretically, the body is capable of developing a new egg and conceiving. Practically, it happens a little differently. The whole process of the monthly cycle is regulated by hormones. Menstruation after cesarean will appear when hormonal balance returns to normal.

Breast milk contains more than 20 hormones. One of them - prolactin, affects the work of the ovaries. It is able to inhibit the production of progesterone, which is responsible for the maturation of the egg, fixing it to the walls of the uterus in the event of pregnancy, causes menstruation, if this does not happen. Its quantity in the woman’s body is especially large if she feeds the child not according to the regimen, but on demand. There is an interrelation, more feeding, more milk, more prolactin, longer period of absence of menstruation. That is, during breastfeeding, menses after a cesarean section appear after 6-8 months. Sometimes a woman carelessly enjoys life without periods for a whole year. What is also the norm.

It was at this time that doctors recommend the woman to introduce complementary foods. The kid drinks less milk, prolactin gradually gives superiority to progesterone. The functions of the ovaries are getting better, menstruation begins. With mixed feeding, the first menses after cesarean section in women come 2 months earlier. And for those women who are forced to feed the baby with mixtures, the periods come 1 month after the operation.

Additional factors of onset of menstruation

The normal cycle of menstruation after cesarean is restored within 3 months after the appearance of critical days. But this term is also conditional, since many factors influence it.

  • Course of pregnancy
  • Features of the woman's body,
  • Lifestyle - food, rest, sleep,
  • Woman's age
  • The presence of chronic and hidden diseases,
  • Emotional setting, psychological state,
  • The presence of intrauterine device.

Difficult pregnancy weakens the body. After its completion, it takes a long time for it to return to a normal rhythm. Complicating the situation is a cesarean operation. The recovery rate depends on the individual characteristics of the woman’s body. In turn, affects age. For a young woman, less time is needed to restore and establish a normal cycle. The nature of menstruation after cesarean is affected by their quantity, the regularity of the discharge before pregnancy. Although many women claim that after childbirth, menstruation goes practically without deviations. And the amount of discharge decreases.

The recovery of the central nervous system is affected by sleep, rest, normal psycho-emotional environment. Postpartum depression can delay the onset of menses after cesarean. Nutrition has an effect on the digestive system, and the whole body. Lack of vitamins, minerals leads to a delay in monthly discharge.

The intrauterine device can accelerate the process of arrival of menstruation after cesarean. It is not recommended to put it earlier than 6 months after delivery. The contraceptive affects the balance of hormones in a woman’s body. Prolactin is inhibited, progesterone is produced in greater amounts. However, the normal cycle of menstruation after cesarean will recover within 3-5 months after the first menstruation with a spiral.

Possible deviations

The operation of cesarean section among physicians is considered simple. But the damage to the genitals is significant. The presence of pathologies during the recovery period can interfere with the normal functioning of the reproductive system. A woman a month after the operation should undergo a series of examinations:

It is necessary to ask for help to gynecologists, if the normal cycle of the month after cesarean did not get better in the course of 6 months. Provided that breastfeeding has been discontinued. For women over the age of 30, or if there is a difficult pregnancy, it will take more time to restore menstruation after cesarean. Do not be afraid that the first time they will be irregular. Immediately call a doctor if:

  • there were heavy discharge,
  • there is scant discharge,
  • spotting appears between periods of menstruation,
  • the duration of menstruation after cesarean differs from the norm - more than 7, less than 3 days,
  • there are pain in the abdomen.

Discharge after cesarean section should not differ from those before pregnancy. But the slightest concern and doubt should be discussed with the doctor. You must be attentive to your body. Sexual intercourse should be protected. Pregnancy can end in miscarriage, abortion will cause significant harm. Particularly affected uterus. As a result, there is a great risk of becoming childless. A full monthly cycle is a sign of a healthy body.


  • You are worried about sudden abdominal pain.
  • А длительные, хаотичные и болезненные месячные уже порядком надоели.
  • У Вас недостаточный эндометрий чтобы забеременеть.
  • Выделения коричневого, зеленого или желтого цвета.
  • And the recommended drugs for some reason are not effective in your case.
  • In addition, constant weakness and ailments have already firmly entered your life.

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