Monthly after cesarean section: when and how


The body of a woman is very complex, amazing processes take place inside it, a new life is born, and in nine months a little man grows up. From the moment of conception the hormonal background changes, all processes are now directed only to one thing, to support the growth and development of the fetus. When the pregnancy ends, a new adjustment takes place. Now new hormones are launched that are designed to provide breastfeeding. Many women are interested in when they begin menstruation after cesarean. Let's figure it out together.

What is a cesarean section?

It seems to many that this operation is such an eerie intervention in the natural processes of the body that it is very difficult to say how its recovery will go. In connection with this, it is necessary to predict when the menstrual period after cesarean will begin, with the help of an oracle. In fact, it is not.

The appearance of the crumbs is in itself a strong hormonal jump, no matter how he was born. The recovery period will be quite long. But giving birth with a caesarean is a cavitary operation. This means that blood loss is almost 3 times more than during normal childbirth, therefore, at first, a woman will feel very weak. In addition, her memory will scar. More no different is the appearance of the child naturally or through cesarean.

Healing process

Speaking of when menstruation begins after cesarean, it is necessary to recall the physiology. From the first moments of the appearance of the crumbs into the world, the body begins to recover, to return to its normal state. Nature knows that mom now needs to take care of the child and she should get back on her feet as early as possible. But the restoration of the uterus - the process is quite long. Every day it is reduced by 1 cm. Imagine the inner surface of the uterus. The placenta is its inner layer, which has been rejected after birth. Remaining wound surface to the entire cavity. She will actively bleed, which is normal.

Some confuse these two phenomena. Ask a dozen women when menstruation begins after cesarean. Surely some of them will answer right away. This is fundamentally wrong. This spotting, but confuse them with menstruation is impossible. There is a normal wound healing process.

No worries

With the discharge you will come across immediately after you see the long-awaited crumb. They should not be bright scarlet. Normally, their color is deep red with black veins. Gradually, the discharge thickens, becomes even darker and decreases in quantity. Only at the very end, they noticeably brighten, acquire blotches of white mucus. These secretions are called lochia. When they completely stop, we can assume that the scar on the uterus is fully tightened.

Cycle normalization

Does it flow differently during vaginal delivery and delivery through cesarean? No, the whole difference lies in the fact that if a cesarean was done, then the discharge of lochies is observed longer, whereas with ordinary childbirth they end in a month.

Now back to our question, after how much after cesarean period begin. An unequivocal answer to this question is difficult to find. Some have a few months, and others - after six months. That is, no differences between the restoration of the cycle after childbirth and cesarean gynecologists were noted.

Why is healing so delayed? Just after surgery, the uterus does not contract so quickly. Do not forget that heavy bleeding should be observed only the first two weeks. Then they thicken and darken. If you see that the discharge is still liquid, of scarlet color, it means that bad coagulability of the blood may occur. Consult a doctor, it does not take much time.

Baby feeding and periods

To answer the question of when menstruation begins after a cesarean section, it is necessary to find out whether breastfeeding is intended. If only relatively recently, this was the only option, then today there are adapted milk formulas that perfectly perform the feeding function. This is convenient, the mother is not so attached to the baby, he eats better and sleeps longer at night. But consciously changing the breast for a bottle is not worth it. This is an option for those who do not have milk.

So, when after a cesarean period begin during breastfeeding? To ensure it produces the hormone prolactin. And the period of absence of menstruation is no different in those who gave birth to themselves and underwent surgical intervention. Just for a while menstruation will not. Do not flatter yourself that if you breastfeed for a long time, this effect will persist.

If you are breastfeeding constantly, if the baby wakes up to eat several times a night, but the hormone prolactin will be produced enough to block the activity of the ovaries. In this case, the monthly usually does not happen until the year. Often women note that menstruation after cesarean during breastfeeding began after the baby began to be actively fed. He now rarely takes the breast, and the amount of milk is declining.

Artificial feeding

And what happens when a mother does not have her own milk and the baby grows on mixtures? How long after a cesarean period begin? If lactation is not implied, then at any time. On the other hand, the young mother is at home during this period, so it is unlikely that she will be taken by surprise.

Sometimes women go to the doctor with a complaint that a month after cesarean began menstruation. This can actually be caused by adhesions or inflammatory processes, and therefore requires mandatory testing. But if nothing of the kind has come to light, then it’s just the features of the organism.

There is a significant moment here. If the postpartum discharge only had time to end, and suddenly blood appeared again, then you should consult a doctor. It may not be menstruation, but bleeding. Only the doctor will tell you what is happening with the body in reality.

If you have to wait a long time

Most often, the natural cycle is restored within 6 months after delivery. But do not forget to consult your doctor when menstruation should begin after a cesarean. Depending on the presence of chronic diseases, this date can be predicted differently.

But all gynecologists agree on one thing. If the monthly after cesarean does not begin, and the baby is already more than six months, then it makes sense to conduct a full examination. If the doctor as a result establishes that it is normal for your body, then you can calmly continue to wait for menstruation. After all, we are all different.


Lack of menstruation is not a reason to forget about protection. Many believe that breastfeeding reliably protects against pregnancy. In fact, it is not. The absence of menstruation does not mean that you can not get pregnant. The first two months of sexual intercourse are prohibited, since the probability of infection entering the uterine cavity is high. When this period ends, it is necessary to consult a doctor in order to prescribe drugs for contraception or put an intrauterine device. The second option is considered preferable for women giving birth. In the next few years, the body needs to recover, so a new pregnancy is considered undesirable.

Instead of conclusion

Do not forget that everything is very individual. For some, the natural cycle is restored quickly, in others the child marks his first year, and the mother is still waiting for his first periods. And in fact, and in another case, this may be a variant of the norm. The doctor may prescribe a blood test for prolactin, as a result of which it will be possible to establish what exactly is the norm for your body. In any case, if you are worried about something, it is recommended to immediately consult a doctor for advice. Then you will not have to suffer doubts and ask your girlfriends.

Childbirth or cesarean section

Currently, operative delivery is fairly common. Caesarean section is performed in cases where vaginal delivery is not possible or may result in the death of the mother and child. But do not forget that this intervention can cause certain postpartum complications, and the risk to the health of a woman increases several times.

Women also quite often experience psychological discomfort with regard to childbirth, which was not carried out in a natural way. Many argue that after a cesarean, women have much less milk, rather than those who have given birth on their own, in fact it is not. The body, in principle, takes this operation quite naturally.

Of course, if there is a choice of how the birth will take place, then it is necessary to give preference to the natural method of childbirth, if necessary, the operation should be prepared in advance for the upcoming event, first of all, morally.

When to wait for menstruation after cesarean

After the baby is born, the process of involution begins in the woman's body, that is, the reverse development. During this period, all the systems and functions of the body begin to return to normal rhythm. Normalization of menstruation in the postpartum period occurs then, when the reproductive function of the body is restored. In the case when the delivery occurred with a caesarean section, the occurrence of the next pregnancy is not recommended for three years, so for women who have undergone such an operation, it is necessary to pay special attention to the issue of protection before the first menstruation.

It is impossible in principle to give an unequivocal answer to the question of when monthly periods come after a cesarean section. In many ways, the onset of menstruation after surgery depends on the individual characteristics of a particular female body, therefore, for different women, the period of appearance of the first menses after cesarean varies.

After the end of labor and the afterbirth, the body begins to recover. There is a contraction of the uterus, which gradually takes size, mass and takes up the position, as before pregnancy, dropping about an centimeter per day. The recovery process of the uterus usually takes about 7 weeks. In some cases, the size of the uterus after childbirth may decrease - this happens when a woman is breastfeeding her baby intensively. Ovarian functions are also restored gradually.

Both after cesarean section and after natural birth specific discharge called lochia. They stop by the time the uterus is restored, that is, about a month or two after childbirth. The intensity, color and smell of these secretions may vary throughout the recovery of the uterus. Do not confuse postpartum discharge with menstruation, they appear as a result of bleeding of the uterus and pass with its healing.

After the cessation of postpartum discharge, a woman can start menstruating, however, quite often in the first menstrual cycle ovulation does not occur, therefore, the onset of pregnancy is impossible, but here we should not forget about the features and individual structure of each female body.

The timing of the appearance of the first menstruation after the birth of a child does not depend on how the delivery took place. After cesarean section, menstruation occurs at about the same time as after natural birth.

The factors affecting the restoration of menstruation include:

  • course of pregnancy
  • young mom's lifestyle
  • individual features of the body,
  • age,
  • the presence of certain diseases
  • Mommy's psychological state, her emotional mood,
  • quality of food and rest,
  • the presence of lactation.

Most of all, when menstruation comes after cesarean, lactation affects it. Monthly rebirth is faster with artificial feeding, while in nursing women, the special hormone prolactin inhibits ovarian activity.

If a woman is breastfeeding, the period may not start even in the first year after delivery, so if you do not have a period after a cesarean for a long time, but you are breastfeeding, do not worry.

If a woman does not feed the childthen the period must begin no later than 3 months after delivery. When mixed feeding allowed the absence of menstruation up to four months.

What menstruation should alert you

After a cesarean section, women are recommended to be examined by a gynecologist 1.5-2 months after childbirth. As a rule, ultrasound is prescribed to inspect the suture on the uterus and they are examined on the chair and smears are taken.

It is also worth visiting a gynecologist if a regular cycle has not been established 6 months after the onset of menstruation, although most women after childbirth say that the cycle becomes more even than before pregnancy, and premenstrual pain is less pronounced.

A longer recovery of the body, and, consequently, a longer absence of menstruation can be observed in women whose body is weakened, also in moms after 30 years, if the pregnancy was accompanied by complications.

It is urgent to see a doctor if monthly periods after a cesarean section are abundant or, on the contrary, too scarce, long (more than 6 days) or short-term (last a couple of days). Monthly periods that have an unpleasant odor should also be troubling - this may indicate an infection of the genital organs.

Prolonged daub after the end of menstruation or before its onset is considered abnormal.

Pregnancy and childbirth - this is quite a strong stress for the female body, so in some cases the recovery process may be delayed. In order to quickly adjust all the functions of the body, do not forget a varied and regular diet, often go on air, be sure to get enough sleep, try to avoid excitement and stress - all these tips will help not only to recover in the postpartum period, but also contribute to good lactation, which is important for young mommy and her baby.

Remember that any alarming symptoms: lack of menstruation, pain, discomfort in the lower abdomen - a reason to visit a doctor. Do not forget that a cesarean section is a surgical intervention, so be attentive to your body!