Hygiene

Restoration of the menstrual cycle after childbirth

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One of the main indicators of women's health is the menstrual cycle. After birth, restoring the cycle takes on particular importance. Therefore, when and how the first menstruation after childbirth came and how much they go, you can determine whether or not there are hidden postpartum complications, learn about the restoration of the body and find out if everything is normal with the health of the young mother.

First time after childbirth

Many young mothers mistakenly believe that postpartum hemorrhage is the first menstruation after pregnancy. This is completely wrong. After the completion of labor, the uterus begins to actively contract, pushing out the remnants of blood and clots. These secretions in the first days are abundant. Later, lochia, so called postpartum discharge, gradually decreases. The blood becomes less and by the sixth week after the birth of the baby, the lochia stops.

Monthly after childbirth will go much later. When menstruation begins after childbirth, and how much they will go, every young mother cares. The recovery time of the menstrual cycle is individual for each mother. If you are breastfeeding, then there is no menstruation until six months after delivery. If for some reason you feed the baby with infant formula, your period a month after the birth is not a deviation.

Critical days after childbirth are very different from the usual monthly. For this reason, women may not even understand that menstruation began. The discharge is scarce, more smearing. Go first menstruation can 2-3 days.

Features recovery cycle

The first periods after childbirth come at a time when the level of lactation hormone decreases. While the level of the hormone is high, no monthly. This hormone is called prolactin, and it is responsible for the production of breast milk and the suppression of ovulation. It is precisely because of the high content of prolactin during breastfeeding that there is no menstruation until one year after delivery. It is worth considering that in order to use breastfeeding as contraception it is necessary to feed the baby on demand. You can not lure and finish the baby, use nipples and bottles. Feeding at night is required.

After the breaks between feedings are already more than three hours, the level of prolactin in the woman's body decreases, which leads to the resumption of ovulation. It must be remembered that a woman can become pregnant, even if her periods have not yet begun, but ovulation has occurred. For this reason, breastfeeding as a method of contraception is extremely unreliable.

Irregular cycle

When menstruation comes after childbirth, many women are frightened by their irregularity, mothers are wondering why this is happening. They, that is, they are suddenly absent in due time, they can go at any moment, and can end suddenly. The cause of failures is hormonal imbalance. Due to the constant change in hormone levels, the menstrual cycle needs time to fully recover. Usually, everything returns to normal after three to four months after the arrival of the first menstruation.

Until the cycle has fully recovered, a woman may experience menstrual cramps and discomfort. However, many doctors are inclined to say that these pains are the same as before pregnancy, just women lost the sensation of these sensations, and feel them more acutely. However, many women disagree with this statement and insist on increasing the painful sensations during the first menstruation after birth.

It is absolutely impossible to say who is right in this case. Each organism is individual and the pain threshold is different for everyone, so it’s simply useless to argue about the strength of the painful sensations. If you feel that your period after childbirth came more painful, do not worry, most likely, after a couple of cycles, everything will return to normal.

When to see a doctor

In general, experts recommend to come to the gynecologist for examination, as soon as the first menstruation after birth came. It is at this point that the easiest way to identify early abnormalities and complications. According to the results of the examination, the doctor will be able to assess how the uterus is recovering, determine the level of hormonal levels, eliminate or confirm the presence of infections and pathologies.

The reason for the immediate visit to the doctor should be too heavy periods, early postpartum menstruation, or if it does not exist within 3 months after the completion of lactation.

Also, do not delay a visit to the doctor, if after several cycles, periods do not come regularly, and their duration has not been established.

Can I breastfeed

Restoration of the menstrual cycle does not affect the taste and nutritional properties of breast milk. Many mothers are worried about the fact that their periods can break the usual feeding schedule and are very worried about whether you can feed your baby during menstruation. Experts say that menstruation should not in any way alter the feeding schedule.

In some cases, the baby can really give up breast if menstruation has arrived. However, this has nothing to do with the taste of mother's milk. Why it happens? It's all about the smell of mom. When menstruation occurs, the level of hormones in the blood changes. When you change the hormonal background mom just smells differently.

The child may respond to an unusual smell and abandon the chest. Such cases are few, but they are. If your baby is too sensitive and turns away from the chest when menstruation comes, you should not immediately interrupt feeding. Repeat feeding attempts, speak to the baby, your gentle voice will calm the baby and he will return to the breast.

After cesarean section

Restoration of the menstrual cycle after operative labor is the same as after natural labor. Particular attention after caesarean contraception should be given. Breastfeeding in this case cannot be considered as a variant of effective protection from repeated pregnancy.

Women after operative labor should pay special attention to contraception. After surgery, such moms can not be re-pregnant within 2 years. Also, after the operation, the intrauterine device is contraindicated, and breastfeeding puts a ban on many hormonal contraceptive drugs. For this reason, women after operative labor need to immediately after the healing of the stitches to take care of the choice of contraceptives. Your gynecologist can help you with this.

Also, when restoring the cycle after cesarean, special attention should be paid to the nature and regularity of the discharge. If you have too abundant, monthly 2-3 months, coming 2-3 times a month, or on the contrary scanty and with a large menstruation gap, consult a specialist. Any abnormalities in this case may indicate infections in the uterus or serious hormonal disorders.

Too long discharge

It so happens that after birth the periods come and do not want to end. This does not mean that they go continuously, most often prolonged discharge is smearing, with an admixture of blood clots. Such symptoms are characteristic of such a pathology as a proliferation of the endometrium. This condition occurs on the background of infectious diseases of the uterus and requires immediate consultation with a doctor.

How long should menstruation last? Remember that the normal duration of discharge does not exceed seven days.

If your period lasts longer, their frequency is chaotic, and the number is unusual, consult your doctor.

In general, the gynecologist should be consulted for any inconvenience in restoring the menstrual cycle. After childbirth, a woman is prone to the development of various complications, for this reason it is better to be safe and check whether everything is normal in your body.

Every modern woman should know everything about her period. How do menstruations appear, how long they go, why they are needed, why they are not, and how one can determine the state of women's health according to the discharge. In order to know exactly when to begin monthly, you need to keep a calendar of menstruation. According to the indications from this calendar, the doctor will be able to assess your female health and identify possible deviations in time. Also on these dates it is easy to determine the day of conception, if there are no monthly periods in due time.

Menstruation after childbirth: renewal, absence, violation

It is known that after giving birth a woman’s body needs some time for those organs and systems that have undergone changes during pregnancy and childbirth to return to normal. It usually takes 6-8 weeks. Exceptions are the mammary glands and the hormonal system: more time is needed to restore them. It is associated with hormonal changes associated with the restoration of the menstrual cycle. This complex process deserves a detailed discussion.

A small excursion into the physiology

Immediately after childbirth, the level of proteins that are produced by the placenta and regulate many metabolic processes in the body of the future mother is sharply reduced. Special parts of the brain - the hypothalamus and pituitary gland - are a kind of "conductor" of the endocrine glands. They regulate the activity of various endocrine glands - the thyroid gland, adrenal glands, ovaries in women and testicles in men. In the postpartum period, the endocrine system, in particular, the pituitary gland, produces the hormone prolactin, which is sometimes also called the "milk hormone", because it stimulates the formation of milk in women after childbirth and simultaneously suppresses the cyclic production of hormones in the ovary, thereby hindering the maturation processes ovulation and ovulation - the release of the egg from the ovary. That is why most women do not have menstruation during the whole period of breastfeeding. If the baby eats only breast milk, then the onset of menstruation is likely at the end of the lactation period, and in the case of mixed feeding, menstruation is restored by 3-4 months after birth. But it should be noted that there are exceptions to every rule, and in women breastfeeding babies for up to a year or more, the menstrual cycles can recover in the same time frame.

I want to warn you against making a mistake: often a young mother is sure that in the absence of regular menstrual cycles during the feeding period, pregnancy cannot occur. This is not true. Ovulation, and hence the conception can happen in this period.

In the absence of lactation, ovulation occurs on average at the 10th week after delivery, and the first menstruation at the 12th week. Menstruation can appear on the 7-9th week after delivery, in such cases the first menstrual cycle is usually anovulatory, i.e. not accompanied by the release of the egg from the ovary.

After cesarean section, menstrual recovery is the same as after vaginal delivery, and depends on the method of feeding.

What can you feel

Discharge from the genital tract continues from the moment of delivery until the 6-8th week of the postpartum period. Despite their similarity with menstrual blood, especially in the first 3-4 days, these secretions differ from menstrual by origin, they are called lochia. An extensive wound surface forms on the place of the separated placenta, in the first three days the discharge from it is bloody, then, as the wound heals (from 3–4 to 7–10 day), it becomes sero-succinic, and from 10 of the day acquire a yellowish-white color, while their number decreases. On the 5-6th week, the discharge from the uterus stops and has the same character as before pregnancy.

More often, renewed menstruation after childbirth is of the correct cyclical nature, but it is acceptable to establish the menstrual cycle during the first 2-3 cycles, which can be expressed by delayed menstruation, or, conversely, by a decrease in the interval between menstruations. Despite the likelihood of these phenomena in normal, with such symptoms should consult a doctor to exclude diseases such as inflammation of the internal genital organs, endometriosis, tumors of the uterus and ovaries, etc.

The normal menstrual cycle lasts an average of 28 days (21-35 days). The first day of menstruation is called the first day of the menstrual cycle. Menstruation usually lasts 4-6 days (+ 2 days). The highest blood loss is noted during the first and second day. The average blood loss per cycle is 30-35 ml (in the range of 20-80 ml). Blood loss of more than 80 ml in one menstrual cycle is considered pathological.

The interval between menstruation and the duration of bleeding after childbirth may be different, it is important that they "fit" within the physiological norm described above.

It should be noted that sometimes the nature of menstruation after birth changes. So, if a woman had a menstrual period before the birth was irregular, then after the birth they can become regular. Painful before delivery, menstruation after childbirth can become painless. This is due to the fact that the pain is caused by the so-called uterine bend anteriorly, which complicates the flow of menstrual blood from the uterus. During pregnancy and childbirth, the interposition of organs in the abdominal cavity changes, and the uterus acquires a more physiological position.

Possible violations of the menstrual cycle

One of the causes of impaired menstrual recovery after childbirth can be hyperprolactinemia. In the pituitary gland, the hormone prolactin is formed (in smaller quantities, this hormone is also formed in men). In women, normally, the level of prolactin in the blood increases during pregnancy and lactation, which leads to the release of milk by the mammary glands. As soon as the woman stops feeding the child, the level of prolactin decreases to normal. If the level of prolactin increases, regardless of pregnancy or does not return to normal after cessation of breastfeeding, this condition is called pathological hyperprolactinemia (PG). As already noted, prolactin suppresses ovulation. That is why the preservation of an increased amount of prolactin at the end of breastfeeding can cause a lack of menstruation.

This situation is often associated with an increased function of prolactin-secreting pituitary cells, the number of which, however, remains normal or increases only marginally. Another cause of hyperprolactinemia can be prolactinoma - a tumor (adenoma) of the pituitary gland that produces prolactin. This is the most common cause of GHGs in a non-lactating period. Pituitary prolactinoma is a benign growth. Experts call this formation a tumor only because it leads to an increase in the size of the pituitary gland. Hyperprolactinemia at the end of breastfeeding can be caused by insufficient thyroid function (hypothyroidism), which is easily detected by measuring the level of thyroid stimulating hormone (TSH) in the blood and is easily corrected in the lobby of thyroid hormone replacement therapy (L-thyroxine).

One of the symptoms of PG can be a violation of the rhythm of menstruation (oligo-or opsomenorrhea - reducing the number of menstrual blood or shortening menstrual bleeding), up to their complete cessation (amenorrhea), since an increased level of prolactin disrupts the formation of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). ), regulating the menstrual cycle. Such patients often suffer from headaches. At the end of breastfeeding, the formation of milk in small quantities is maintained - a few drops when pressed on the nipple. Against the background of the existing hormonal imbalance, mastopathy often develops. Women with PG may develop obesity.

Diagnostic studies that are conducted to confirm the diagnosis are fairly simple. Usually they include 15 self-examination of blood for the maintenance of various hormones and a study of the pituitary to determine the form of the disease. By the way, the primary tests (a blood test for the content of prolactin and hormones that characterize the function of the thyroid gland) may be prescribed by a doctor in the antenatal clinic, but for further research, you may need advice from a number of specialists.

If the blood test shows that prolactin levels are elevated and there are no other manifestations of PG, it is advisable to repeat the analysis to make sure that this is not an error. It is necessary to check the function of the thyroid gland, as well as determine the level of other hormones. To study the pituitary gland used tomography.

Usually for the treatment of PG prescribed drugs in tablets. The most proven drug for the treatment of hyperprolactinemia is Bromkriptin (Parlodel). Other drugs are also used: Lisenil, Abergin, Methergolin, Cabergolin (Dostinex). All these drugs help reduce the release of prolactin, the level of which in the blood often drops to the norm within a few weeks after the start of treatment. У женщин по мере нормализации пролактина восстанавливается менструальный цикл.

Другим осложнением, приводящим к нарушению менструальной функции после родов, является послеродовой гипопитуитаризм (синдром Шихана). Это заболевание развивается вследствие некротических изменений — "умирания клеток" в гипофизе.Such changes may occur as a result of massive bleeding in the postpartum period, after severe septic (bacterial) complications of childbirth, such as postpartum peritonitis 1 or sepsis 2. Severe gestosis of the second half of pregnancy, manifested by edema, the appearance of protein in the urine, increased blood pressure, rarely - convulsive syndrome, can also be the cause of Sheehan syndrome, due to the development of intravascular coagulation (DIC). The frequency of Sheehan syndrome is 0.1%, but with massive postpartum or post-abortion bleeding it reaches 40%.

Since we are talking about the violation of the restoration of the menstrual cycle, it should be said that one of the manifestations of Sheehan syndrome is amenorrhea - the absence of menstruation or oligomenorrhea - a decrease in the amount of menstrual blood down to small spotting. The degree of menstrual dysfunction, as well as the function of other endocrine glands depends on the extent of damage to the pituitary gland. Even before manifestations of menstrual irregularities, such symptoms of Shihan syndrome as headache, fatigue, weakness, chilliness, hypotension (decreased blood pressure), significant weight loss, slight swelling (pastosity) of the lower and upper extremities, dry skin, baldness .

Diagnosis is based on anamnesis (due to the onset of the disease with complicated roles), characteristic manifestations and data from hormonal studies, which show a decrease in ovarian pituitary hormones.

The treatment of this disease is based on hormone replacement therapy, when using special drugs to try to compensate for hormones that should be produced in the pituitary and other endocrine glands, including in the ovaries. Prescribe glucocorticoid drugs, thyrotropic drugs. When oligo - and amenorrhea prescribe sex hormones to compensate for the lack of hormones produced by the pituitary and ovaries. The treatment is carried out by a gynecologist together with an endocrinologist.

Once again I would like to remind you that in case of any doubts regarding the restoration of the menstrual cycle, it is necessary to consult a doctor. By the way, a prolonged absence of menstruation after childbirth may indicate the beginning of a new pregnancy.

1 Peritonitis - inflammation of the peritoneum - a thin membrane of connective tissue covering the walls and organs of the abdominal cavity.

2 Sepsis - a condition in which the pathogen enters the blood.

Table of contents

  • When will menstruation begin after birth? Recovery MTS.
  • The first periods after childbirth
  • How long are the monthly after childbirth?
  • Monthly or bleeding: when to sound the alarm?
  • Monthly breastfeeding
  • Delayed menstrual cycle irregularity.
  • What if the monthly were and disappeared?

When do menstruations begin after birth? Fertility restoration

Restoration of menstruation is preceded by changes in the physiology and functioning of the hormonal system. To represent when menstruation begins after childbirth, you need to understand what happens to the fertile system after the birth of a child, what processes take place in the body.

After the expulsion of the placenta, the uterus is an organ with a large area of ​​the wound surface.

The "efforts" of the body are aimed at wound healing and eliminating the effects of birth injuries. The first periods after childbirth will not come soon - first, the genital organs must regain their former size, and the hormonal background must be restored to the “pregenerative” level. There is a regression of the corpus luteum.

The uterus undergoes the process of involution - in other words, the reverse development. In the first 12 days, the bottom of the uterus gradually descends. Next, about 6-8 weeks is a decrease in its size and weight loss. There is a closure of the internal and external pharynx: the first comes back to normal after 10 days, the second - after 3 weeks.

While the uterus is contracting, the woman has lochia. These are bloody discharges, but they have no relation to menstruation: the uterus is simply cleansed, “throwing out” with the blood the consequences of the ended pregnancy. Lochia can last up to 6 weeks.

Their character changes like this:

  • the first 4 days - blood or discharge with an admixture of bright blood,
  • 5-8 day - bloody-brown discharge,
  • After about a week, the lochia brightens and becomes much poorer.

The hypertrophy of the muscle tissue, acquired during the 9 months of pregnancy, passes, the wound heals. When breastfeeding intensively produced the hormone prolactin, the content of which in the body of a nursing woman is much higher than that of a woman in the "normal" state.

The first periods after childbirth

Answering the question, how many after childbirth do the periods begin, it is necessary to take into account many factors:

  • how difficult was childbirth,
  • Does a woman have a disease of the pelvic organs (which could be exacerbated after pregnancy)
  • Does mother breastfeed?

The terms when menstruation comes after childbirth are different. The average rate can be considered 6-8 weeks, provided that a woman does not breastfeed. It can happen this way: the process of lochia excretion is almost complete, as soon as menstruation occurs - in a week or two after they disappear.

When lochia goes, follicle formation can begin, ovulation occurs. The birth has just passed - and the body is already preparing a new "pillow" for carrying the next child. The endometrial layer grows, it becomes lush. Therefore, during this period you can get pregnant. In this case, the body has not yet recovered from a previous pregnancy. What to do during this period to prevent unplanned pregnancy? The answer is: one should either not start a sex life, or be carefully protected.

Diseases, such as chronic adnexitis, contributing to various hormonal disruptions, interfere with the normal restoration of fertility. This explains the delay in menstruation after childbirth for a long period if the woman does not breastfeed.

Monthly a month after delivery is also possible. But, it is very likely that this will be an anovulatory cycle, the egg does not have time to mature and leave the follicle. After birth, only 4 weeks have passed. And yet, a woman should be protected if she has already begun a sex life: nature is sometimes unpredictable. The situation when a month after birth began menstruation - in principle, the variant of the norm for non-nourishing. But you need to observe the nature and abundance of discharge to be able to distinguish them from bleeding.

Previously, women did not worry about the possibility of a new pregnancy, while continued to feed. Indeed, feeding served as a fairly reliable contraception. Today, there are cases of recovery of fertility before weaning the child from the breast.

  • early use of complementary foods
  • breastfeeding less than once every 3 hours
  • breaks for the night (6 hours or more).

In such conditions, milk production decreases - it means that the level of prolactin decreases, ovulation is not suppressed - therefore, you need to wait for menstruation.

How long are the monthly after childbirth?

2 or 3 months after delivery, for some reason you decided not to feed the child anymore (or more than half a year passed strictly on GW, and then you entered supplements) - the menstruation should soon go. They usually do not come suddenly - they are preceded by discomfort, pulling the stomach, as usual. A couple of days before they have to start, the mood may deteriorate, your head aches. These symptoms of PMS often return to women who knew them before pregnancy.

But sometimes the nature of menstrual flow changes - they can be:

  • painless
  • scarce or, on the contrary, very abundant,
  • with clots.

All this should not be alarming, if they continue to go no more than 7-8 days, do not require a change of gaskets more than once every 2.5 - 3 hours, do not bother with severe pain. If you want to know how many periods go after childbirth - remember how they usually went with you, there should be no drastic changes. Only the very first menstruation can last a couple of days or, conversely, a little longer than usual. This is normal, by the next cycle, most likely, everything will be “fixed”. Clots may indicate that the endometrium in the uterus is still recovering.

The absence of the usual pain - a pleasant surprise - due to the fact that as a result of the generic process, the uterus takes a more physiological location.

Abundant periods after childbirth

By themselves, abundant periods after childbirth should not frighten, but they can be confused with bleeding, which requires a visit to a doctor as soon as possible. Knowing how to distinguish menstruation from bleeding after childbirth, you do not miss the dangerous complications.

The main symptom is that the bleeding often goes on for a long time, 10 days or more. Blood can be scarlet or brown. The temperature may rise, there is pain in the lower abdomen. Sometimes this leaves the placenta. The feeling of weakness, fatigue, tachycardia, loss of vitality during bleeding is a reason to immediately call an Ambulance. No need to wait for such “monthly” periods to end - this can be dangerous.

Monthly breastfeeding

By and large, there is no difference in how you gave birth. Fertility is restored after natural childbirth and caesarean section is about the same - maybe a little faster after natural (not complicated!) Childbirth.

But breastfeeding affects strongly. Monthly after childbirth during breastfeeding may come in a year, if you do not give complementary foods and feed the child strictly on demand. "Blame" in the delay hormone prolactin. Produced by the pituitary gland, this hormone is necessary for normal lactation. At the same time, it inhibits the development of the egg, so getting pregnant during lactation is more difficult. It is believed that if you breastfeed - the body is protected from the emergence of a new life in it. But it is not. In some cases, the reproductive function of women, despite this mechanism, becomes stronger, and menstruation begins. In practice, in 15% of cases, menstruation begins within 3-4 months, even with regular breastfeeding on demand.

Therefore, a woman should always be on the alert. And especially, as soon as 8-12 tirazovy attachments of the baby to the breast stop. Hormone production is reduced - and now the young mother is again "combat-ready."

Delay of menstruation after childbirth

You need to know the reasons why do not go monthly after childbirth, in time to consult a doctor. If half a year has passed, you no longer feed or only feed the child, but there are still no periods, and the test is negative, it is worth passing the test. Serious hormonal disorders are not excluded, Sheehan syndrome is sometimes observed:

  • no cyclic discharge,
  • weakness,
  • headaches,
  • low pressure.

If the age of the birth - older than 40, then the possible cause of amenorrhea becomes the extinction of the reproductive function. Increasingly, this happens with young women - then they are diagnosed with the syndrome of premature ovarian depletion. Long do not return monthly - a reason to be concerned.

At first, the cycle may be irregular: then 21 days, then 30. Restoration of ovarian functions may take several months. Sometimes the stomach hurts for a long time, as during menstruation, and they linger. The beginning of the full functioning of the ovaries is an individual process.

What if the monthly were and disappeared?

It happens that the first menstruation went well, and the second did not come at the “appointed” time. Reason: hormonal disorders, cycle failure. If the established monthly suddenly disappeared, you should donate blood for the hormone prolactin. Its high level, which does not decrease after cessation of breastfeeding, may indicate a benign tumor - prolactinoma. High prolactin in combination with insufficient thyroid function gives the effect of the disappearance of menstruation. At the same time, weight gain, mastopathy can be observed.

Monthly periods are not always renewed smoothly - this process can be carried out with violations. You do not have to wait if there are no periods for a long time - a year or six months (with artificial feeding). Sign up for a visit to a gynecologist. Then violations will be detected and corrected in time.

Postpartum discharge


The answer to the question of how much menstruation goes after childbirth concerns many women. Under this "popular" name refers to the bloody postpartum discharge - suckers. They are not only after natural childbirth, but also after cesarean section. This is the first stage of exfoliation of the uterine epithelium, which in terms of the abundance of blood excretion exceeds the usual periods.

Lochia can last up to 5 days after the end of childbirth, and all this time you need to use special puerperal pads. Ordinary pads, even "night" or with a large number of "droplets", with postpartum secretions simply can not cope. After that, less abundant lochia begins, lasting up to 2 months.

Types of bloody postpartum discharge

Lochia is a specific discharge after childbirth, by means of which the uterus is cleared of dying epithelium. Bloody lochia, appearing in the first days after birth, consists of:

  • blood
  • lumps of mucus
  • particles of the dying mucous membrane,
  • white blood cells
  • suckers,
  • remnants of fetal membranes,
  • unnecessary blood vessels.

Physiological bleeding after childbirth can last no more than 5 days, after which it is replaced by insignificant spotting, which lasts up to 1 month. If the bleeding does not become less abundant or resumes after this period, this is a reason for an urgent appeal to specialists.

How long do Lochia last?

Any abnormalities or the appearance of heavy bleeding after the end of the first period for more than 5-6 days should immediately alert. This is a pathology requiring immediate intervention by a specialist.

Natural bleeding can be:

  • as abundant as possible - within 2 hours after delivery,
  • plentiful, bright red - up to 2 days,
  • brownish, caused by the discharge of lumps of the mucous - up to 3-4 days,
  • brown, the number of which gradually decreases - 5-7 days,
  • yellowish or whitish, which can stand out in a minimum amount within one and a half months.

Normally, all postpartum discharge should stop within 5 to a maximum of 6 weeks. If this does not happen, it is a question of pathology. Their intensity and duration may in each individual case depend on the characteristics of the uterus contraction.

It is important to remember that after a cesarean section, the muscles of the uterus contract weaker, so the natural discharge may last a little longer.

What symptoms should alert?

Any abnormal discharge is a reason to immediately seek help from a doctor. They can be a sign of not only life-threatening uterine bleeding, but also a latent inflammatory process.

The main signs of pathological secretions:

  • a sharp increase in the amount of bleeding,
  • bright red bloody discharge lasting more than 3-4 days
  • postpartum lochia of any color and intensity, lasting longer than 2 months,
  • large blood clots in the discharge,
  • unpleasant smell
  • green-yellow discharge with an unpleasant smell,
  • pronounced putrid odor
  • unreasonable temperature rise above 38 ° C,
  • the lochia stopped abruptly or a small amount of them is released even in the first week.

Approximate rate of abundance of discharge in the first week - 6 full pads per day. The amount of discharge is more than 8 full pads per day (or 1 laying per hour) - this is a reason to urgently seek help from a doctor.

  1. In the same way, a sharp cessation of any bleeding within the first 2 months after birth or too little of it should alert us. Such a symptom indicates a low activity of the uterus, which can lead to the development of endometritis.
  2. Also, you should be alerted by the appearance of cheesy discharge at any time, as this is a clear sign of thrush.
  3. Another symptom of obvious inflammation is the appearance of sharp pains in the lower abdomen, in combination with yellow-green secretions and high fever. These are signs of inflammation of the uterus, or, in another way, endometritis.

This is especially the case when it comes to a sharp increase in bleeding, since they are a clear sign of uterine bleeding. If you are still in the hospital - you need to call the doctor, but if at home - immediately call the ambulance.

What to do is absolutely impossible

How to avoid unwanted complications in this case? First of all, strictly observe all the recommendations of the doctor. This will allow you to quickly recover from childbirth and regain your excellent physical shape.

In this case, it is absolutely impossible:

  • use tampons in the first 2 months after delivery,
  • change gaskets less often than every 2-3 hours,
  • begin sex life until the complete cessation of heavy discharge,
  • take a hot bath until the Lochius disappear,
  • apply any treatment methods using candles or douches without a doctor's prescription,
  • nervous, because any stress or excessive emotional stress may well trigger bleeding.

Также патологические выделения могут спровоцировать:

  • серьезные физические нагрузки,
  • нерегулярное посещение туалета, поскольку переполненный мочевой пузырь давит на матку.

Все это может усложнить естественное восстановление после родов и привести к серьезным осложнениям в будущем.

Послеродовой период для женщины


The absence of menstruation after childbirth is due to an increased level of prolactin in the body. This hormone responsible for breastfeeding suppresses ovarian function. Ovulation does not occur, and menstruation does not occur.

The first periods after childbirth are often not as painful as before.

If a woman is breastfeeding, her period may be absent until the completion of breastfeeding. But if the baby is already one year old, the work of the ovaries will be restored on the background of lactation. If the baby is bottle-fed, menstruation is worth waiting about three months after delivery.

Do not confuse menstrual flow with lochia. Lochia is a postpartum discharge that can last up to 5 weeks.

How much are the first menstruation after childbirth? As a rule, they have a habitual character for a woman — they last 5–7 days, they cannot be called scanty or too abundant. But sometimes there are some changes. This concerns the length of the cycle, which may be shorter for a couple of days or, conversely, longer.

Often, women say that after childbirth, periods have become less painful. In the first few months, the cycle may “skip” slightly - for example, in one of the months, menstruation does not suddenly come. This is considered a variant of the norm - the body comes to life after childbirth.

There are signs that should alert the woman. Here is the case in which you need to consult a doctor:

  • Monthly began immediately after the termination of Lochia and have a sharp unpleasant smell. This may indicate inflammation inside the uterus caused by remnants of the placenta.
  • Discharges have become very abundant. It is necessary to check whether this is not a symptom of endometriosis or endometrial hyperplasia.
  • Despite the fact that the woman does not breastfeed, menstruation does not start. This is a signal of imbalance in the hormonal system.

Even if the menstruation after birth has not yet resumed, it is necessary to carefully protect themselves. Folk sign that during the breastfeeding period it is impossible to get pregnant, has no scientific basis. It is impossible to predict at what point ovulation will occur.

You must carefully monitor the nature of menstruation after childbirth, so as not to miss the dangerous symptoms. Self-care is the key to women's health.

All answers to questions regarding the first menstruation after childbirth


One of the main indicators of women's health is the menstrual cycle. After birth, restoring the cycle takes on particular importance. Therefore, when and how the first menstruation after childbirth came and how much they go, you can determine whether or not there are hidden postpartum complications, learn about the restoration of the body and find out if everything is normal with the health of the young mother.

Critical days in the postpartum period


Young mothers are often concerned about the question: when do menstruation begin after childbirth. The timing of the onset of menstruation depends on many factors: on the method of feeding the child, on the process of the flow of labor, on the characteristics of the hormonal system of the woman, and finally on the woman's age and even the number of births in the past.

When do monthly periods begin after cesarean section and after vaginal delivery? What determines the period of recovery of menstruation? All these questions concern young mothers.

So that the first menstruation after birth does not come as a surprise for a woman, it would be nice to find out in advance when to wait for the red day of the calendar. To begin, consider the theoretical basis of this issue. Those who do not wish to plunge into theoretical aspects can skip to the next paragraphs of the article.

Restoration of the menstrual cycle after childbirth

The first menses after cesarean and after natural childbirth are renewed after the involution of the uterus. The concept of involution in this case means the return of the uterus to its pregenerative state. The bottom of the uterus is lowered, epithelization of the inner surface occurs, the outer and inner jaws close.

Often for the first menstruation after childbirth lochia is taken. This is a bleeding that occurs during the healing of the uterus. They begin immediately after birth and last an average of 30-40 days.

This discharge has nothing to do with regular menstruation. Lochia, in contrast to menstruation, is designed to clear the uterus of blood, which was formed as a result of rupture of blood vessels at the place of attachment of the placenta.

More information about postpartum lochia can be found in our article (“Discharge after childbirth”).

When the postpartum discharge ends, you can expect the first menstruation. It so happens that abundant periods after childbirth are not long in coming. In some menstruation is not established immediately. An important role is played by whether the woman is breastfeeding her baby or abandoned HB.

Monthly after cesarean and after vaginal delivery are fundamentally no different. Despite the different methods of delivery, the physiological features and hormonal changes in the body are the same.

When do monthly periods for those who do not breastfeed

If the mother does not breastfeed her baby, her period begins one month after the birth. As soon as the lochia ceases and the uterus involution occurs, the reproductive function of the ovaries stabilizes and the first menstruation begins after birth.

Ovulation and fertilization can happen even before the newly-made mother finds the first periods after childbirth. Therefore, not being protected during sexual intercourse, the woman risks to see two strips on the test soon.

Abundant periods after childbirth, which come immediately after the end of Lochius, sometimes frighten a woman. But do not worry! This occurs because the uterus has not yet had time to decrease to its former size, and accordingly, the volume of discharge is slightly larger than usual.

When do monthly periods of lactating mothers

A nursing woman is especially curious to find out: after how many after childbirth menstruation begins. Moms who have established breastfeeding, can forget about menstruation for at least a year. Such is an insignificant but very nice bonus.

The lactation-supporting hormone, prolactin, suppresses the maturation of the egg. To refer to this phenomenon in medicine, the term “lactational amenorrhea” is used, that is, the absence of regular menstruation during the lactation period.

It should be noted that the absence of menstruation does not mean at all that the nursing mother is reliably protected from pregnancy. Female hormonal system is very thin and multi-faceted structure.

Even the slightest drop in prolactin levels can lead to the fact that the ovaries will again begin to function, and the egg cell will still be fertilized.

Therefore, if pregnancy in the near future is undesirable, you need to think about methods of contraception.

It often happens that the first periods after childbirth begin only after the completion of breastfeeding. But only if the level of prolactin steadily kept at a fairly high level.

Mothers who choose the style of feeding the baby on demand, and not according to the regimen can most often forget about menstruation before weaning the baby from the breast.

Night attachments also keep prolactin levels high.

We offer to watch a video on the topic: “Is it possible to get pregnant during lactation”.

However, with the beginning of the active introduction of complementary foods or the transfer of the child to the common table, the number of attachments decreases, the level of prolactin decreases. And, perhaps, regular menstruation will not be long in coming.

If mixed feeding is practiced (feeding by the mixture), then the level of prolactin is unstable. Menstruation usually begins 3-4 months after delivery.

Is it possible to breastfeed during menstruation?

It is certainly possible to breastfeed during menstruation.
But many breastfeeding mothers notice that during critical days breastfeeding brings more problems than usual.

First, the woman is tormented by nipple hypersensitivity. After feeding, you can apply warm mini-compresses to relieve pain.

Secondly, the child is naughty at the breast, groans and arches. It seems that the little one has disliked the taste of her mother's milk. Menstrual bleeding does not affect the taste. But the outflow of milk is much more difficult. And this is due to a decrease in the level of oxytocin in the blood. During feeding, change the chest more often.

Thirdly, an important role is played by the depressed mood of a woman, who usually accompanies her in the form of PMS. The baby reads the mood of the mother at the gene level and now he is not in the spirit and is ready to cry at any moment, like his mother. Try to rest more and eat fully in these difficult days.

Menstruation after childbirth: norm and pathology

As a rule, the first menstruation after childbirth pass normally and without complications. It is important that the regular cycle is established within 2-3 months after the first menstruation. Sometimes copious periods after cesarean or after natural childbirth scare young mothers. But the amount of menstrual flow and the number of days may be the same as before, and may differ slightly.

How many days go after childbirth in different women may differ. Usually it is 5-7 days. Many women giving birth say that after childbirth menstruation is painless, unlike those that were before pregnancy. This is usually due to the fact that the bend of the uterus was eliminated during labor. And now nothing prevents the discharge to gently leave the uterus.

Some women still face difficulties when they come during periods after childbirth. What to pay attention to, and when consultation with a doctor is necessary:

  • If the monthly did not come within 3-4 months after the completion of the GV. The reason may be the malfunction of the thyroid gland. As well as pituitary adenoma due to the high level of prolactin.
  • If there are abundant periods after childbirth, or discharge have an unpleasant fetid odor. The development of the inflammatory process is possible. As well as various infectious diseases.
  • If menstruation does not become regular, but happen from time to time. The cycle should be established within 3-4 months after the first menstruation.

When and how much menstruation begins after childbirth depends on many factors. This hormonal treatment during pregnancy, the age of the woman, the number of births.

It is important to organize your favorite nutrition, sleep and rest, comfortable morale. Then the hormonal system will work smoothly and correctly. The menstrual cycle will start on time.

Critical days will not bring much inconvenience and difficulty.

Abundant periods after the birth of a child - the causes and consequences, how much is going?


Left behind months of waiting, you managed to endure nausea during pregnancy, labor, attempts, and finally the birth was over. After the maternity hospital, you were discharged home and a new life began with the presence of a small person in it who takes all your time and attention. Personally, sometimes there is neither time nor energy left.

Almost all young mothers, especially if the childbirth was the first and there is nothing to compare with, are interested in the question after how long menstruation should begin after birth. At the same time, many “experienced” mothers unanimously assert that “critical days” can begin only after the baby completely stops breastfeeding and the milk is gone. This opinion is erroneous.

The body of any woman is individual.

Some may not have any periods at all during the entire time when the baby is breastfed, while in others the menstrual cycle begins to recover after two or three months after delivery.

In the third period begin exactly in time, one month after birth, despite the fact that the baby eats only breast milk. What is the norm? Consider what they say about this gynecologists.

Causes and effects of heavy periods after childbirth

A situation where a woman is worried too copious periods after childbirth, is not uncommon and occurs quite often.

This is due to the fact thatDuring the first 2 months, the woman's body is restored, the process of rehabilitating the structure and functions of the uterus is in progress, and hormonal balance returns to normal.

Most women who breastfeed their baby exclusivelymenstruation begins after the end of feeding, and for those whose baby is bottle-fed, approximately one and a half to two months after birth. But there may be other options.

Just as there is a difference in timing, so the nature of menstruation may differ.

It all depends on the individual personality characteristics of the woman’s body.her lifestyle before and after childbirth, the severity of injuries of the urinary-genital system obtained during childbirth, as well as many other factors.

Anyway, after about 1.5-2 months after birth, you need to undergo a general examination by a gynecologist, which will determine how the uterus is restored, help determine contraceptives and avoid problems if something goes wrong.

Abundant menstruation is fraught with the fact that in the body of a woman the reserves of iron are quickly depleted, which can lead to anemia that needs to be treated. In this case, the doctor will prescribe iron supplements.

Now it is necessary to understand what periods can be considered the norm, and in what cases it is necessary to start worrying, sound the alarm and consult a doctor who will conduct an examination, prescribe an ultrasound scan and will help determine the treatment.

So, how much are the monthly after childbirth.If the menstruation continues for 5-7 days and in the first days of laying lasts about 4-5 hours, then it is within the normal range. Again, remember that you had your menstrual cycle before you became pregnant, the structure of the discharge should also be about the same as before birth.

If the gasket lasts for 2-3 hours, and monthly lasts more than 10 days, then you should definitely contact a specialist.

This can be a sign of bleeding or that you have been poorly cleaned after delivery and pieces of the placenta remain in the uterus, especially if the condition is aggravated by severe pain, and the discharge instead of the dark one becomes bright red.

What to do if there is no monthly after childbirth

While, when a woman is pregnant, menstruation is absent due to the fact that there is a complete hormonal adjustment of the body. In the postpartum period, hormones gradually begin to return to normal. The final indicator of full recovery is the presence of a normal menstrual cycle.

An important indicator that affects the presence of menstruation, is breastfeeding. For most women, menstruation begins only after the baby stops breastfeeding and the milk is completely burned out.

This is again associated with hormones, namely prolactin, which is responsible for the production of milk and prevents the onset of ovulation. Therefore, they say that during breastfeeding it is impossible to get pregnant.

This is not quite so, again, it all depends on many factors.

In some women who are breastfeeding, the cycle is restored and menstruation takes place.

If, after the woman has stopped breastfeeding, there is no menstruation for two or more months, then you need to contact a gynecologist.

A prolonged absence of menstruation may indicate the presence of a serious illness, complications after childbirth.including and psychological, new pregnancy or premature menopause (extremely rare).

Month after childbirth, monthly or bleeding

Usually, postpartum bleeding lasts two or, at most, three weeks after delivery. In rare cases, the uterus may contract to a month. This can cause pain. Particularly aggravated pain in the back and abdomen at the time of feeding the child.

This is due to the fact that at this time the activity of the uterus rises sharply and it tries to get rid of the blood accumulated in it. If the pain is too strong, you can take painkillers, but this is not recommended, because the medications are not too good for the child.

The most interesting thing is that women who are ferocious in pain are not as strong as those who give birth a second and third time.

For faster completion of the uterine contraction process, in the maternity hospital oxytocin is often prescribed, especially if a woman for some reason can not breastfeed.

Worry to start, if periods after childbirth do not decrease in a month, and also in case of occurrence of scarlet discharge or severe unpleasant smell, severe pain, or fever.

All of the aboveSymptoms may be caused by impaired uterine repair. (so-called subinvolution), inflammatory process (postpartum endometritis), or even pathological neoplasms. Be sure to go to the doctor, remember that the sooner you diagnose and begin treatment, the more effective it will be.

If the uterus is quickly reduced, the presence of blood discharge a month after birth, may mean the beginning of menstruation.

In some women, the menstrual cycle is restored immediately after the uterus is completely reduced. This does not happen too often, but it is quite normal and natural.

Обычно с этим сталкиваются женщины, которые легко переносили беременность и роды, особенно рожающие не в первый раз.

Если месячные не слишком беспокоят и проходят как обычно, то ситуация нормальна. В любом случае, при плановом осмотре гинеколога через 1,5-2 месяца после родов, следует обратить на это его внимание.

Watch your health, relax, visit the gynecologist in time and everything will be fine. Rejoice, because the main miracle has already happened: your child is now with you, and this is worth all the troubles we have experienced.

Enjoy this time, because children grow fast and these days will never return.

Duration of critical days after delivery


Every woman giving birth faced the question - how many days are menstruation after childbirth? Spotting after childbirth is the norm. They are called lochia, although many consider postpartum bleeding to be menstruation.

Menstruation is the rejection of the endometrial layer and they last from 3 to 7 days a month. In turn, lochia consists of 80% pure blood and 20% of the dead epithelium and mucus residues. There is a significant difference between these blood secretions.

How long do the first periods after childbirth. Let's talk about this in more detail.

Lochia or monthly - what's the difference?

Lochia is a bleeding after childbirth. Thus, the uterus is cleansed, reduced and takes on the size that was before pregnancy.

How long their release is observed depends on the body of each individual woman. The most abundant menstrual flow in women is the first 5-7 days, and apparently they are very similar to blood.

Sometimes even quite large blood clots are secreted.

The next week after delivery, the intensity of discharge begins to decrease, and they change their color. First, there may be a selection of brownish tint, as they decrease, they become light yellow in color. The duration of lochia can vary from 30 to 40 days.

On the tenth day after birth, the healing of the upper layer of the uterus is observed. By this time, the lochia becomes lighter and more fluid. On the third week, their intensity decreases, but the healing of the placental part of the uterus always depends on its contractility and blood clotting level of the woman.

That is, the more intense the contraction of the uterus, the faster the blood vessels overlap, and accordingly the bleeding stops. It is not possible to unequivocally answer the question of how much the postpartum discharge will take place. In some women, lochia ends after 3 weeks, while in others they can last up to 6 weeks.

But in any case, a full restoration of the inner surface of the uterus is observed not earlier than 6-8 weeks after delivery.

During this period it is very important to observe hygiene. This will avoid the penetration of infection and a number of diseases of the genitourinary system. Doctors recommend changing pads frequently. The fact is that in the composition of postpartum excretions there are many microorganisms that are able to multiply in favorable conditions for them - heat and humidity.

It is also important how blood flow associated with the birth of a child. An alarming symptom can be called intermittent bleeding or abrupt cessation. In this case, the woman must necessarily consult a doctor.

There is a risk of blockage of the cervical canal with blood clots, as a result of which the organ is unable to cleanse itself. This can lead to an inflammatory process, which is dangerous for a weakened body after delivery.

In such situations, the doctor decides in favor of scraping.

Anxiety after heavy labor

The process of isolating lochia goes a little differently in the parturient women who gave birth operatively - cesarean section. In this case, the procedure of cleansing and contraction of the uterus is more slow. Consequently, continuing lochia discharge takes a longer period.

The fact is that the operated uterus is much worse reduced, which leads to stagnation of blood in the middle. In order to stimulate the process of uterine contraction after cesarean section, doctors always recommend that the woman in labor should not neglect breastfeeding and do everything to ensure that the lactation period is successful.

To do this, you need to eat right, consume plenty of fluids, and adhere to all recommendations of the attending physician.

If the birth goes well, without complications and tears, the uterine contraction and, accordingly, the release of lochia are more successful and beneficial. A little bit different is the reduction of hard labor. Therefore, every woman should know the symptoms with which an urgent need to see a specialist.

  1. Highlight bright red last more than a week
  2. There is a high content of clots in the discharge,
  3. The discharge has an unpleasant odor,
  4. Admixture of mucus and pus
  5. Abundant discharge for more than 2 weeks
  6. Pain in the abdomen,
  7. Fever and chills.

If a woman in labor has noticed at least one of the above symptoms, then this is a significant reason to immediately seek medical help. Most likely, there is an inflammatory process in her body!

Recovery of a monthly cycle after childbirth

But still, when to wait for menstruation, after how many weeks does the menstrual cycle recover? Here the opinions of experts diverge. There are several answers to this question.

Doctors call three options.

  1. When the baby is bottle-fed.
  2. If the baby gets mixed feeding. That is, breasts, milk formula and complementary foods.
  3. When the baby is only breastfed.

But you should know that the recovery of the body after childbirth is a long enough process, and the restoration of the monthly cycle after childbirth depends on the hormonal background of the woman.

Prolactin is a hormone that is responsible for the production of milk. While the woman is breastfeeding, the production of prolactin will occur, therefore, the period will not occur. A high concentration of the hormone inhibits the activity of the ovaries, with the result that they will be in a “dormant state”. During this period, ovulation does not occur.

As soon as hormone production begins to fall, menstruation may soon begin. And although the first 2-3 cycles they will not be so regular, but then the cycle will recover normally. A signal for a young mother is the reduction in the amount of sucked milk by the baby.

  1. If the young mother introduces artificial lure for 5-6 months after birth, then the first menstruation can begin at 7-8 months after birth.
  2. If the child is on mixed feeding from the first day, then the menstrual cycle can recover at 12-14 weeks after delivery.

There are cases when during breastfeeding the first menstruation after childbirth occurs very soon after the end of the allocation of lohia. And although this is not considered a dangerous symptom, it is better to appear to the gynecologist.

This can happen if, for example, the baby is sick and sucks breast milk in smaller quantities.

There is a reason to consult a specialist even if a woman does not breastfeed for 2-3 months, and her periods are not restored. Sometimes, in hot weather, the baby can more intensively drink ordinary water, while reducing the consumption of breast milk. For the body it is a signal, and restoration of reproductive function is possible.

Menstruation during breastfeeding

When a baby is artificially fed from day 1 after birth, the concentration of the hormone that is responsible for the production of milk decreases significantly. In such a situation, lactational amenorrhea does not occur.

The first periods in such women occur 10 weeks after delivery. But if the birth was easy, then menstruation may occur within 6-7 weeks after birth.

The body of the woman after cesarean section is experiencing severe stress. He lose 2 times more blood than mothers after natural childbirth. Naturally, the recovery period lasts longer.

After childbirth, the amount of blood secreted during menstruation is longer and lasts at least 5-6 days. The reason for this is an enlarged uterus after childbirth, which cannot return to its previous parameters.

Many women are interested in the question - is it possible to continue breastfeeding if the menstrual cycle is restored. Long-term follow-ups have shown that there is nothing more valuable for a baby than mother's milk. Ideally, the baby can enjoy the taste of breast milk up to 2 years, while being reliably protected from any kind of infection.

Therefore, one does not interfere with the other. But in this case, it is difficult to predict how much the monthly flow after childbirth, and with what intensity. In this case, we can safely assure that the unstable cycle will be restored within three months. And even if a young mother introduces complementary foods to the baby, it is not necessary to deny him breast milk.

On the contrary, it is necessary to try to feed him in the same quantity as before.

In fairness it should be noted that the nipples during menstruation are more sensitive. Therefore, you can remove such unpleasant symptoms by warming and massaging the neck.

The onset of menstruation after childbirth is a purely individual question. Therefore, you should not worry about that, if your friend's monthly have already arrived, and you still do not even have any signs.

But in case you notice some signs that should alert you, you should not consult with your friends and postpone the visit to the gynecologist. Now you just have to protect your health.

After all, you are already responsible for the health of your long-awaited crumb.

Early and late onset of menses

Early is called the onset of menstruation 6-7 weeks after birth. However, it is not a pathology. Most likely, menstruation will recover so early in those women who for some reason refused to breastfeed. Or feeding a baby mixed. In the latter case, the first menstruation will appear 2-3 months after delivery.

Many women believe that postpartum discharge is monthly. However, this opinion is erroneous. Blood discharge from the uterus after childbirth is called lochia. They appear due to the fact that the separation of the placenta from the walls of the uterus forms a wound on the same walls, which bleeds several weeks after delivery. In the first days of lochia, the color is bright red, quite abundant and may have clots, then they turn brown and less abundant, and by the end of the 6th week they disappear altogether.

Sometimes menstruation does not occur for a whole year or more. If the baby is fully breastfed at the same time, there is no cause for concern.

The nature of menstruation after childbirth

It is believed that the menstrual cycle is fully restored after the first 2-3 menstruations, and will become regular. If this does not happen - contact your gynecologist. The cause of irregular postpartum menstruation can be inflammation of the internal genital organs, endometriosis, tumors of the uterus and ovaries, and many other pathologies. The reason for the "non-occurrence" of menstruation may also be re-pregnancy, because breastfeeding is not a method of contraception.

Usually the first periods after childbirth differ in abundance. This phenomenon is very natural and normal, if menstruation lasts no more than a week. However, if such periods are accompanied by dizziness, weakness, rapid heartbeat, then you should consult a doctor.

After childbirth, it is possible to change the duration of the menstrual cycle and the duration of the menstruation itself (blood discharge). Normal menstrual cycle ranges from 21 to 35 days, the period of discharge - no more than 5 days and not less than 3. Any deviation is a reason for going to the doctor. Menstruation should not be long and abundant, nor short and scanty. Too long periods may indicate uterine myoma.

Many women are interested in whether the pain of menstruation will change after childbirth. All individually and in this matter. After all, pain during menstruation can be caused by various factors. For example, if the painful sensations arose because of the uterus bend, then, most likely, after childbirth, the pain subsides, because due to the birth process, the uterus acquires a normal position. However, there are other causes of painful periods: inflammatory processes after childbirth, strong contractions of the walls of the uterus, general body immaturity, inflammation of the uterus and appendages.

If the pain during menstruation after childbirth can stop, then it is almost impossible to get rid of premenstrual syndrome. To this day, the causes of the ICP are not fully understood, although there are many different versions. However, the symptoms for each woman are the same: irritability, bad mood, tearfulness, soreness and swelling of the breast, some swelling, pain in the joints and lower back, headache, insomnia, and so on. At least one of the signs of PMS is observed practically before each menstruation.

Personal hygiene

The use of tampons and the usual pads (with absorbent mesh) is possible only after a full recovery of the menstrual cycle. In no case can not use these funds immediately after childbirth with lochia. Tampons interfere with the free flow of blood, which is extremely important in the postpartum period. But the mesh on the pads can irritate the injured mucous, especially if the woman has postpartum stitches. Also with lochia recommend frequent toilet external genital organs, but without the "intimate" gels. You can use baby soap. Gaskets should be chosen with a smooth surface and change them every 3-4 hours. In the period of lohii, unprotected sex is also unacceptable, in order to avoid possible infections in the open uterus. Doctors recommend to refuse from sexual intercourse at all for 6 weeks after giving birth.

Summing up the monthly after childbirth once again draw your attention to when you should immediately see a doctor:

  • menstruation does not occur within 2 months after cessation of breastfeeding,
  • too heavy and prolonged bleeding (more than 7 days, blood loss is more than 150 ml.),
  • the presence of large clots in the blood, bright red discharge,
  • pain in the uterus,
  • discharge with an unpleasant pungent odor
  • general deterioration, especially during menstruation.

Remember also that the restoration of the menstrual cycle after childbirth depends on many other factors: psychological state of the woman who gave birth, inadequate rest, stress, overwork, unhealthy diet, the presence of birth trauma, general health after childbirth. All this, one way or another, affects the recovery of "critical days." But the future health of the young mother depends on how the menstruation resumes.

What to expect?

After childbirth, the nature of menstruation may change, since the uterus takes time to return to its original size.

The female body tolerates pregnancy is not easy, and childbirth and for him at all are a traumatic event. Therefore, after the birth of a child, a woman needs time to recover. There are no standard descriptive characteristics for postpartum menstruation, but usually the first few periods differ from those seen before pregnancy.

The reasons for the change in the nature of menstruation after childbirth include the following:

  • the enlarged uterus takes time to return to its normal size,
  • hormone levels change,
  • breastfeeding affects hormone levels.

Some women notice that menstruation after birth becomes stronger. Others see a change in the color of the menstrual blood, more intense cramps or an increase in the number of blood clots.

However, sooner or later, the nature of menstruation returns to normal, that is, menstruation becomes as they were before pregnancy.

When does normal menstruation return?

In women who do not breastfeed or do it irregularly, normal menstruation is restored faster.

An analysis of six studies, which in 2011 was published by the authoritative American journal Obstetrics and Gynecology, showed that most women observe their first periods between 45 and 94 days after the birth of their child. The authors of one of these studies found that, on average, the first menses occur in women on day 74 after birth.

The main factor affecting the time of resumption of menstruation - is ovulation. Women who want to find out if they are ovulating, can take advantage of special tests that are sold in pharmacies and in specialized online stores.

In addition, ovulation can be determined by daily measurement of basal body temperature.

Irregular postpartum menses

In the first few months after giving birth, women often have irregular menstrual cycles. Those recent mothers who breastfeed may be more likely to face this problem, since the hormones that support breastfeeding can cause infrequent ovulations or their complete absence.

Even in women who do not breastfeed, menstrual cycles may be irregular, since the body takes time to recover from pregnancy and childbirth.

Later, menstruation returns to the usual rhythm. However, in some women they occur irregularly even before pregnancy, so after childbirth such women should not expect improvements. К числу возможных причин данной проблемы относятся некоторые заболевания, например эндометриоз или синдром поликистозных яичников (СПКЯ).

If, after childbirth, regular menstrual cycles are not restored, nor have PCOS, endometriosis, or other related medical problems, the woman has previously been diagnosed with, then in such a situation she should consult a doctor for examination.

Some women have lochia with cramps.

Lochia is a vaginal discharge that occurs in women after childbirth. Initially, they have the appearance of severe dark red bleeding with a large number of blood clots.

After a few days or weeks, the lochias become lighter, then they turn pink, brown and disappear altogether.

At that moment when lochia leaves the body, some women experience mild cramps. Such spasms are observed due to the fact that the enlarged uterus is reduced and gradually takes its former size.

Lochia is not menstruation. They are a sign that the body is still recovering after childbirth, and the uterus rejects the mucous membrane that supported the pregnancy.

In 2012, American scientists published a review of several studies, which indicated that the duration of lochy women for women ranged from 24 to 36 days.

However, in only one study, its authors were in touch with recent mothers before the moment when the lochia ended. It was found that such discharge occurs in women for at least 3-5 weeks, and sometimes even longer.

Lochia can be taken for periods or vice versa. Moreover, both types of discharge begin with bright red blood, lochia usually become lighter after a while, and menstrual bleeding tends to darken.

Menstruation during breastfeeding

During the period of breastfeeding, postpartum periods may not be observed for several months due to the fact that feeding the baby prevents ovulation and subsequent menstruation.

Some women use breastfeeding as a method of preventing unwanted pregnancy. However, in 2015, Dutch scientists published a survey, according to which from 11.1 to 39.4% of women who are breastfeeding have at least one full menstrual cycle during the first six months from the day of birth.

Birth control

Birth control pills often help regulate the menstrual cycle

Some women can start using contraception right after childbirth, although doctors usually advise to wait a few weeks before using the combined birth control pill.

Women who do not want to expose their body to hormonal oral contraceptives may consider using condoms, diaphragms or copper-containing intrauterine devices (IUDs).

Meanwhile, hormonal contraceptives often help regulate postpartum menstrual cycles. These include pills containing estrogen and progestins or progestins only. In addition, women can use hormonal IUDs, injections or implants.

Some methods of protection against unwanted pregnancy cause menstruation to become less frequent or stop altogether. Doctors can recommend them to women who experience very strong or very painful periods.

Mothers who breast feed babies sometimes worry that birth control pills can affect the health of the baby or the milk production process.

In a study conducted in 2012, American scientists compared two types of contraceptives - combination pills and progestin-only pills (mini-drank). In their conclusions, the authors of the study reported that they did not find a significant difference in the volumes of milk production and the nature of feeding. While each of these birth control methods is considered safe for nursing mothers, Women should discuss with the doctor any pharmacological products that they are going to take.

When should I see a doctor?

After childbirth, doctors usually explain to women what signs they should pay attention to in time to recognize possible medical problems. The nature of normal postpartum bleeding differs from one woman to another. It depends on the mode of delivery, the medical history of the woman and other individual factors.

You should see a doctor immediately when the following symptoms appear:

  • very heavy bleeding, during which a woman has to change the pads every hour for a period of more than two hours,
  • bleeding, which are accompanied by fever,
  • intense spasms
  • large blood clots.

You should also go to the hospital if you have unusual bleeding, very painful periods or if you have questions about the irregularity of the menstrual cycle.

Some women have stronger and more painful first postpartum periods, others have weaker and lighter ones.

In some women, menstruation resumes soon after stopping lochia, in others it can occur in a few months, especially in the case of breastfeeding.

If changes in the nature of menstruation cause pain or other problems, then it is better to tell your doctor about it, which will help to ease the symptoms.

Monthly after childbirth during breastfeeding

After giving birth, the menstrual cycle of lactating mothers is very different from those women who prefer artificial feeding. It's all about the hormone prolactin, which is intensively produced in the body of a woman who is breastfeeding. The hormone stimulates the production of breast milk and at the same time inhibits the maturation of the new egg, so there may be no monthly periods throughout the entire feeding period.

The intensity of the first menstruation after childbirth

The first periods after delivery can be very scarce, so sometimes moms do not understand whether these discharges began. Such cases are common and you should not worry if this happened to you - the cycle will be restored within a few months. It happens and vice versa - when the first periods are very abundant. Here you need to be careful: perhaps it is later postpartum hemorrhage. If the bleeding began in the period up to two months after birth, they are very abundant and their intensity does not change, then it is necessary to see a doctor.

Important! Ideally, you need to visit a gynecologist after the end of the first menstruation, even if they passed as usual.

The norm is the allocation of 20 to 80 milliliters per cycle. Anything that goes beyond that is a reason for diagnosis. Of course, it is difficult to count the amount of discharge, so be guided by your own feelings or use kitchen scales. To do this, you need to weigh a clean pad or tampon, and then all used. From the weight of each used hygiene product, subtract the weight of the clean one and add all the figures obtained during the cycle.

Disruptions in the menstrual cycle after childbirth: norm or pathology

Not always monthly after childbirth go on schedule. During 2-3 cycles, menstruation may be delayed, or, conversely, to go more often than expected. It is connected with the same hormone prolactin and the general condition of the woman’s body. Violation of the first few cycles is not a pathology, but still it is worth referring to a gynecologist to rule out diseases that may cause a cycle disturbance.

After birth, periods can be irregular for several cycles.

More often, renewed menstruation after childbirth is of the correct cyclical nature, but it is acceptable to establish the menstrual cycle during the first 2–3 cycles, which may be expressed by delayed menstruation, or, conversely, by a decrease in the interval between menstruations.

Marina Pilnenskaya
Obstetrician-gynecologist

http://www.7ya.ru/article/Vosstanovlenie-menstrualnogo-cikla-posle-rodov/

If the fourth cycle in a row comes with violations, then it is necessary to come to the reception to the gynecologist. After the end of lactation, menstruation should begin within 2–8 weeks. If this does not happen, then you need to consult a doctor, after making a pregnancy test. The reason for the absence of menstruation after the end of breastfeeding may be hyperprolactinemia - an increase in prolactin in the blood. It is intensively produced while the woman is breastfeeding and inhibits the maturation of a new egg. At the end of lactation, the level of this hormone should return to normal and, accordingly, should begin monthly. In the case of pathology, prolactin remains at the same high level as when breastfeeding - the egg does not mature, there is no menstruation.

Do not expect that the duration of menstruation will be the same as before: it can become very short (1-2 days) or long. But the duration of menstruation for more than 8 days cantalk about endometriosis, inflammatory intrauterine processes or tumors.

Monthly with clots or dark brown

Monthly after childbirth are often with clots. It is believed that this is the norm. But there are exceptions here: clots in the menstrual flow may indicate that you have endometriosis. Pay attention to your feelings: if, in addition to clots, there is severe pain in the lower abdomen, temperature, then consult a gynecologist. It is better to insure and eliminate the disease.

If during the first menstrual period a woman has lumps, accompanied by severe pain in the lower abdomen and fever, then you should consult a doctor

Pay attention to the shape of clots: rough ragged edges, similar to flakes or unnatural color (dark brown, black). Such discharge is considered a reason for immediate treatment in the antenatal clinic.

What is false monthly after childbirth

Lochia is very similar to menstruation - postpartum discharge. In fact, they have nothing in common with menstruation of lochia, but their duration (up to 40 days) and intensity are sometimes confusing. The main thing that you should remember: lochia is intense at the beginning, and gradually the discharge becomes less and goes to "no". This is a normal natural process. Spotting after the end of lohii say about the onset of menstruation. As mentioned above, there is no clear-cut norm (in the event that you are breastfeeding).

Menstruation after childbirth is a sign of complete recovery of the body and its readiness for the next conception. If you do not plan the next pregnancy, then follow the contraceptive measures even in the case of breastfeeding, as you can skip the ovulation period and learn about a new pregnancy already for a long time. Do not forget that menstruation can be confused with lochia. You need to keep track of color, duration and intensity of discharge - this will help to quickly eliminate the health problems that have arisen. Monitor your condition, be alert and always healthy!

Bleeding in the postpartum period

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, 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. An admixture of blood may appear within a month, but its amount is insignificant. Usually a woman easily distinguishes this process from menstruation. Between the termination of lohii and the beginning of the first menstruation should take at least 2 weeks. In case of doubt, it is better to consult a gynecologist, or at least start using barrier contraception that protects the uterus from infections.

Start of menstruation

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 lengthens 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 "on demand" 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.

Changes in the menstrual cycle

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.

Causes of postpartum menstrual changes

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 “by the hour”, 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. Хотя кормление грудью снижает вероятность зачатия, это все же возможно. Например, если месячные после родов начались, а затем пропали, самая вероятная причина этого – повторная беременность. Также следует помнить, что овуляция наступает до начала менструального кровотечения. Поэтому вполне возможна беременность даже до первой менструации.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.

Irregular periods

What to do if the menstrual cycle has become irregular:

  1. 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.
  2. 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.
  3. 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.

Pathology of menstruation

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.

Recommendations for cycle normalization

When a woman is healthy, her cycle is restored normally. To avoid possible failures, you need to follow some simple guidelines:

  1. 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.
  2. 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.
  3. 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.
  4. In the presence of chronic diseases (diabetes, thyroid disease, anemia, and others), it is necessary to visit the appropriate specialist and adjust the treatment.

The nature and duration of the first cycle after birth

The onset of menstruation after childbirth - the disposition of the body to the next pregnancy. Cycle duration from 21 to 35 days is normal. The resumption of all processes begins after the release of lohii, occurring on average 7-10 weeks. At this time, the functions of the mammary glands, genitourinary system, endocrine, nervous system are adjusted. All processes should return to normal.

  • the complexity of the course of pregnancy
  • complications in childbirth,
  • age of woman
  • nutrition,
  • following the regime
  • the fact of chronic diseases
  • depression,
  • nervous tension and disorders.

Norm - the first menstruation after childbirth after the expiration of the prescribed period: no earlier than 7-10 weeks, in a volume of up to 150 ml The nature of the discharge should not differ from what it was before pregnancy. The first day during the first two hours a small amount of bloody smears appears, then they take on the natural appearance of blood.

Ends menstruation as well: the last 1-2 hours of discharge lighten and stop altogether. The duration of the first postpartum menstruation is usually 3-6 days, but it all depends on the physiology. Deviations from the norm are considered too abundant or very scanty discharge, severe pain, itching, fever. These signs indicate an inflammatory process or other pathologists and are serious reasons for a visit to the doctor.

Relationship of menstruation and breastfeeding

The presence of menstruation after childbirth along with breastfeeding is not a typical phenomenon, but it is not recognized as a deviation. At this time in the body of a woman dominated by prolactin. This is a hormone responsible for the formation of mother's milk. It prevents the exit of the corpus luteum and the onset of ovulation, therefore, menstruation should not go.

The appearance of the first blood on the background of breastfeeding is not always a sign of recovery of the body. A common cause of this condition is the failure of hormonal regulation. Menstruation can come when the baby is fed on demand, when water or a mixture is added to the diet. However, consultation of the doctor in any case is necessary.

Restoration of menstruation with artificial and mixed feeding

Many mothers combine breastfeeding and artificial. If mixtures are actively introduced into the child's diet, which leads to irregular feeding with breast milk, the activity of the “milk hormone” decreases, and a favorable environment is created for the onset of ovulation. Moms should be ready - menstruation after childbirth in such a case will resume very soon.

The first months of mixed feeding are characterized by mood swings of both mother and baby, as the hormonal balance in the woman's body changes, which is reflected in the baby. The period of arrival of the month after delivery in this case remains very vague and ranges from 3 to 5 months. However, the absence of the beginning of the cycle longer than the specified norms is not considered pathology.

The second type of feeding - artificial - means that the baby has been in mixtures since birth and has not eaten mother's milk. With this type, the first periods after childbirth sometimes come much earlier - up to 12 weeks. A delay of more than 14 weeks warns of the presence of pathology. After the first, the onset of the next menstruation is required, the cycle should be restored immediately. The consistency, color and abundance of secretions should correspond to a healthy physiology: from yellowish with bloody impurities to saturated red.

The nature of the discharge and cesarean section

The birth of a child does not always occur naturally. For medical reasons, operational assistance is sometimes required. The first menses after cesarean come about the same as in the natural process.

If there are no complications after surgery, monthly after cesarean section “revive” with the cessation of lactation.

After the release of lohii - postpartum secretions - the body gradually begins to restore its reproductive functions. However, there are circumstances that can slow down this recovery. The delay in the onset of a new cycle occurs in the following cases:

  • difficult postoperative period,
  • chronic diseases
  • failure of the hormonal system
  • infections,
  • lack of personal hygiene.

How long the menses go after delivery by cesarean section depends on the individual characteristics of the woman’s body.

The menu of the nursing mother the first month after birth is made taking into account the benefits of products for her and the newborn. It is important to exclude coarse food, food should be fractional and frequent. It is important to avoid low-quality food, artificial colors, use natural products, but fruits and vegetables with caution. Proper nutrition will help the young mother to recover more quickly after abdominal surgery, which is a cesarean section.

Miscarriage and specificity of menstruation

Unfortunately, the long-awaited pregnancy sometimes ends not only with the birth of a child. Miscarriage - abortion due to pathology or external factors affecting the body. In this case, there are several features of menstruation, other than the normal cycle.

The blood released during the miscarriage is not menstrual. The first menstrual periods after miscarriage depend on how severe the consequences of cleansing, taking anti-inflammatory drugs, the duration of the lost pregnancy, the health status of the woman were. Normally, the first menstrual flow occurs according to the woman’s personal cycle. Any delay is an indicator of inflammation or infection.

The color and consistency of the discharge should not be very different from the norm. Deviations for each of these signs are considered a violation, in which consultation with a doctor is recommended. But the amount of discharge may be slightly more than usual. After a full recovery of the hormonal background, menstruation will completely return to normal.

Sources of delay

The delay in menstruation after birth can not be without reason. In the first month, the body takes a moderate pace of returning to its usual state: the uterus is cleansed, lochia leaves. If the reason for the long delay is not breastfeeding, you should undergo a medical examination.

Possible pathological factors:

  • hormonal imbalance,
  • cyst formation in the ovaries,
  • infectious diseases
  • mother's fatigue, overwork,
  • stress,
  • neoplasms in the genitourinary system,
  • pregnancy.

The first month after childbirth is a responsible time, and the menstrual periods speak about stabilizing the mother's health. The absence or delay of menstruation is a serious cause for alarm. It should be noted that after the birth of a child into the world, premenstrual syndrome almost always remains unchanged, and sometimes even increases. But do not neglect the severe pains and write off everything on the ICP. In most cases, a condition where menstruation after childbirth is very abundant or accompanied by pain is a sign of inflammation, infection, exacerbation of chronic processes.

Excessive profusion, clots, discoloration, odor of discharge, their scarcity, the delay of the first menstruation after childbirth and the lack of a prescribed time limit require immediate consultation by a gynecologist, as well as being a reason to undergo a full examination.

How much are monthly after childbirth: features of the postpartum period

Childbirth is a natural process. After labor, every woman has a spotting (lochia).

They should not be confused with menstruation, since lochia is a discharge that brings out the children's space and mucus that remain in the uterine cavity.

A monthly - this discharge, which go to a woman regularly every month, their duration is up to 7 days. Lochia can last up to 40 and sometimes 80 days.

Spotting (lochia) after childbirth

Postpartum discharge frees the uterine cavity from unnecessary mucus, bacteria and blood that has accumulated there. The actual question bothering every young mother is how much postpartum discharge goes? This process is individual, it all depends on the characteristics of the female body and on the time of its recovery.

In the first 7 days of lochia, intense and abundant in nature, may be mixed with blood or mucus. The color lohy red, as in ordinary blood.

Next week may also be accompanied by copious secretions, only the color becomes brownish. With each subsequent week, the intensity of lohia decreases, the color becomes light yellow or light brown, the character of the discharge becomes scanty. Postpartum discharge lasts up to 40 days.

Slightly different allocation after birth with cesarean section. The uterus is injured and shrinks more slowly, so lochia can go on longer. There may be stagnation in the uterus, so doctors recommend breastfeeding, which helps the uterus to contract and the postpartum discharge will improve.

Настоящие месячные: когда и сколько дней ждать?

Месячные после родов приходят в норму постепенно. Сроки появления месячных зависят напрямую от разных факторов: свойств организма, лактации и послеродовой депрессии.

  • Если младенец полностью на грудном вскармливании, то месячных может и не быть.
  • Если процесс кормления затягивается на год и больше, то аменорея заканчивается и месячные наступают в период кормления грудью.
  • If a woman does not breastfeed, then the first ovulation should occur in 11 weeks, which means that the first menstruation will occur, approximately from 11 to 13 weeks - approximately after 3 months.
  • If the baby is on mixed feeding (breast milk + adapted mixture), then the first periods will occur in about 5 months.
  • The method of childbirth does not affect the timing of the onset of menstruation. Therefore, with a caesarean section, the menstrual cycle is restored in such terms as during natural childbirth.
  • There are exceptions to the rule - this is if the birth was severe, which was accompanied by blood loss, endometritis, sepsis and other serious illnesses. Such complications slow the recovery of the uterus, so the first menses may come a little later.

All terms are not absolute, and are indicated approximately, taking into account the average statistics. It all depends on the influencing factors and characteristics of the female body, so there is no definite period of time, after how many days the real menstrual periods begin.

When is the alarm worth sounding?

Not always postpartum discharge and the first menstrual periods go well. The occurrence of complications is not excluded. To begin with, it is recommended that after the first periods come, it may seem to the gynecologist that he look at and evaluate the condition of the uterus, the ovaries.

Also, there is a list of symptoms, in the presence of which you need to immediately consult a doctor:

  • discharge of abundant nature, which is bright red in color and lasts for more than 1 week - this may indicate endometriosis, hyperplasia, adenomyosis or hormonal failure,
  • an increase in the intensity of discharge over a short period of time. It can be said that not all fetal particles came out of the uterus. There is a peculiar unusual smell,
  • the delay of menstruation is longer than the average period of occurrence. May indicate diseases, as a rule, it is associated with a high level of the hormone prolactin. If a woman has stopped breastfeeding, but there are no periods for 3 months, you need to go to the doctor. It is also recommended to visit the doctor if the cycle is longer, and the monthly meager nature,
  • if the cycle is irregular. Such a failure may indicate that the body has disturbed the processes that are responsible for restoring the cycle after childbirth,
  • if the discharge stopped abruptly for several days,
  • discharge is accompanied by lower abdominal pain,
  • feeling unwell, chills or fever,
  • discharge with impurities of pus or mucus.

Do not forget that after birth, the body requires rest and recovery, so you need to pay due attention to nutrition, sleep and day regimen. All of these factors affect the resumption of the regular menstrual cycle.

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Childbirth is over, but there are no menstruation and no

One of the happiest and at the same time one of the most painful moments that you had in your life - your childbirth passed.

Now you have a little miracle on your hands that you love and that you will take care of for a very long time. Gradually, life returns to its normal course.

And when menstruation begins after childbirth, you understand that everything has again become as before, only in the family you are a little more than before.

Naturally, menstruation does not return immediately after birth - it takes some time. Someone this delay scares: if the cycle of menstruation has recovered, then everything is fine, the body is in order. But a month passes, two from the moment of birth of the child, but they all do not and do not go. Did something happen?

Do not panic: the first periods after childbirth come not immediately, no matter how much you wait. And there are several reasons for this in the body, which will be considered further. And for a start, take it easy - you have a little respite from this painful process, which is given to you by mother nature itself. In the meantime, try to answer a few questions that you might have.

Why there are no periods?

To answer when menstruation comes after childbirth, you need to know why menstruation occurs at all. In the middle of your personal, internal month, which does not coincide with the calendar, neither the length nor the day of the beginning, an egg cell matures in the body. Then she should be fertilized, and after 9 months you will have a child - through this you have passed.

If the egg is not fertilized, it will die. And after 2 weeks after that, it will leave the body through the genital tract. This is a natural process that every woman is known for as abundant periods. However, it does not occur immediately after pregnancy.

Blame lactation. As long as it goes, so much will the delay last. The fact is that during breastfeeding, the hormone prolactin is produced. Its main function is to stimulate the production of milk so that there is something to feed the child.

But he has another effect: among other things, prolactin suppresses the cyclical production of hormones in the ovaries. And no matter how frequent and abundant periods were before.

The egg cell does not even mature, so the cycle does not have the slightest chance of recovery.

The thread of reasoning is simple: the hormones in the ovaries are suppressed, the egg does not develop enough, it is not ready for fertilization, ovulation does not occur, the egg does not die and does not go out. And here's the result: a long delay in menstruation. But do not be afraid: the cycle after birth will be restored. When the hormone becomes a little less, and it ceases to affect the ovaries, everything will return to normal.

When to wait for menstruation?

As already mentioned, the main reason for which abundant periods after childbirth come late is lactation. Therefore, the period for which menstruation has shifted depends directly on the method of feeding:

If you are breastfeeding constantly, according to the baby’s request, it means that the same thing happens in your body as in all the women who have lived before you for the last few thousand years. Earlier, when mothers did not know about the existence of complementary foods for a child, the only food for a newborn is milk for 1-1.5 years. And all this time, women did not have menstruation.

Therefore, you do not worry: you will wait for your period for as long as you breastfeed your baby. That is about a year from the date of birth, or even more.

If you are breastfeeding 1-2 times a day, because it is useful or because of the advice of a doctor, the first periods after birth will come approximately 16-20 weeks from the day of birth. The hormone prolactin will not be produced as much and will not have the same effect as in the first case, gradually losing strength.

If you do not breastfeed at all, or at all, the amount of prolactin is minimal. The delay will be small - about 10 weeks.

But remember: this is the average. That is all individually. If breast milk is not the main food of the baby, but more time has passed than the doctor said, do not panic. How much to wait monthly is a purely individual question, the answer to which depends on your physiology. Your delay may differ from the standard for a few weeks.

What if menstruation starts too early?

If, in the first weeks after birth, abundant but not painful periods began, you can calm down: this is not menstruation. This is a phenomenon called lochia. It is natural and normal.

The fact is that during childbirth there was a separation of the placenta in the uterus. As a result, there remained a rather large wound.

Over time, it will heal, but at first it will behave like the most ordinary wound: it will bleed. These secretions will slowly go out of the genital tract, because they have no other way out.

And it will seem to you that heavy periods began a month after birth. But it is not.

Lochia usually does not last very long - about a month. Then the wound inside is tightened, the discharge gradually brightens, they have less blood. Gradually they fade away.

Does cesarean section affect the cycle?

Of course not. The basis of the return of the monthly hormones are. If you have a cesarean because of problems caused by hormonal abnormalities, it can also affect the menstruation cycle after delivery. But much more likely that this will not happen.

So do not worry: you gave birth with a caesarean section or naturally, this is not essential, the delay does not depend on it.

When to sound the alarm?

It is worthwhile to start worrying if more than 2 months have passed after giving up breastfeeding, and the first menstrual periods after childbirth have not yet begun. Such a delay is not quite normal.

This may be the result of some violations in the hormonal background due to childbirth or pregnancy. And with hormones, jokes are bad. Contact a doctor as soon as possible. He will check you and tell you if you need treatment or not.

But in any case, do not take any hormonal drugs yourself. How many problems are due to self-treatment, it is difficult to even count.

When menstruation begins after childbirth, they should not become stronger. If you previously had heavy periods, after the appearance of the child, they should weaken. Therefore, if the process is accompanied by severe pain that has never happened before, consult a specialist. Do the same if they are not abundant, but they smell strange.

Can you get pregnant if you have not yet been monthly?

Contrary to common misconception you can get pregnant. Remember: menstruation is a consequence of ovulation. So, about 2 weeks before the start, there is already a ready, mature egg that can be fertilized. And if at this time it is fertilized, you can again get into position.

The problem is that you yourself cannot say that the first ovulation occurred after childbirth, because you haven’t had any periods. Therefore, it is better not to risk if there is no one more child in your plans.

how much are the monthly. how long after childbirth are monthly and the truth is if there is no monthly breastfeeding.

Tatyana ***** The Thinker (5287) 7 years ago. Women after childbirth are referred to as lochia after discharge from the genital tract. Their number decreases with time, due to the gradual healing of the wound surface, which is formed on the endometrium after the placenta is removed.

Lochia consists of blood cells (leukocytes, erythrocytes, platelets), plasma, sweating from the wound surface of the uterus, dying epithelium lining the uterus, and mucus from the cervical canal. Over time, the composition of lohii changes, and therefore their color changes. The nature of lohii should correspond to the days of the postpartum period.

In the first days after delivery (4-5 days after delivery through the birth canal and 7-8 days after cesarean section), the woman is in the maternity hospital in the post-natal ward under the supervision of medical staff.

It’s good if in the first 2-3 days the lochia is of a bloody nature, they are quite abundant (about 300 ml in the first 3 days): the pad or diaper is completely filled within 1-2 hours, the lochia can be clotted, have a rotten smell as menstrual flow. Then the number of lohii decreases, they acquire a dark red color with a brown tinge.

Increased secretion during movement is normal. In the postnatal ward, the doctor makes a daily round, in which, among other indicators of the woman’s condition, she assesses the nature and amount of the discharge — for this, she looks at the discharge on a lining diaper or pad. In a number of maternity homes insist on the use of diapers, because

while the doctor is easier to assess the nature of the discharge. Usually the doctor specifies the amount of discharge from the woman during the day. In addition, in the first 2-3 days, discharge may appear on palpation by the doctor of the abdomen. It is good if the postpartum discharge lasts 6-8 weeks (this is exactly how long it takes to reverse the development of the uterus after pregnancy and delivery).

Their total number during this time is 500-1500 ml. In the first week after birth, the discharge is comparable to the usual monthly, only they are more abundant and may contain clots. Every day the amount of discharge decreases. Gradually, they acquire a yellowish-white color due to the large amount of mucus, may be mixed with blood.

At about the 4th week, scanty, “spotting” discharges are observed, and by the end of the 6-8th week they are the same as before pregnancy. In women who breastfeed, postpartum discharge stops faster, as the entire process of uterus reversal is faster.

At first, there may be cramping pain in the lower abdomen when feeding, but within a few days they pass. In women who have undergone a cesarean section, everything is slower, because, due to the presence of a suture on the uterus, it shrinks worse.

And about feeding and menstruation .. I still feed my daughter, she is already 1.2, for the first 6 months I was breastfeeding only; the monthly ones came in 2.5 months. After the first birth is the same.

Olga Terentyeva Pros (928) 7 years ago Monthly have an average duration of 2-7 days. All individually. Postpartum discharge, all in different ways, but normally up to 2 months.

If you breastfeed, there are monthly

Svetlana Mayorova Oracle (60683) 7 years ago

After childbirth there is no menstruation - there is bleeding, it can take up to two months. And the menstrual cycle is restored for each woman individually, and breastfeeding does not affect this in any way.

Danik Larin Guru (4756) 7 years ago

about feeding too individually

Happy Thinker (7352) 7 years ago

Yeah. She also thought that she would not ((((After childbirth, Lochia leaves for 6 weeks. So it is with me. Well, I thought, the months will start when I stop breastfeeding! Where is it? (((
Exactly six weeks after the birth began, that is, a few days later, as the lochia ended ...

secret Master (1674) 7 years ago

Everything depends on your body, I was curious about my friends when I gave birth, one thing was said in the literature, but in fact if you are breastfeeding, everything goes faster.

and when you feed your menstruation, only a rare woman does not have them until the end of feeding, but even if you are so “lucky” - this does not mean that you do not need to protect yourself, you can get pregnant once or twice, and if “not lucky” you come on average 2-3 months after delivery.

How much are the monthly after childbirth, how do they look, how do they differ

The answer to the question of how much menstruation goes after childbirth concerns many women. Under this "popular" name refers to the bloody postpartum discharge - suckers. They are not only after natural childbirth, but also after cesarean section. This is the first stage of exfoliation of the uterine epithelium, which in terms of the abundance of blood excretion exceeds the usual periods.

Lochia can last up to 5 days after the end of childbirth, and all this time you need to use special puerperal pads. Ordinary pads, even "night" or with a large number of "droplets", with postpartum secretions simply can not cope. After that, less abundant lochia begins, lasting up to 2 months.

Monthly after childbirth, all answers to the questions concerning the first menstruation

Home ›Health› When menstruation is restored in women after childbirth and what indicators are the norm

One of the main indicators of women's health is the menstrual cycle. After birth, restoring the cycle takes on particular importance. Therefore, when and how the first menstruation after childbirth came and how much they go, you can determine whether or not there are hidden postpartum complications, learn about the restoration of the body and find out if everything is normal with the health of the young mother.

How much time go monthly after childbirth

So, the so-called “monthly” after childbirth is lochia, that is, postpartum discharge. It is through them that the uterus is cleaned gradually, with a parallel return to its former size.

So how much are the monthly after childbirth? In many ways, their duration is determined by the characteristics of the female body. Thus, during the first six days after the birth of a child, the lochia will be especially abundant.

At the same time, blood clots can often occur in them.

Already from the next week, the selection will not be so abundant, and the shade of lohy will change to brown. Gradually, day by day, the volume of discharge will only decrease, their color will turn into light brown, and then yellow. On average, the duration of Lochia is about 40 days.

These days, special attention should be paid to the hygiene of women. In particular, frequent change of gaskets is obligatory, since in the excretions there are many microorganisms that begin to multiply easily under conditions of heat and humidity. As a result, the development of various diseases of the genitourinary system can begin.

Lochia after cesarean will have a similar character. After all, cesarean in its essence is a surgical intervention. It is not surprising that after it the contraction and cleansing of the uterus will be longer than after natural childbirth. Due to the poor contraction of the injured uterus, there is a poor outflow of secretions.

Ultimately, stagnation in the uterus may begin. In order to improve the outflow of postpartum discharge, doctors strongly recommend that maximum attention be paid to breastfeeding. After all, it provides a natural reduction of the uterus, which leads to the successful withdrawal of secretions from its cavity.

When do you need help from a doctor?

Postpartum discharge is not always easy. Sometimes they may be excessively long. При этом не стоит забывать, что восстановление каждого женского организма будет индивидуальным. Поэтому при некоторых симптомах нужно немедленно обращаться к специалистам. В частности этого требует появление таких признаков, как:

— резкое прекращение выделений,

— обильные ярко-красные выделения с продолжительностью более недели,

— появление у выделений неприятного запаха,

- temperature and chills,

- a sharp increase in discharge,

- lower abdominal pain,

- The presence of pus or discharge.

All these signs can be evidence of the beginning of the inflammatory process in the female body. In addition, it may be evidence of the remaining in the uterus of the baby. When one or more symptoms appear, you should immediately seek help. This can often be hazardous to health.

These menstruation after childbirth

After birth, the female body needs a long recovery. It is not surprising that the first periods after childbirth may come at different times. In many ways, this period will be determined by the hormonal background of the woman.

When breastfeeding in the female body produces the hormone prolactin. While its quantity will be large, the monthly will not come. But with a decrease in lactation due to various reasons, the production of prolactin also decreases. Therefore, in such a situation, monthly can come soon enough.

Often, the first periods after childbirth in the first 2-3 times are irregular. But in some cases, menstruation, even when breastfeeding occurs soon after the end of the Lochius. This is not always a deviation, but an unambiguous reason to consult a doctor.

If lactation is completed, and after two months, full-fledged periods have not come, this is a reason to go to a gynecologist. After all, this may be evidence of both various deviations and repeated pregnancy.

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