A healthy pregnancy that ends in giving birth to a healthy baby at the appointed time is a reason for a woman’s pride in herself and her health. After birth, periods do not become regular immediately, especially during breastfeeding. How to understand whether this period normally proceeds or there are pathological abnormalities, it is necessary to understand and prepare, preferably before birth.
The body of a woman without exception is involved in the normal menstrual cycle. Its regularity, the nature of bleeding, the absence or presence of premenstrual syndrome are all characteristics of the hormonal processes that regulate the activity of the female genital organs and glands.
Menstrual bleeding is nothing but rejection of the hypertrophied uterine mucosa as a result of the absence of a fertilized egg. In other words, pregnancy has not come. It is known that the monthly cycle proceeds as follows: at the first stage, the uterine mucosa is prepared for the implantation of a sperm-fertilized egg into its thickness. The endometrium proliferates vigorously, that is, it thickens, becomes loose, and the area of the vascular grid increases.
Next comes the maturation of the egg in the follicle, the rupture of the ovarian follicle and the release of the egg into the lumen of the fallopian tube. The epithelium of the villus pipes, he moves the ovule to the exit into the uterine cavity with the help of the movement of his villi. It is in the tube that the oocyte meets the sperm. Then the fertilized egg moves into the uterus and is attached to the endometrium. Pregnancy comes. But this is not always the case.
Therefore, in the absence of pregnancy, the overgrown endometrium is expelled from the uterus, while the entire surface of the uterus inside is bleeding - this is menstruation. So the normal menstrual cycle proceeds. All these processes are regulated by hormonal mechanisms that activate or inhibit certain phases of the cycle.
Pregnancy stops regular bleeding and triggers the regulation of the preparation of all organs for childbirth and breastfeeding. This means the following changes in a woman’s body:
- increase in body weight due to the growth of the uterus, fetus, amniotic fluid, mammary glands,
- softening of the symphysis joint to facilitate the exit of the fetus,
- creation of hormonal background to stimulate the generic process.
The increase in the mass of the organs of childbirth and mammary glands is due to the fact that for normal gestation and subsequent breastfeeding, a store of fatty deposits is needed for energy supply and muscle mass to promote the fetus through the birth canal. The mammary glands are enlarged due to the proliferation of lobules containing milk-producing products during the lactation period.
The pubic joint is immobile. The two pelvic bones are connected in the middle by hard cartilage. During the preparatory period for childbirth, this substance becomes more elastic, soft. The need for such a metamorphosis is caused by the child’s passage through the pelvic ring during labor. If the pelvic bones were not malleable during this period, it would have been difficult for the fetus to pass the birth canal without damage.
Hormonal prerequisites are created in the body long before the process of childbirth and subsequent breastfeeding. The entire system of hormonal regulation of processes is rebuilt to ensure the normal course of pregnancy, childbirth and feeding of the child - the lactation period. The corpus luteum, which is formed on the site of the bursting follicle in the ovaries, provides a signal with hormonal substances for the pituitary gland and all other glands to produce the necessary biologically active substances for this period in a woman’s life.
Pregnancy in women lasts 38-40 weeks. This period is considered optimal for normal, urgent delivery. To normalize the menstrual cycle in the postpartum period, a certain time is required.
The reasons for the slow recovery of the regular cycle
The timing of the return of the monthly hormonal fluctuations to the previous schedule varies among all women. There are several reasons for this that affect the body in the postpartum period:
- features of an individual hormonal background,
- hereditary factors
- nature of the generic process,
- features recovery of the uterus.
Restoration of the former periodicity of menstruation during breastfeeding of the baby in all women is very individual. This is determined by the activity of hormone production of the sex glands, the pituitary gland, and the state of the immune and reproductive system as a whole.
With the birth of a child, mechanisms that restore the size and condition of the mucous membrane, muscular membranes of the uterus and the birth canal begin to work. This is necessary in order to prevent bleeding from the uterus. If it is not in the proper tone, then the vessels damaged by the discharge of the placenta will continue to bleed. This development is fraught with extensive blood loss and the darkest consequences. It is for this reason that the early postpartum period is under the scrutiny of doctors. Especially carefully monitor the process of involution of the uterus, that is, the return of its size to the physiological age norm.
The birth canal: the cervix, vagina, too, require a long enough time to recover. After all, they are exposed to traumatic effects. Often there are ruptures of the neck and vagina, which require surgical correction and follow-up. For a systematic and complete healing requires a certain period. It also does not contribute to the early onset of menstrual bleeding.
Restoration of the size of the uterus - an involution, is held for all women individually. In addition to returning to the prenatal size, it is necessary to return the former muscle tone. Otherwise, the onset of menstruation can be fatal.
Associated individual characteristics of the postpartum period and breastfeeding are determined by the following factors:
- the presence of complications in childbirth,
- immune system status
- the presence of psychological complications of the postpartum period,
- poor quality diet for the puerperal,
- a large number of births in history.
All of the above factors lead to delayed recovery of the menstrual cycle after childbirth. The waiting period for the onset of regular menstruation is delayed and if a woman is concerned, you should consult a doctor.
Recovery of the menstrual cycle
In order to properly assess the course of the postpartum period in the presence of normal lactation, it is necessary to become familiar with the characteristic features of the discharge in the early and subsequent postnatal periods.
During the first or second day after the birth of the child, the vaginal discharge is bloody, dark brown. This is normal, since a large area of the endometrium has been damaged, many small vessels may continue to bleed for some time after delivery. This is not a bleeding, but a normal, physiological discharge. They are called lochia.
After three or four days, the lochia becomes like a slightly bloody, spotting discharge. Clots and abundant presence of blood should not be. Such a period during the early period after the birth of a child indicates a good rate of involution of the uterus. Simultaneously with this process begins the arrival of milk to the mammary glands. Thus, we can conclude that the hormonal background is configured correctly for normal lactation and uterine contraction. If a woman begins to breastfeed, especially immediately after birth, apply to the breast, then this is an additional stimulant for the contractile movements of the uterus and the production of oxytocin.
Over the next two weeks, the excretions are completely cleared of bloody impurities, they become transparent, their number gradually decreases. This is the period of active lactation. Breastfeeding after childbirth is necessary not only for the child to form normal digestion and immunity, but also for the puerperal itself in order to naturally stimulate the establishment of the menstrual cycle.
Two weeks after giving birth and until the end of the first month of this period, normal lochia is completely transparent, slimy, and odorless. By the end of the fourth week of the postpartum period, they should almost stop. The different nature of the flow of the postpartum interval should alert the woman and force to consult a doctor.
Breastfeeding and regular menstruation
During breastfeeding, regular menstruation is usually absent. This is normal, since prolactin, necessary for the production of milk, inhibits the activity of hormones that provide the menstrual cycle. The ovum does not ripen, respectively, there is no preparatory process in the uterus with subsequent rejection of the mucous to the outside.
Many women think that breastfeeding can completely protect against the next pregnancy. The lack of regular menstruation during lactation weakens attention to contraception.
The first periods after childbirth, even if the woman is breastfeeding, can occur in about two weeks - a month after reducing the number of feedings or complete cessation of breastfeeding. The cycle does not immediately come to a regular state. Bleeding can take longer or, conversely, shorter compared to the usual schedule. The period without the release of blood also varies from a few weeks to two months.
The restoration of the regularity of menstruation takes place over three months. A longer period speaks of a delay in the regulatory function and requires the advice of a specialist. But during the recovery period, there should be no fear if the bleeding is non-durable, does not exhaust a woman by the amount of blood secreted, ends without spotting.
Affect the recovery cycle can, by refraining from the use of hormonal contraception. It is necessary to use mechanical means for this purpose: caps or condoms. The onset of sexual activity after childbirth is recommended only under the condition of complete restoration of the birth canal, the absence of genital infections and not earlier than two months after the birth of the child.
It should also be a woman who, after giving birth began breastfeeding, be aware of the rationality of physical exertion. Excessive weight lifting, debilitating training or physical labor does not contribute to a regular cycle and recovery from childbirth.
What happens in the body after the baby is born
Many ladies as early as the next day after the appearance of the baby ask the doctor: “When do menstruation begin after the birth?” No experienced specialist will be able to give an exact answer to this question. Let us first try to figure out what is happening in the woman's body at this moment.
So, immediately after the expulsion of the fetus from the uterus begins rejection of the placenta. This stage is considered final in the process of delivery. Rejection of the child site causes damage to the blood vessels. As a result, bleeding begins, which is completely normal. Many women accept such discharge for the very first menstrual periods after childbirth. However, this opinion is wrong. In this case, the process of rejection and release of blood is somewhat different.
Monthly after childbirth during breastfeeding
If postpartum discharge is not menstruation, at what time should it begin? The moment when menstruation begins after childbirth directly depends on the characteristics of the female body and the frequency of infant feeding. It should be noted that at the same woman in labor the cycle can recover at different times. Consider several options for how menstruation begins and goes after childbirth during breastfeeding.
First menstruation or postpartum discharge?
What is the difference between these two physiological processes? Menstruation is bleeding that occurs due to the absence of pregnancy. That is, during menstruation, the endometrium, which was grown for attachment and development of the ovum, is rejected. If fertilization has not occurred, then the menstruation begins.
A discharge that women often mistaken for the early first menstruation after childbirth, have a slightly different origin. In this case, part of the fetal membranes, mucus and other residues. That is why such discharge, observed by a woman, has a more mucous structure and some unusual smell. These allocations are called lochia. They last normally for up to forty days, but for some newly-made moms can end even earlier.
Menstruation 30 days after delivery
This outcome is theoretically possible, but this phenomenon occurs very rarely. The reason for this is as follows. After the baby is born, postpartum discharge begins. They can last from 20 to 40 days. During this period, the growth of the endometrium cannot begin. Therefore, 30 days after the birth, he cannot be rejected.
However, the following may occur in medical practice. Postpartum discharge does not stop after one month, but, on the contrary, increases. Women take this phenomenon for heavy periods after childbirth. But here it is quite different. A blood clot appeared in the uterus that cannot exit. As a result, the inflammatory process and heavy bleeding begins. Only the correct correction can stop it. Often in this case, scraping is prescribed.
Monthly in 3-4 months (90-120 days)
Monthly after childbirth (with breastfeeding), which made themselves known after 3 or 4 months, may also be a variant of the norm. In this case, the early recovery cycle can be considered an individual feature of the female body. Many doctors believe that the pituitary gland works very well in these newly-made moms.
Also, menstruation can begin during this period if the woman stops breastfeeding the baby. With mixed feeding, the cycle returns to normal at about the same time. Especially if the formula is used at night and in the morning.
Monthly after 6-8 months (180-240 days)
How many periods after childbirth usually begin? Most women belong to the group whose cycle is restored approximately 6 months after the birth of the baby or slightly more. This happens due to the fact that the child begins to taste "adult" food and absorbs less breast milk. Lactation is somewhat reduced, and as a result, the production of normal sex hormones begins.
Also during this time period, the baby is already quite large and may refuse to eat at night. If you stop feeding your baby in the morning and late at night, then lactation begins to decline. After all, it is during this period that high production of prolactin occurs.
Monthly after one year
If you have not yet finished feeding your baby, at this time the cycle can also begin to recover. When the baby reaches one year old, he already normally eats adult food and does not need night feedings. A rare attachment to the chest leads to a decrease in lactation.
It is worth noting that by this period, many moms talk about the full restoration of the menstrual cycle.
When the first menstruation begins after childbirth with breastfeeding: the views of women
Reviews experienced moms say that menstruation often recovers quickly. However, she can remind herself of herself a few weeks after the appearance of the crumbs, and within two years. It all depends on the frequency of feeding and hormonal balance of the woman.
Most women say that their menstruation began in the first six calendar months. However, fewer moms disagree with this. Women insist that the monthly came only after one year or more. Only units encountered a phenomenon in which the allocation of a monthly nature began after the completion of feeding the baby.
What monthly after childbirth will be subject to the regime of natural feeding
Many women do not know what to expect from the first menstruation. Some representatives of the fair sex claim that the first discharge is very scarce and ends quickly. Other mothers say that they have a lot of menstruation after childbirth. What should be the normal allocation?
The first menstruation during breastfeeding may not be the same as all subsequent ones. Because of the production of prolactin, the secretions can be scanty, abundant, long or short. But it is worth recalling that when there is severe bleeding, you need to consult a doctor. You may need medical assistance.
Also, after childbirth during breastfeeding, the cycle may be irregular. Thus, the absence of menstruation at a set time is not a pathology. However, a delay may occur during a new pregnancy.
Как восстанавливается менструальный цикл при кормлении грудью
Если пришли первые месячные через месяц после родов, то когда цикл полностью восстановится? Медики не дают однозначного ответа на подобный вопрос. Вы можете кормить малыша на протяжении еще двух лет, и все это время цикл будет, что называется, прыгать.
However, after the baby has completely abandoned the breast, the restoration of hormonal balance should occur within three months. If this does not happen, then it is necessary to seem a specialist. Maybe you need some hormonal correction, which will soon help to establish your menstrual cycle.
So, now you know when and how the first menstruation and discharge come when you prefer baby-feeding. Remember that this process is very individual. Do not be equal to their experienced girlfriends, moms and grandmothers. You can be the exception to the rule. Do not be alarmed if your period starts very early. In ancient times, it was considered a pathology, but now medicine has made great strides forward. Many studies have shown that menstruation after the appearance of the crumbs can remind of themselves after a couple of months, and only when you finally stop lactation.
If you have any questions or doubts about the first monthly or discharge after childbirth, you should contact your gynecologist or obstetrician. Only a doctor will be able to dispel your doubts and calm. If necessary, the doctor will prescribe an ultrasound examination. Be healthy and breastfeed for a long time!
What is Lochia
The female sexual organ after the birth of a baby naturally or by caesarean is a wound surface formed after breaking up of a multitude of vessels that connected the baby’s place with the body of the uterus. Like ordinary mechanical tissue damage, such a trauma in the healing process bleeds for a while. In addition, during childbirth, the uterus is stretched, and after giving birth, due to the action of the hormone oxytocin, which is responsible for uterine contraction, it begins to restore its former size, rejecting some of the fibers, which is also accompanied by bloody vaginal discharge. All this leads to the fact that up to 40 days after the birth of the baby, the woman observes the discharge of varying degrees of intensity with lumps - lochia, gradually fading away.
It is interesting. Lochia allows the uterus to quickly and fairly significantly “lose weight”: about 700 grams from 1 kg already in the first week, and in a couple of months the body will return to the weight rate - 70 grams.
What is monthly
Regula (menstruation) is a physiological process, which is characterized by the rejection of part of the uterine lining caused by cyclical changes in the hormonal background of the woman. Thus, despite the fact that both menstruation and lochia are characterized by bloody discharge, about 1.5 months after the birth of the baby, the young mother observes exactly lochia, which has a more mucous texture and an unusual smell.
And since it is with the work of the endocrine system, the resumption of menstruation after childbirth is connected, it is worthwhile to dwell on the hormones that determine the onset of menstruation.
Monthly - a cyclical phenomenon, and lochia - exceptional, occurring only after childbirth
Hormonal background after childbirth
It is determined by the presence or absence of breastfeeding. If in the latter case, everything is quite simple: the background, and hence the cycle, begins to return to normal after the end of lochia, that is, 1.5 months after delivery, then during lactation the balance of hormones is completely different. During breastfeeding in a woman’s body, prolactin is secreted in large quantities - the hormone responsible for milk production and at the same time suppressing the hormones necessary for the preparation and onset of ovulation, the completion of which, in turn, is marked by the onset of menstruation.
Monthly during lactation
It would be logical to assume that while a woman is lactating, that is, prolactin is secreted a lot, menstruation does not occur. However, factors such as:
- heredity (between the periods of recovery of the menstrual cycle of different generations of women of the same family, of course, there will be a run, but not too large),
- the presence of pathologies (if a young mommy has inflammations, infections, it is very difficult to predict the timing of the recovery of the menstrual cycle),
- type and duration of the lactation period.
The resumption of the monthly cycle is determined by the peculiarities of lactation in a woman
The timing of the arrival of the month during lactation
It is the last factor associated with the features of the feeding regime that in most cases has a strong influence on the resumption of the regulation. For a start, you should pay attention to this dependence: prolactin is produced in large quantities when the baby does not receive additional nutrition and drink. Accordingly, when in the diet of the crumbs, complementary feeding and feeding, prolactin is produced less, which means that a gradual restoration of the balance of hormones responsible for ovulation begins.
In the past few years, pediatricians have recommended the introduction of supplemental feeding and feeding in 4–6 months, so these dates have become guidelines for the starting point for the resumption of menstruation. It should be noted that even after complementary feeding was introduced, with partial breastfeeding, menstruation may not come. Specialists in breastfeeding, in addition to the hereditary factor and the presence of pathologies, include the practice of feeding at night and in the early morning as reasons for such a delay. The fact is that at night prolactin is produced more, and this allows you to maintain its content in the body at a high level.
It is interesting. If a woman practices a combination of breastfeeding and bottle-feeding, menstruations on average come 3–12 months after delivery. Such a large run-up in terms is connected with the peculiarities of reducing the number of feedings: if the baby stopped receiving breasts at night and in the morning, then the periods will come sooner.
Restoration of the monthly cycle after delivery may take a long time.
Table: options for the norm and deviation of the timing of the resumption of menstruation after childbirth
My critical days began exactly a year later, as I gave birth)))) Normally, they do not go well. I don't even feel pain (beauty!)))
I started exactly 6 months later and immediately every month, just like before pregnancy. And fed up to 1 year 4 months.
It is interesting. Recovery of the monthly cycle after cesarean section is the same as after vaginal delivery. If a woman has experienced an abortion or miscarriage, the resumption of menstruation is determined by the presence or absence of complications after the curettage procedure.
First menses: symptoms, discharge and duration
During the period of pregnancy and lactation, the woman wean off the “menstrual” state. And since it is impossible to predict the exact dates of the beginning of the month, the majority of newly appeared mothers fear that the critical days will begin unexpectedly. Meanwhile, in most cases, guessing the symptoms of the onset of the regulation of labor will not amount, as they appear:
- lower abdominal pain
- mood swings,
- recurring headaches.
In advance, you should prepare yourself for the fact that, perhaps, the nature of the discharge will be different:
- more abundant or, conversely, poorer than in the pre-pregnancy period,
- accompanied by more intense pain,
- with lumps (as a rule, this feature is inherent in the case if the monthly began shortly after the completion of lochia, which means that the endometrium is still in the process of recovery).
The duration of the first postpartum menstruation may differ from the usual upward or downward periods. On average, in the absence of deviations, menstruation takes 7–8 days, and the periods vary from 21–30 days. Gradually, these figures will return to normal.
The first monthly is usually preceded by a number of symptoms.
How menstruation affects breast milk
No, if we are talking about quality indicators. Therefore, the conviction of some women, that after the resumption of regulations, the child must be weaned from the breast, has no basis. Moreover, it is harmful to the health of the baby, for whom breast milk is a guarantee of strong immunity and proper development. The only possible consequence of the onset of menstruation, affecting the characteristics of milk, is a decrease in its quantity. The remaining changes relate, to a greater degree, to the “relationship” between the breast and the baby:
- nipple sensitivity increases, baby's touch can be painful (experts on breastfeeding recommend before giving baby a breast, apply a warm napkin to her nipples, and for unbearable pain - during menstruation, express milk and feed the baby from the bottle),
- Strengthening the work of the sweat glands during menstruation can cause the baby to not like this change of smell (therefore, the importance of hygienic procedures increases even more).
In my 2 days before the menstrual period the milk was really sharply decreasing, then, when they were over, it arrived again with greater force, so for 5 days in total, the daughter was naughty at that time, the breast was sucking and throwing, crying, it was not enough then everything is fine. Experienced such moments.
If the baby hurts when sucking, then during the period it can be fed from a bottle of expressed milk.
Violations of the monthly cycle
Some differences in the course of 2–3 monthly cycles after childbirth from those to which the woman is accustomed (slightly more painful, prolonged, etc.) are not pathologies. Although with any concerns it is still better to contact a gynecologist.
It is interesting. With heavy bleeding and unbearable pains, there are no other options: a woman needs urgent help.
And there are also a number of violations that indicate pathological conditions and require expert advice.
Abundant and prolonged menstruation
For long include monthly, which last longer than 8 days. As a rule, they are characterized by abundant secretions. You can determine the intensity of discharge at home: if one gasket lasts for 2.5–3 hours, the bleeding is considered intense. Usually, women who have experienced a caesarean experience this problem. In any case, prolonged and abundant menstruation may be evidence that:
- the particles of the fetal membranes in the process of lohii are not completely out,
- inflammation develops in the genitals,
- the woman is or was in a stressful situation
- The young mother had anemia during the childbearing.
After conducting diagnostic procedures and examining the history, a woman is prescribed either conservative treatment (drugs that stop blood loss, vitamins, and iron-containing drugs), or, if there are no dynamics, curettage, to stop blood loss and eliminate the possibility of developing a tumor in the endometrium.
My first periods were the same and went longer than usual. The doctor said that the norm, the body is rebuilt to a new rhythm.
Erase the PAST
Long periods are usually accompanied by copious secretions
Ointment for more than three cycles in the absence of hormonal contraception can be caused by:
- imbalance of hormones
- endometritis, that is, inflammation of the mucous membrane of the uterus,
- Sheehan syndrome (neuroendocrine disorder, triggered by the death of part of the pituitary cells due to complications in childbirth).
It is interesting. Because even in the absence of menstruation, after the completion of postpartum discharge, a woman may become pregnant, it is not worth delaying the choice of contraceptive method. However, it should not be forgotten that during the establishment of the intrauterine device, the menstruation can become more intense and painful, and, on the other hand, the use of birth control pills, on the contrary, is more scarce.
Scanty periods are common when a woman takes birth control pills.
Such a violation (including a break of more than three months) can be diagnosed not earlier than six months after the resumption of the cycle. Deviation may be caused by:
- pathological processes occurring in the ovaries,
- depletion of the body
- complications of childbirth (the effects of epidural anesthesia are also included),
- the development of tumors in the pelvic organs,
- abnormalities in the endocrine system.
If the monthly more than three cycles come twice a month, then, probably, there is a malfunction of the pituitary gland.
The cessation of menstruation after 1–2 cycles requires, firstly, the exclusion of a new pregnancy, and secondly, the consultation of a specialist for possible early menopause. Despite the fact that this is quite a rare phenomenon, it is impossible to completely reject the probability.
I started at 8 months. That is, no. That 2 days then 2 weeks. I did not notice how I got pregnant !!
Many new mothers face the problem of an unstable cycle.
Ways to cycle normalization
All questions relating to the restoration of the monthly cycle should be discussed in advance with the gynecologist. This is especially the case when there were complications at birth. A general list of recommendations regarding the stabilization of the monthly cycle comes down to the following points:
- enriching the diet with vitamins and microelements,
- moderate feasible physical exertion (usually doctors advise Pilates, yoga, swimming),
- wearing comfortable underwear to prevent blood stasis in the pelvic organs,
- prevention of emotional overload and stress,
- the consumption of a sufficient volume of fluid (this advice does not apply to those mothers who wean off babies from their breasts - in this case, drinking plenty of fluids is, on the contrary, prohibited)
Liquid increases the volume of milk produced
It is interesting. If a woman has postpartum depression, then she needs to drink a course of sedatives on a natural basis, introduce herbal teas into the diet, and in the absence of dynamics seek professional help from a psychologist.
During lactation, the recovery of the monthly cycle has its own characteristics, which must be known in advance. This will help avoid health problems for both mother and baby. But in any case, if a woman has any concerns or suspicions, then the surest way to resolve them is to contact a gynecologist. Only a specialist can conduct a competent diagnosis, prescribe the correct treatment, or simply dispel doubts and reassure.
What processes occur in the body after childbirth
After 8-10 weeks, the uterus, which has increased during pregnancy, shrinks to its original size, its shape and tissue structure is restored. The size of the ovaries also returns to normal.
Within 6-8 weeks, the wound heals on the inner surface of the uterus after the placenta has detached, as well as injuries to the birth canal. At this time, the appearance of blood-like secretions associated with the rupture of small vessels is possible. Contractions of the uterus contribute to the removal of remnants of the fetal membranes, placenta, blood clots, forming the so-called lochia, the primary discharge after childbirth.
As the uterus cleans, they become increasingly scarce, colorless, homogeneous in structure. Such secretions are normal. A doctor should be consulted only when an unpleasant smell appears, they become abundant, acquire a yellow-green color. The reason for this may be an inflammatory process caused by infection.
If bends appear on the uterus, the discharge often stagnates. It can also change their smell and color. In such cases, the uterus is washed with disinfectant solutions and stimulation of its contractions.
After complete purification before the onset of menstruation, the ovaries do not produce new eggs, since prolactin prevails in the ratio of hormones. The increased level of prolactin contributes to the formation of milk and the appearance of changes in the mammary glands: an increase in their volume, nipple size, expansion of the network of blood vessels. At the same time, prolactin inhibits the level of estrogen and progesterone, which makes it impossible to mature eggs and the appearance of menstruation.
The mucous membrane is restored, the cervical canal is gradually closed. During labor, it expands to such a size (4 fingers) so that the baby’s head can pass through it. Fully neck closes after 18-20 days. In this case, the shape of the opening of the neck that goes into the vagina changes: it is round before delivery, it becomes slit-like.
How does breastfeeding affect the appearance of menstruation?
It is impossible to establish exactly when a woman begins her period after childbirth during breastfeeding, since this is mainly determined by the individual characteristics of her body.
Recommendation: In order to slow down the process of the appearance of the first menstruation and to avoid the onset of a new pregnancy, it is necessary to set a break between daily feedings of no more than 4 hours, and at night no more than 5 hours. This will maintain a fairly high level of prolactin.
Breastfeeding affects the resumption of the menstrual cycle as follows:
- Если ребенок до 6 месяцев находится на грудном вскармливании, а затем, кроме грудного молока, ему начинают давать прикорм (при этом его реже прикладывают к груди), то менструация у матери появляется через 6-7 месяцев после родов по мере снижения выработки молока.
- Если женщина кормит ребенка исключительно грудью до 1 года и больше, то месячные возобновляются после окончания вскармливания.
- With mixed feeding, when the baby immediately after birth has to be fed with infant formula, monthly women usually recover in 3-4 months.
- With a forced or deliberate rejection of breastfeeding immediately after birth, menstruation appears after 5-12 weeks, as soon as the hormones and ovarian function are restored.
The peculiarity of the first menstruation is that ovulation in the cycle is most often absent. There are processes characteristic of the first phase of the menstrual cycle: the maturation of the egg in the follicle, the growth of the endometrium in the uterus and its preparation for the adoption of a fertilized egg. However, the release of the egg from the follicle does not occur, it dies, the endometrium exfoliates and leaves the uterus - menstruation occurs.
Addition: During the period of recovery of menstruation after childbirth, sometimes ovulation is still possible, the onset of pregnancy is not completely excluded. Even if breastfeeding does not end, and menstruation has appeared, the woman should be protected, using the means recommended by the doctor.
The menstrual cycle can be established immediately. Sometimes, on the contrary, the onset of the next menstruation is delayed or occurs faster than usual. Such violations are observed within 2-5 months.
In some cases, childbirth favorably affects the nature of the woman's menstrual cycle. If earlier the monthly ones came irregularly, then after the birth the cycle is getting better, the painful sensations associated with blood stasis due to the presence of the bend of the uterus disappear, if its shape after birth changes.
Sometimes hormonal changes occurring in the body of a woman during pregnancy, childbirth and lactation, lead to the fact that menstruation after the cessation of breastfeeding does not occur or are scarce. This is possible with some complications.
Hyperprolactinemia. An increased level of prolactin is maintained after the end of breastfeeding. The cause becomes a malfunction of the pituitary due to the appearance of a benign tumor (prolactinomas). A tumor appears due to a disruption of the thyroid gland, or hypothyroidism (insufficient production of thyroid stimulating hormone). This leads to increased production of prolactin.
With hyperprolactinemia, menstruation may not appear at all or may be too scarce, lasting less than 2 days. The formation of milk does not completely stop, and when it is pressed on the nipple, its drops are released. This condition is eliminated by the method of hormone replacement therapy, which allows using special drugs to reduce the content of prolactin.
Hormonal disorders often cause various diseases of the breast, leading to obesity.
Postpartum hypopituitarism (dying off of pituitary cells). The reason may be:
- severe bleeding after childbirth,
- severe complications of childbirth, such as sepsis or peritonitis, associated with bacterial tissue damage,
- complicated toxicosis in the second half of pregnancy (gestosis) associated with increased blood pressure, edema, protein in the urine.
The treatment is carried out by the method of substitution therapy using drugs containing hormones of the ovaries and other endocrine glands.
Tip: If menstruation does not appear within 2 months after the end of breastfeeding, you should consult a doctor, as this may be a sign of a new pregnancy. In this case, during the first postpartum menstrual cycle, the ovulation and fertilization of the egg takes place, fixing it on the surface of the uterus. At the same time endometrium rejection is absent.
The body after childbirth - what happens?
Immediately after the birth of the child, the placenta is rejected, and this is one of the stages of labor, which causes damage to the blood vessels, followed by the onset of bleeding. And this is considered the norm, but it is not menstruation, but a slightly different process.
Menstruation - periodic bleeding that occurs in the absence of pregnancy due to rejection of the endometrium, which is formed for the attachment and development of the ovum. In other words, if fertilization has not occurred, then menstruation begins, which lasts from 3 to 5 days.
The bloody discharge after childbirth is called lochia - it is a kind of “cleansing” of the body from parts of the fetal membranes, mucus and other “remnants”, and the duration of this process normally lasts about 40 days. The rejection of the placenta during labor gives a signal for a new hormonal adjustment - the production of two important hormones in the female body - prolactin and oxytocin.
Prolactin is secreted by the pituitary gland and contributes to the production of milk, which is necessary for feeding the baby, and at the same time it blocks the menstruation (protecting the woman's body from the maturation of new eggs and the onset of a new pregnancy while feeding the newborn).
This “forced pause” of the absence of menstruation is called postpartum amenorrhea, and how long it will last depends on several factors:
- on the individual characteristics of the woman’s body,
- from the process of feeding the crumbs.
It is the breastfeeding process that stimulates the production of prolactin. As soon as the crumbs are applied to the breast less frequently than once every 3 hours (and at night the interval will be longer than 6 hours), the hormone level will begin to decline, and after a while the menstruation will resume again.
How to restore monthly after childbirth?
The beginning of menstruation after childbirth directly depends on the frequency of feeding the baby and the characteristics of the woman's body. Even for the same woman with different infant feeding regimes, her periods can be resumed under different “scenarios”:
- In the absence of breastfeeding (if for some reason the woman does not breastfeed the baby), menstruation can resume 8-10 weeks after delivery, that is, after lochia (postpartum discharge) cease.
- Menstruation resumes 30 days after delivery. A similar phenomenon during breastfeeding happens very rarely, but it is still possible, because during the period of postpartum discharge (lochia), which last from 20 to 40 days, the growth of the endometrium cannot occur, and therefore there will be nothing to reject after 30 days. Nevertheless, there are cases in medicine where instead of reducing the discharge by the end of the specified period, lochia, on the contrary, is intensified, which is perceived by women as the beginning of menstruation. However, the reason for this lies quite differently: blood clots that appear in the uterus cannot come out, thus triggering the onset of the inflammatory process and abundant bleeding, which can be stopped with a properly selected correction, and most often in such cases, scraping is performed.
The first periods after childbirth during breastfeeding - norms and terms
After the birth of a baby normally after 4-6 weeks, the majority of young mothers stop secreting and there comes a period of rest of the reproductive system. At this time, the egg does not mature in the ovaries, therefore, the period does not occur. A major role in this process is played by breastfeeding, in which there is a significant production of the hormone prolactin. It stimulates the appearance of milk, inhibits ovulation. There is no clear concept of the norm in terms of the timing of the resumption of menstruation, but there are limits, and they are very stretched - from 4 weeks (1 month) to 18–20 months (1.5 years).
Some mothers confuse postpartum discharge (lochia) and menstruation, but these are completely different things. Menstruation is a detached endometrium in the absence of a fertilized egg in the current cycle, and lochia is the way out of all the excess from the uterus that remains after the child and childbirth.
Recovery cycle depends on the organization of the process of breastfeeding:
- frequent attachments to the breast on demand cause maintenance of a high level of prolactin in the blood, and ovulation does not occur longer,
- with long breaks between feedings, the use of pacifiers and mixtures as an additional feeding of the infant and feeding, the menstruation occurs earlier, since, due to infrequent sucking, the production of the hormone decreases. However, even with mixed feeding, the limits of the norm are not shifted - it will be natural to resume menstruation after a couple of months and a year after giving birth
- if a child is actively breastfed for two years, then the absence of critical days all 24 months is considered a normal variant.
Often, with regular lactation on demand, the first ovulation occurs in six months, because just at this time the introduction of complementary foods begins, and the frequency of breastfeeding decreases. If the period began early, then the young mother should just in case consult a doctor to eliminate the following problems:
- reducing the level of prolactin due to low immunity,
- taking medications
- past diseases.
Reviews of women about the appearance of the first menstruation after childbirth
I feed on demand, only guards, without water even, supplement and bottles, day and night. And here monthly came, small only 5 months.
After the first birth (and hung up before the birth, everything hurt so much), and after 2 births I don’t even notice that they go, only the gaskets change. After the first birth came exactly at 4 months, in the sense of doche was. After the second came in 7 months. Also, there was no lure, but they are here hello!
It was after 11 months. after childbirth. More painful and more abundant than before. The next 4 months, too, was pouring out of me incredibly - never before had this happened. Now it seems to go easier, a year has passed.
Features of menstruation during breastfeeding: nature, symptoms, regularity
During the recovery cycle during breastfeeding, the nature of menstruation may be different from the usual for a woman, and does not bring any surprises. Consider the basic parameters of the monthly after childbirth:
- quantity. Usually, the first monthly periods are scarce (volume up to 80 ml) and not long, but within a few cycles the picture approaches that before pregnancy. An exception may be particularly abundant discharge - after childbirth, volumes are often reduced, and this becomes a new norm for a woman,
- consistency and color of discharge. When breastfeeding, they usually have no peculiarities. The first day is the bloody bloody mass, the following days are blood with possible blobs of clots,
- smell of menstrual blood. It should not be unpleasant, putrid and pronounced.
Symptoms of the first and subsequent menstrual periods after childbirth remain typical - pulling discomfort is allowed in the lower abdomen, some general weakness. Itching, fever, severe pain, large amounts of discharge should be a reason for going to the doctor. The cycle is restored gradually, and normally its duration should reach the accepted values - from 21 to 34 days.
Painful sensations during menstruation can greatly darken the condition of the nursing mother, therefore, the use of medications is allowed for their relief.
If soreness causes significant discomfort, it should be stopped, since the stress associated with pain is a direct threat to breastfeeding. With the permission of a doctor, it is allowed to take painkillers, for example, Ibuprofen (Nurofen), No-Shpy (Drotaverin), Paracetamol (Panadol, Efferalgana).
Nuances of recovery cycle
The cycle of a woman after childbirth is restored gradually. Usually, the discharge acquires normal volumes and periodicity within six months. A normal situation is considered when after the resumption of menstruation they disappear again for a while - this is possible in the following cases:
- with periods of increased breastfeeding (when the baby is restless),
- when teething or the jump of the intensive growth of the child,
After the resumption of menstruation may disappear when teething the baby
- with the peculiarities of genetic factors, age, and even lifestyle.
Monthly irregularity: norm or problem
The regularity of the first few cycles after childbirth, regardless of the timing of their occurrence, is not worth waiting for, as it takes time to fully restore the female reproductive system. Usually 2-3 menstruation irregular. If the interval between secretions exceeds 3 months, then it is worth to consult a doctor, as this may indicate an inflammatory process, hormonal failure or a new pregnancy.
The state of lactational amenorrhea (lack of menstruation during breastfeeding) is quite insidious. The first ovulation can occur unexpectedly and without obvious symptoms, so you should not rely on lactation as a method of contraception. There are many stories at the hearing when a woman already 3 months after giving birth learns that she is pregnant again, and this is a great test for the body.
The effect of menstruation on breast milk and baby feeding
Lactation and menstruation are compatible concepts, but many mothers are worried that the appearance of discharge will negatively affect the feeding of the baby. It is important to understand that when the cycle is resumed, the amount of milk will slightly decrease, and the baby may behave restlessly and stay longer at the breast. Such changes are associated with fluctuations in hormonal levels. They do not pose any danger to breastfeeding - in 2–3 days the situation normalizes.
Most often, nursing mothers are concerned about whether menstruation affects the taste and quality of milk. There is no need to worry about this, since no scientifically confirmed data on such a relationship exist.
Experts say that to continue breastfeeding with the resumption of menstruation is not only possible but necessary - this combination does not create any contraindications.
Reviews of women on the effect of menstruation on the composition of breast milk and its production
My two daughters and I had monthly periods 2 months after birth. From the first milk from this is not less. From the second - I notice that a day or two before the beginning and during menstruation, yes, less. But then again comes back to normal. About the taste - and you try it yourself, as for me, not a single gram of taste does not change. It becomes bitter when you stop feeding - it then, as they say, “burns out”.
Monthly came from me too. This did not affect me and the daughter sucks as she sucked))) So I calmed down and I think that there is nothing terrible here)))
I, too, started to disappear somewhere in 3-4 months. In a half-year there was no more, and the first monthly only came in about three months - so everything is individual. And to maintain lactation, there is Lactagon, I have not tried it myself, but they say it helps, but in the first months I poured tea with milk (very hot, almost hot). In general, monthly and milk are not connected in any way. My girlfriend fed the child up to one and a half years (.) And there was a lot of milk, even decanting, because a child at this age no longer needs so much - there is another food, but her periods have come much earlier! Also somewhere in the half year.
Video: what to do if there is no monthly after childbirth
Recovery of menstruation during the breastfeeding period can last from one month to two years, and none of the extreme options is considered pathological. It all depends on the specific conditions of the organization of the breastfeeding process. In most cases, discharge is returned with the introduction of complementary foods, and by nature they are the same as before pregnancy. Changes in the taste of breast milk during menstruation is not marked - its production may be slightly reduced, but will soon recover again.
The onset of postpartum discharge occurs immediately after the passage of the generic process. At first they are strongly pronounced and bright red in color, but then they turn yellow and they are fewer with time. After 42 days they pass. Sometimes mommies think that these critical days have begun, yet this is not so.
The reason for such secretions - the exfoliation of the placenta from endomeria, when the baby is born. Why and can begin bleeding from the uterus. Monthly - this is the result of failed fertilization.
Monthly after birth
When it comes time to give birth, the mother of the woman in labor is preparing for great stress. Postnatal changes are no less important for mummies, as they affect her and crumbs. The process of involution begins - a return to the normal state.
When 2 or 3 months have passed after giving birth, the first periods may come. Monthly after childbirth when breastfeeding, when they begin, depends mainly on the fact that natural feeding in infants or artificial.
When a woman begins to breastfeed a child, a lot of the hormone is produced in her body - prolactin, which affects the production of milk. It also prevents the cycle from recovering, so it comes later. When a nursing mother often gives her baby a breast, critical days begin no earlier than the fourth month. Время появления зависит от особенностей организма.
Самые первые месячные называют ановуляторными. При них из созревшего фолликула яйцеклетка не выходит наружу. Поэтому мешочек распадается, что приводит к отслаиванию эндометрия и кровяным выделениям. Со временем все функции организма женщины восстанавливаются.
Reasons that affect the stressful arrival of menstruation after childbirth:
- chronic diseases
- social conditions
- nutrition and recovery,
- giving birth to more than 35 years.
These factors affect the resumption of menstruation, and cause or very early bleeding or, conversely, delay them.
Facts About Monthly Breastfeeding
Lack of periods does not mean that a nursing mother can not conceive a baby during this period. Constant and frequent attachment of crumbs to the breast reduces the risk of getting pregnant, but does not guarantee this.
Monthly breastfeeding does not harm babies at all and does not affect the quality and quantity of milk. The taste of milk can change quite a bit. Changes in the body with the onset of menstruation may be felt by the baby, and he will become more fussy. To maintain good lactation, you need to use special teas or other stimulants.
When menstruation comes, it does not affect the feeding of the baby, that is, the milk does not disappear, as many moms think. If breast milk has become less then most likely for completely different reasons. Often influenced by stress, environmental change, hormonal contraceptives and more.
Monthly after cesarean section
With a caesarean section, there are more difficulties than with natural childbirth, so the period may be violated.
There may be complications in the form of endometritis - inflammation of the mucous membrane from contact with bacteria. It appears quite often with a caesarean section, even with an ideal operating condition.
The occurrence of such complications as peritonitis, thrombophlebitis, sepsis and others may occur. For prophylaxis for those who have given birth in an unnatural way, they can prescribe antibiotic therapy. Postoperative scar on the uterus affects its reduction, which is reflected at the beginning of the cycle and its passage. When complications need to come for a consultation to the gynecologist.
Violations of the menstrual cycle after childbirth
Chronic inflammatory processes and their exacerbation, and more difficult childbirth, can influence the occurrence of problem periods. Neuropsychiatric disorder is also one of the important causes affecting postpartum menstruation.
Violations that should alarm:
- heavy bleeding,
- very small amount of monthly
- increase or decrease the duration of menstruation,
- menstruation irregularity when the child was born
- the menstrual cycle is delayed, and then heavy bleeding begins,
- Amonerrhea - when monthly may be absent.
If during menstruation after birth there is a strong bleeding, it means that the body has a chronic disease exacerbation, or an infectious complication. Increased blood loss leads to anemia, with dizziness, feeling unwell, loss of consciousness.
Small discharge is also required to guard, because in a normal state, menstruation should not differ much from those that were before the birth of the child.
Changes in menstruation for duration (less than 2, greater than 7) are most likely symptoms of fibroids (formations from the muscle layer of the uterus) or endometriosis (proliferation of the mucous layer of the uterus). Self-medication in such cases can not be engaged.
If the monthly come, then disappear, it is a signal of pathology or pregnancy. This explanation when the suspension of menstruation, which is replaced by the usual heavy bleeding. This occurs when the hormonal difference in women who have had complications during childbirth and childbirth.
If menstruation disappears after birth during breastfeeding, when quite a lot of time has passed for more than six months, then most likely this is a disorder of menstrual function. This disease is called amenorrhea. As a rule, it is a symptom of various disorders in the body. If amenorrhea is false, then the function of childbirth is preserved, and there are no monthly periods for anatomical reasons. With the true disease is impossible to get pregnant.
When such symptoms occur, urgently need to consult a gynecologist.
If any complications arise with updating the menstruation cycle, consultation of a gynecologist is required. Postponing the problem leads to bad consequences. It is necessary to follow some rules: do not over-work and rest more, get enough sleep, take frequent walks, improve nutrition. By following the simple rules, you can quickly and safely restore health.
Childbirth is always accompanied by a process of rejection of the placenta. The case is very "bloody", because it causes damage to the capillaries. Bleeding after separation of the placenta can last for a month or even a half. Such secretions are called suckers. The menstrual cycle is not to blame, this is a phenomenon of a completely different order. After how many full-fledged periods begin?
In the first moments after the birth of a child, the female body begins to produce prolactin. The main role in the production of the hormone is the pituitary - the brain. It is prolactin that is responsible for producing the first food of the baby - breast milk. And it also inhibits the onset of menstruation (blocks the maturation of follicles during lactation). This period of rest of the female reproductive system is called postpartum amenorrhea or lactational amenorrhea. This phenomenon is observed in all women who feed babies not on time, but on demand. How long amenorrhea will last depends on several factors:
- features of a particular woman
- the duration and frequency of the process of feeding the child.
It is breastfeeding that affects the pituitary gland so that it begins to produce prolactin. And after all, it is from this hormone that it depends on how much after childbirth menstruation begins with GW. If the mother begins to put the baby to the breast less than 7-8 times a day, the level of prolactin begins to decrease. Consequently, the onset of menstruation is becoming more likely.
When will menstruation begin
Monthly after childbirth during breastfeeding - when do they start? It all depends on the subtleties of the hormonal system of a particular woman. And also on the characteristics of GW, which she practices. Does the mother feed often (when she wants the baby) or rarely (according to the regimen)? Does the baby water his water? Does the mixture feed? All these points affect the duration of the first menstruation.
So when do “they” begin? Here are the options:
One month after delivery. Sometimes lochia, instead of ceasing, by the end of 30 days they begin to stand out with greater force. This phenomenon is often taken by women for early menstruation. Such cases are very rare, but nonetheless occur in medical practice.
After two or two and a half months. If a woman immediately transferred the child to the mixture, then when fed artificially, her period comes quickly.
Three to four months. Monthly with GWP after four months is the norm and speak about the good work of the pituitary gland of the nursing mother. Also, this situation occurs when the mother takes the baby to a mixed diet, that is, the baby eats the mixture at the same time and breast milk, or when breastfeeding collapses completely.
Six to eight months. The most common time period in which there is a resumption of menstruation with GW. Most babies go for supplements, therefore, they ask for breasts much less frequently, mostly before bedtime. Lactation gradually begins to decline, the level of hormones tends to the same "pregenerative" indicators. Sex hormones stimulate the production of eggs and provoke menstruation during breastfeeding.
When the baby is one year old. For many moms of "godusts", they begin their periods, even if lactation continues in full.
It happens that the monthly does not occur to complete lactation with prolonged breastfeeding (one and a half years and more). And start a couple of months after the last application.
And all these situations are absolutely normal.
So when does the period start during breastfeeding after childbirth? There is no correct and unambiguous answer. It all depends on the subtleties of lactation and the female body.
How menstruation affects lactation
During the period of menstruation, some mothers may feel that the amount of milk has decreased slightly. The baby in the mother's breast sometimes becomes nervous, because the milk flows more slowly than usual. Fortunately, such a decline does not last long - literally the first 2-3 days after the start of the first menstrual period after childbirth.
In the future, the amount of milk returns to normal and lactation improves. For most children, however, such changes may go unnoticed. As a rule, at the moment of the beginning of the first menstruation, the child is old enough and is on the lure. This compensates the baby for some shortage of breast milk.
Some experts are inclined to believe that menstruation indirectly affects the taste qualities of breast milk, which is the cause of the baby’s failure from the breast. However, there is no confirmed data about this - according to most doctors, menstruation does not in any way affect the taste and smell of breast milk. Consequently, the cause of anxiety of the baby in the maternal breast is not connected with the onset of menstruation, but is caused by other causes.
The first periods with Guards - what are they
The first periods after childbirth during breastfeeding can be either abundant or weak, prolonged or two days. All this is normal. It is worth guarding only if the discharge is too abundant, resembling uterine bleeding, or if the delay lasts longer than three weeks.
The cycle length on gv is also not set immediately. Setting the menstrual cycle is a purely individual matter. Usually the cycle returns to normal within 3-4 months after the completion of lactation. But if the nursing mom cycle was irregular and before pregnancy, she may face similar problems after the end of feeding. Features of the birth process (natural delivery or by cesarean section) do not play a role in the situation of establishing menstruation.
Many girls pay attention to the fact that menstruation during breastfeeding was not as painful as before - the stomach does not ache anymore, the general state of health has changed. Perhaps the reason is that the uterus bent before pregnancy after birth has assumed a normal position. Also, some mothers notice that the menstrual cycle has become somewhat shorter than usual.
When to see a doctor
And although the onset of menstruation is a very individual process, in some cases the gynecologist will have to appear:
- When the mother refused to breastfeed, and monthly did not begin 4 months after birth. This situation may be caused by problems of the urogenital system.
- If you curtailed breastfeeding, but there were no menstruations, then no. Wait a couple of months and go to the doctor. This may indicate endometriosis, inflammation "on the female side" or (most often) hormonal disorders in the body.
- Monthly lactation unusually abundant, you have to wear a "night" pad during the day, and even supplement it with a swab.
- Spotting has an unpleasant smell. This can signal urinary tract infections.
- Concerned about the unusual severe pain in the lower abdomen. In such a situation, it is always necessary to go to the gynecologist urgently, and it does not matter if it happened or did not happen.
Many mothers believe that it is impossible to get pregnant during lactation, because the body does not produce egg maturation. Calmed by this fact, young mothers do not consider it necessary to use additional contraceptives. However, it is scientifically proven (and confirmed by practice) that pregnancy during breastfeeding in the absence of menstruation is quite possible. Proof of this is quite a few cases, as a result of which little kids of the day appeared in the family.
Periods began - the milk goes away?
If during breastfeeding began period, it does not mean that the milk will no longer be and it is time to transfer the baby to the mixture. The amount of breast milk depends little on menstruation. Consequently, a mother can feed her baby until she deems it necessary to roll up the guards or until the milk disappears spontaneously. The menstrual cycle has nothing to do with this process.
Menstruation signals that the reproductive system is in order. The presence of discharge indicates the possibility of a woman to have children, it is for them that girls predict many processes in the body (for example, the onset of ovulation). In this case, guessing when the first periods after childbirth should begin is useless. Young mother should relax and enjoy the process of breastfeeding. Nature will take care of the rest of the physiological processes of the female body.