As soon as a woman adapts to the role of the mother, gets used to the new mode of life, and gets a little stronger, she begins to think about when her menstruation cycle will be restored. After all, the baby needs a healthy mother and a full-fledged family. What does she need to know about the cycle recovery process? How does this happen and what does it depend on?
About the first postpartum menstruation
Newly born young mothers tend to confuse blood discharge after childbirth with menstruation. Their nature is different. Postpartum discharge is nothing but lochia, which is evidence of the healing of the uterus, its contraction. They are characterized by a gradual decrease in the amount. Lochia last no more than a month. The female body comes to a normal healthy state, and the uterus returns to its original size. As for the monthly, they are evidence that the woman's body is again ready for conception. When the mother does not breastfeed her baby with breast milk, the appearance of the first menstruation can be expected in one and a half or three months. If during this time the cycle has not recovered - you need to go to a gynecologist. To him it is necessary to hurry and in the event that after childbirth, the discharge intensified instead of diminishing, pain and blood clots appeared.
Gynecologists have the term "lactational amenorrhea". It means the absence of menstruation in the period of feeding the baby with breast milk, when all the efforts of the body are directed to lactation, and other processes are suppressed. The cycle temporarily freezes. But it also happens that after the appearance of the first child into the world during lactation there is no menstruation, and with the birth of the second during breastfeeding, the cycle was restored in a month and a half. By the way, it is noticed that in women with a fragile physique the menstrual cycle is restored later than in strong and pyshnotelyh.
Lactation and monthly
It is worth knowing to nursing mothers that the main hormone in their body is prolactin. The synthesis of this substance inhibits the production of other hormones, including estrogens, which are responsible for conception. When reproductive processes are not restored, then there is no menstruation. And the period of appearance of the first postpartum menses depends on the mode of feeding the baby. The more often this happens (that is, when feeding on demand), the later the cycle will recover. It may be absent during the entire lactation period. With mixed feeding, menstruation will resume sooner. This is explained by the fact that in women in this case, prolactin is synthesized in smaller quantities. And start the work of the reproductive system, estrogen and progesterone.
Experts call normal the appearance of menstruation after 9-12 weeks after completion of breastfeeding. When in this period they did not appear, you need to visit the antenatal clinic. Perhaps, it is a question of hormonal balance disturbances, which need to be corrected with drugs.
Lactation and pregnancy
In this age of universal computerization and access to information, many women still believe that they cannot become pregnant while they are feeding their baby with breast milk. This is a common opinion. But the absence of menstruation is not yet a guarantee that a woman cannot become pregnant. Being confident that breastfeeding is a kind of contraceptive method, many women just become pregnant. In this case, conception is accidental, undesirable, because the body has not fully recovered, it still does not have the strength to carry the next baby. And pregnancy occurs because the hormonal background deviates towards progesterone and estrogen, which are responsible for the cyclical nature of the functioning of the reproductive system.
The beginning of the cycle after the birth of the child is not menstruation per se, but the maturation of the egg, its release into the fallopian tube. The woman does not feel this stage, does not know about what is happening, so in the first ovulation after the birth, conception may well occur. That is why gynecologists emphasize the importance of contraception during a period when a woman feeds a child with breast milk. The absence of menstrual flow can simply spill over in the absence of them due to pregnancy, and the mother will find out about her already for a fairly substantial period.
Each nursing woman should discuss the choice of contraceptives during lactation with a gynecologist.
Question. (JenaJeny) I gave birth a little more than 6 months ago, the menstruation has not resumed yet, the child was breastfed exclusively until 6 months. Should I worry, or is everything still in the normal range? When to start sounding the alarm?
Answer.Up to 6 months after birth, breastfeeding 6-8 times a day from pregnancy can not be protected by anything (the so-called lactational amenorrhea method). In the subsequent period, contraception is necessary; it may be a progestin contraceptive (for example, an excluton) or an intrauterine device.
Question. (Beth) I have a 7-month-old daughter, completely on GW, the number of applications is more than 10 per day, there are no monthly ones. What is the chance of getting pregnant at this time ?? What contraceptives can be used other than barrier methods? And should they be used?
Answer. The method of lactational amenorrhea, as a reliable contraception, is applicable up to 6 months after birth, then it is necessary to insure the progestogen-containing contraceptives (eg, excluton) or IUD.
Question. (poya) I breastfed the firstborn for exactly a year. Up to eight months, only GW were. Not protected (monthly was not). Result: pregnancy. I had to make a mini-abortion and put the Navy. The child was exactly six months. The question arises: is it really worth trusting the body during the period of GW or is it better to err?
Answer. Of course, there are exceptions to every rule. The six-month lactational amenorrhea is recognized by safe gynecologists all over the world, and you became pregnant just after 6 months had passed.
"Daub" during menstruation
Question. (Rita)After giving birth, my cycle has noticeably decreased, instead of 28 days, now it's 25, and it starts in two rounds, dabbing for 25 days, then nothing at all for 2 days, and then the normal periods begin. What could be the reason?
Answer. There are many reasons for such a "daub" (endometriosis, inflammation, polyp, etc.). Without inspection, it is impossible to talk about a specific reason. The sooner you dare to go to the gynecologist, the better.
Question. (Gossamer) I have this question. I was on reception at the gynecologist, I have an IUD. I did not go for a year, it so happened that after 2 days something was not comfortable, I put candles with ichthyol on the doctor’s advice. The next day, my abdomen was whining, and daubing, but not ichthyol! After 2 days daub stopped. We are on the chest, menstruation after birth was not. Before pregnancy, periods were 5-7 days, very abundant. What could it be?
Answer. Unfortunately, you do not specify how much time has passed after giving birth. Perhaps it was a menstrual-like reaction. Believe me, without inspection, it is very difficult for me to answer such questions.
Question. (Travelmate)I gave birth three weeks ago. Lochia is not over yet, the last week was a pink color, about 2 tablespoons a day. Yesterday, when I abruptly got up from the couch, a slight bleeding appeared (about a spoonful of blood), a blood clot came out, my stomach ached as during menstruation. Today the lochia is pink again, the stomach does not hurt. What could it be? Do I need to see a doctor urgently? I planned to go only in a week.
Answer. Podkrovit could from the cervix or from the vagina, if there were gaps in childbirth, after the lifting of gravity or tension during the act of defecation. In case of recurrence of bleeding, it is necessary to see a doctor as a matter of urgency, if all goes well, visit the gynecologist after a week as planned.
Lack of menstruation after childbirth and during breastfeeding
Question. (oxanaS) She gave birth a year and two months ago, but there are no menstruations. Maybe this is due to the fact that I am still breastfeeding?
Question. (Susan)The child is already 4 months old. Sucks breast actively. Is it normal that there is still no monthly or is it time to go to the doctor for an appointment?
Answer. Of course, during breastfeeding, menstruation may be absent up to 1.5-2 years old, even if it does not frighten you. In addition, with the frequency of breastfeeding at least 6-8 times a day to six months after birth, you can not be protected from pregnancy (the so-called lactational amenorrhea method).
Question. (Inna Klueva)I gave birth on November 1. I feed my daughter only with a breast, I do not feed with anything. Monthly began on February 2. When I fed the eldest daughter to 1,5 years old - all time was not monthly. This is normal? The usual monthly duration and abundance.
Answer. As a rule, with the frequency of breastfeeding at least 6-8 times a day, there are no monthly periods, although there are exceptions. Seem gynecologist still need to eliminate the organic nature of the bleeding.
Question. (Melle)She stopped breastfeeding completely at 6 months, that is, 5 months ago, and there are still no periods. What would it mean?
Answer. You just need to see a gynecologist, because There are many reasons for amenorrhea in the postpartum period, and among them there are far not harmless ones.
Question. (Margot) The child is 1 year and 6 months old, I still breastfeed mostly only, sucks constantly, all day, at night (we sleep together), and I still have no periods. Tell me, please, is this normal or is it already worth going to a gynecologist?
Question. (Sofina)My daughter is almost 1.4 years old, on HB, applying frequent day and night. The first periods after childbirth appeared at the end of February 2008, and after that nothing. Pregnancy test is negative. Is this normal? Hooray!! The second came. only truth is again towards the end. April
Question. (Matema) Baby 1 year and a month, breastfeeding and no menstruation. With the first child went when the son was about 6 months.
Answer. Lack of menstruation with 6-8 times breastfeeding is the norm.
Question. (Eenechka) A child is 1 year and 2 months old. In the year she weaned, but there are still no menses. During GW saw "Charozettu", now I drink "Lindinet". One and a half months after weaning, the lower abdomen hurt, but the menses did not appear. Pregnancy test showed a negative result. What can cause such a delay?
Answer. If you are safely protected from pregnancy, then you can not worry. The absence of menstruation during lactation is the norm, just not to miss the pregnancy.
Abundant menstruation after childbirth
Question. (Simfonia) After birth, the critical days began after 6 months. Immediately went very abundant. Now comes the third cycle. More abundant than before. Tell me what it can be connected with and how it can be adjusted. Can I drink nettles and water pepper during HB?
Question. (Alida)Monthly came in 4 months. Very abundant, painful, durable (more than a week) and come immediately abundant without daub. Although before B were rather scarce and short (day 3). Once it was like this: in the morning there were no signs (no pain, no daub), and in the evening I lay down, immediately got up and splashed a lot from me, barely held my hand. After that, the truth almost disappeared and the rest of the days only affected.
Answer. If the monthly abundant, with clots, I would recommend mandatory to be examined by a gynecologist and ultrasound. Acceptance of these phyto-drugs is not a contraindication for breastfeeding.
Restoration of the menstrual cycle after childbirth. Concluding remarks
The recovery period of the menstrual cycle for each woman occurs individually. Do not panic if menstruation does not begin immediately after birth. Also, young mothers are misled by bleeding after childbirth, which has nothing to do with menstruation - lochia. Lochia - these are physiological postpartum discharge from the uterus, consisting of blood, mucus and rejected, non-viable tissues. Normally, the duration of lochia discharge is 3-6 weeks after birth (sometimes, up to 8 weeks).
Young mothers should remember that breastfeeding can be one of the methods of contraception only in a few cases:
- if your baby is exclusively breastfed
- if your child is under six months old
- if after childbirth there was no menstruation
- if breastfeeding occurs at least 6-8 times a day (lactational amenorrhea method).
I’m karmlyu girl already 9 months. Monthly went only on the 8th month, but with dense for 2 months I’m home at that state what to do
Hello, I don’t breastfeed my baby for 7 months. Months came in. Monthly bloodshed every month abundantly this month anointed and everything, the test is negative, what could it be?
Dd, after giving birth at 6 months came monthly, passed the norms as before pregnancy was. On mixed feeding. But for 7 months there is no, the delay is 6 days. Contraception is not used. Such a delay of norms, such after birth can be aphids
The child was 8 months old, after the birth after 4 months came monthly, they were stable, but now they are not there, this month I’ve finished breastfeeding. Now the delay is 4 days.
Please explain what it can be?
The child is 9 months old, after childbirth for 4 months came monthly, were stable, but now they are not, do not come delayed 18 days
Made the test. the test showed one strip negatively
What could it be.
Good afternoon, I am breastfeeding my baby for 9 months, last month I was anointed and silence again. Tell me, is this normal and when will normal monthly periods begin?
Hello ! I have a girl of 6.5 months. Fully breastfed, today began a bloody discharge of brown in color on a daily basis. On paper, no. My husband is not protected. What could it be ? Beginning of the month?
Monthly came immediately in both cases, the daughter was fed 2 years, the son 2.6, however, became more abundant.
Good evening! So I came. I feed eleven months and continue! As if everything seems to be normal, but here they go very plentifully! Before pregnancy, this was not! This is normal?
People are different. The books do not fit. My cycle returned about a year and three after giving birth. After that, I breastfed for another year.
Daughter 1 year and 7 months. I feed more.
Four children - all breastfed up to 6 months, after the lure I start. Monthly always start 1.5 months after delivery!
I have no lactation aminerrhea.
When after the first birth monthly began, when my daughter was 1.5 months old. I read through the literature that there should be no menstruation while you are feeding, rushed to the doctor (I thought the bleeding started.) The doctor said: it happens & # 128527,
I fed twins up to a year - that is, the children gave the breast very sooo often, at night she could get up 6-8 times, and the cycle was restored 3 months after giving birth and immediately the menstruation went on regularly. So I do not believe at all in lactational amenorrhea.
4 children, all had a standard scheme:
up to 6 months no lure, breastfed all up to 3 years.
Monthly came when the child was from 1.5 to 2 years.
If you look for a connection with the hair color, then I am blond and gray-eyed.
Both times the cycle was restored immediately after the completion of the GW, somewhere in a year and two months. By the way, brown-eyed brunette :)
"Pregnancy is a great time: 9 months no menstruation!" This, of course, is a joke, but many young mothers really remember this nuance of pregnancy with pleasure.
When, how and why menstruation reappears, what is the norm, and what does it take to see a doctor?
Recovery of menstruation after childbirth with HB
The postpartum period in a woman begins with the rejection of the afterbirth. At this point, the body begins a restructuring from the mode of pregnancy to the mode of complete renewal and normalization of the reproductive system. Everything continues to go in a natural way for nature.
You can not predict when they will come after childbirth during breastfeeding. The reasons can be many and they are all individual.
Normalization of the menstrual cycle will last from two months to a year and (in some cases) more. What does it depend on? Can there be monthly with full lactation? How is the menstrual cycle restored after childbirth? What if I breastfeed and my menstruation went? Do not come monthly after the end of feeding. Why do others recover monthly after childbirth?
To fully understand the situation, it is necessary to know the principle of physiological processes occurring in the female body.
Bleeding after childbirth
Immediately after the birth of the child, the uterine cavity is a bleeding cavity. Its walls are stretched and occupy a volume of about one liter. There is no question of any periods during this period. All subsequent bleeding, no matter how long it lasts, is connected solely with the fact that literally “flayed skin” from the inner surface of the uterus. Not skin, but several layers of the mucous membrane, but this does not change the essence of the matter. All further actions in the care of that area should be aimed at organizing the earliest contraction of the uterine muscle fibers, expelling all blood clots from its cavity. This body must fully recover.
Breastfeeding of the baby is a natural activator of these processes.Stimulation of the nipples and the removal of milk from the breast provokes a reflex contraction of the uterus with the release of contained blood. Women, especially in the first week after birth, notice that during the feeding of the baby they start labor pains, pain in the lower abdomen, blood flows from the genitals. This is a useful function of the body aimed at restoring the newborn mother's reproductive health.
The way in which a baby was born (naturally or by caesarean section) should not be a problem for breastfeeding. People who are not familiar with the physiology like to frighten the "cesarean" moms that during the guards from the contractions provoked by sucking the breasts, the seams will spread. This is not only false, but also a delusion that is dangerous to the health of a woman. With a seam, nothing bad will happen. On the contrary, enhanced blood supply and hormones stimulate full healing of the incision. Applying a baby to the breast in the first month is especially important for the restoration of women's health.
With a lack of effectiveness of this method, doctors use injections of drugs based on oxytocin (which is also produced during breastfeeding). Under its influence, the former form and structure of uterine tissue is restored.
Lack of menstruation during breastfeeding
The female organism, especially in all matters related to conception, childbirth and nursing, is extremely dependent on microdose of various hormones. The reason for which there are no menstrual periods with GW is also directly dependent on one of them.
In the postpartum period, with regular breastfeeding of the baby, the hormone is controlled by the hormone prolactin, which excludes menstruation during breastfeeding. It is produced in the pituitary gland with the active participation of the placenta, mammary glands, nervous and immune systems. Although the main purpose of its development remains full breastfeeding, its effect on the body is systemic:
- Stimulates the growth of the mammary glands and their milk production
Prevents the production of progesterone hormone in the corpus luteum of the ovaries. For this reason, ovulation does not come, there is no change in the phases of the menstrual cycle. Woman becomes temporarily barren
An interesting relationship. The production of prolactin is stimulated by frequent breastfeeding of the baby. Prolactin, in turn, inhibits the production of progesterone, which reduces the amount of milk in the breast. The amount of milk increases and, if the baby is more often applied to the breast, it will be maintained at a high level.
- Prolactin has a mass of beneficial "side effects." He is able to increase the level of pain threshold. Strengthen and enrich the sensitivity during sexual intercourse, to provide a more complete sexual satisfaction. Increases immunity.
It is necessary to continue breastfeeding, even if you have already begun menstruation. This is useful not only for the baby, but also (when looking at the many and extremely pleasant "side effects") for mommy.
When the cycle is restored after childbirth
After the completion of guv, processes aimed at restoring the cycle after childbirth start. These changes occur at different speeds, individual for each woman. The normal period for the restoration of menstruation is a period of three months. If, after this time, the monthly has not come, then there is a hormonal disorder. In this case, you need to consult a doctor for examination and consultation.
The first after the resumption of menstruation will not necessarily be the same as before. Changes in duration and abundance of discharge are possible. The cycle may not be established immediately. It is worth observing the classic three cycles and (while maintaining the violations) to consult a doctor.
Monthly after childbirth with artificial feeding, if there are no hormonal disorders, begin after 2 months. The woman's body does not “feel” the presence of the child and does not support the “extra” in this case functions.
The effect of "replacement" and protection based on it
Protection against untimely subsequent pregnancy using only the effect of "cancellation" is a common, but not very effective method. Menstruation does not come suddenly, "by themselves." Menstrual bleeding occurs after ovulation and a completed cycle in which a new egg has not been fertilized! A woman who, after giving birth, did not have periods, does not yet suspect that she is capable of conception.
The term for which ovulation can occur is individual for each woman. There are women who are already the second month after the birth of the child and full breastfeeding, got pregnant next and did not know about it.
Hormonal and physiological readiness for re-conception can only be determined by doctors on the basis of an examination, tests and an ultrasound examination. Few mothers can freely give it enough time. And to predict this at home is extremely difficult. Only indirect signs of a change in the phases of the menstrual cycle can help. But few women have such sensitivity to changes in their own bodies. And the newly-minted mommy has a lot of other concerns that will completely deprive her of any attention at all to her health.
In most cases, a fairly safe period for sex is the first six months after birth.
Barrier methods are good means of protection. It is undesirable to use ok when breastfeeding (oral contraceptives). The hormones contained in birth control pills are not intended for the baby’s sensitive body. But they can get into breast milk, albeit in small doses.
Starts during breastfeeding
Monthly arrivals during lactation mark the restoration of the ability to reproduce.
The reproductive function of women is restored at different times, menstruation with breastfeeding begins for many. The beginning of the period when a new pregnancy becomes possible depends on the factors:
- Reducing the number of feeds already matured baby. A very small baby takes breast very often. When feeding “on demand”, the baby can not “stick out” from the mother's breast day or night. It constantly stimulates the nipple receptors and contributes to the production of prolactin. When a baby grows up, it needs food much less frequently. There is no need for frequent attachment of the child to the breast, causing the hormone to "fall"
- Reduced prolactin. The main reason for the occurrence of menstruation during breastfeeding. One day the brain will receive information that the amount of this hormone has "overstepped" the extreme line of its sufficient content in the blood. And then the mechanism of restoring childbearing function will be launched, which will not be stopped.
A decrease in prolactin, which provokes the onset of menses, can be very short-lived. This can happen due to stress, a break in feeding the child, malnutrition, any other temporary "interruption".
Individual characteristics. In some women, who are called “fertile”, the ability to reproduce can normalize very quickly. Even a high level of the hormone prolactin will not be able to restrain the activity of the glands that produce hormones of "procreation". Unbelievable, but it is a fact. Even with a rich amount of milk and regular feedings, such a woman will be able to get pregnant again within six weeks after giving birth.
- Heredity. Not the most "advanced" theory, but quite common. In a woman (especially if she physiologically “went” to her mother), the restoration of the menstrual cycle after childbirth will occur in almost the same period as her mother’s. There are some discrepancies in the dates, but no one has canceled genetics. Related organisms tend to repeat the timing and characteristics of the flow of basic physiological processes.
The effect of menstruation on breast milk
Monthly arrivals do not affect breast milk in any way. Some women claim that during menstruation the smell and taste of milk changes. This theory is extremely dubious and has no scientific basis.
Perhaps some reduction in its production due to the effects of the hormone progesterone. This is especially pronounced in the second phase of the menstrual cycle. Progesterone, being the main hormone of pregnancy, has a restraining effect on prolactin. It is for this reason that milk does not pour out of the breasts during childbearing, although prolactin in the blood is more than enough.
Otherwise, no qualitative effect of menstruation on the feeding of the child was found.
You do not need to treat your body as an uninterrupted mechanism that does not have the right to any deviations from the generally accepted "norm". The way breast feeding and menstruation occur and combine in some women may not completely coincide with how this is the case in others. The menstrual cycle after childbirth is adjusted according to an exclusively individual scenario and does not always depend on breastfeeding. This is not a reason for experiences, but only a transition to a new stage of life.
Terms of recovery of menstruation after childbirth: what is the norm and what is pathology?
Young mothers are always interested when menstruation begins after childbirth. During the recovery cycle, it can change the length, monthly often acquire a different character, intensity, duration, become more or less painful than before pregnancy. Often this is the norm, but in some cases consultation with a gynecologist is required.
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, you need the help of a doctor.
Normally, the cleansing of the uterus after the process of natural childbirth 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. Although breastfeeding reduces the likelihood of conception, it is still possible. For example, if the period after childbirth began, and then disappeared, the most likely reason for this is a repeated pregnancy. You should also remember that ovulation occurs before the onset of menstrual bleeding. Therefore, it is possible pregnancy even before the first menstruation. If a woman is concerned about why there is no menstrual bleeding for a long time, you must first do a home pregnancy test, and then consult a gynecologist. You may need to consult an endocrinologist.
It is not necessary after the appearance of the menstrual cycle to refuse breastfeeding. Monthly does not change its quality. It happens that a child eats poorly these days, is naughty, refuses to breastfeed. This is usually associated with emotional disorders in a woman, her feelings about the quality of feeding.
During menstruation, nipple sensitivity may increase, feeding becomes painful. To reduce such sensations, it is recommended that before giving the baby a breast, massage it, warm it, apply a warm compress to the nipples. It is necessary to monitor the purity of the chest and axillary region. When menstruation changes the composition of the sweat, and the baby feels its smell differently. This may be another reason for feeding difficulties.
Что делать, если менструальный цикл стал нерегулярным:
- В первые месяцы послеродового восстановительного периода не стоит паниковать. В большинстве случаев это вариант нормы. У каждой женщины нормализация цикла происходит индивидуально, обычно в течение первых месяцев возобновления менструального кровотечения. Irregularity is more common in women who use breastfeeding.
- It takes about 2 months to restore the normal function of all organs and systems. The balance in the endocrine system comes later, especially if breastfeeding is used. Therefore, a woman may feel quite healthy, but at the same time she will experience a lack of menstruation.
- Pay attention to the irregular cycle should be only after 3 cycles. This may be due to inflammation, endometriosis or genital tumor. The delay of the second menstruation is not dangerous, unless it is associated with re-pregnancy.
If you have any doubts, it is better to consult a gynecologist, get a diagnosis in time and start treatment.
Cycle after the pathological course of pregnancy or childbirth
Menstruation after missed abortion is not immediately restored. Only some women have regular bleeding within a month. In most cases, hormonal imbalance, which led to abortion, causes irregularity of the cycle.
After interrupting a stalled pregnancy or abortion, the first menstruation occurs within 45 days. If this does not happen, the woman should seek the help of a gynecologist.
To eliminate the causes of amenorrhea, such as the remaining part of the ovum in the uterus or inflammation, 10 days after the termination of a frozen or normal pregnancy, an ultrasound scan is necessary.
The first menstrual flow after ectopic pregnancy begins at 25 to 40 days after its completion. If they started earlier, it is probably uterine bleeding that requires a visit to a doctor. A delay of more than 40 days also requires consultation with a gynecologist. If the disease has caused severe stress in a woman, it is considered normal to extend the recovery time to 2 months.
Menstruation after a cesarean section is restored in the same way as after normal delivery. During lactation, menstruation does not come within six months. With artificial feeding, there is no menstruation for 3 months or even less. Both at physiological and at birth by caesarean section in a small part of women, the cycle is not restored within a year. If no other pathology is found, this is considered normal.
In the first few months after a frozen, intrauterine pregnancy or cesarean section, the cycle may be irregular. Subsequently, its duration may change from the previous one. But normally it is not less than 21 days and not more than 35 days. Menstruation lasts from 3 to 7 days.
After all the above situations, it is recommended to prevent a new pregnancy for at least six months. It must be remembered that the absence of menstruation is not a sign of anovulation, and even before the first menstruation a woman may become pregnant.
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:
- To enable the body to quickly restore the synthesis of hormones, you need to fully eat. Many fruits, vegetables, whole grains and water combined with regular exercise are an effective method of restoring hormonal balance. The menu should be dairy products, cottage cheese, meat. After consulting a doctor, you can take a multivitamin for nursing mothers.
- Do not take birth control pills. They can change hormones and cause unpredictable changes in the cycle. If a woman is sexually active, it is better to use condoms or other non-hormonal methods of contraception.
- Most effectively organize your mode. If the baby does not sleep well at night, you should try to get enough sleep during the day. Do not give up any help from loved ones. The good physical condition of the woman will help her recover faster.
- In the presence of chronic diseases (diabetes, thyroid disease, anemia, and others), it is necessary to visit the appropriate specialist and adjust the treatment.
Restoration of menstruation after childbirth during breastfeeding
Pregnancy and childbirth is a serious test for the female body and it takes time to return to its former state. However, this is a natural process.
When menstruation should go after childbirth, can there be menstruation during breastfeeding or bottle-feeding, and how long should they come after cesarean section? All you need to know happy mom, what is considered the norm and what to look for.
When do the first periods come?
If menstruation went on during breastfeeding, is it normal or considered a sign of impaired recovery of the body after delivery?
Sometimes young mothers confuse bleeding immediately after birth with the arrival of the first menstrual period. The nature of these secretions is completely different.
Postpartum discharge doctors call lochia and is associated with the healing of the wound surface of the uterus. Usually such discharge goes about a month and is not abundant.
As soon as the uterus clears, the discharge stops. The process of restoring the body to its normal state begins. The level of hormones is normalized, the uterus returns to its former size. By the time it is very individual.
If a woman does not breastfeed, the appearance of menstruation after one to three months is considered normal. If the monthly delayed by more than three months, a gynecologist examination will be required.
Do not go without a visit to the doctor if you change the nature of the discharge, with their unusual intensity, pain, unusual color, the presence of clots.
Can start if a woman is breastfeeding
In medicine, there is the concept of "lactational amenorrhea", that is, the absence of menstruation after the birth of a child during breastfeeding.
This means that in a woman's body, the hormonal balance is such that everything is aimed at active milk production, while other processes are suppressed.
When breastfeeding does not occur maturation of the egg, fertilization is impossible, did not begin and monthly. The cycle has stopped.
The length of this “lull” is very unpredictable. It is not uncommon for a woman to live quietly without “critical days” during the entire feeding period (both a year and two) after the first birth, and after the second her body was rebuilt in the first months, and the onset of menstruation occurred against the backdrop of active breastfeeding.
Some scientists found an interesting pattern. In mothers with blond hair and a fragile physique, the cycle is restored later than in dark-haired, brown-eyed moms with more curvaceous forms. The latter were ready to conceive a new baby already in the first months after the birth of the first child.
Even with round-the-clock breastfeeding. But this is only a noted predisposition, which should not be taken into account too seriously.
We highlight the general rules, remembering that exceptions are possible.
When feeding a baby with breast milk, prolactin will be the dominant hormone in the mother's body.
Its active production temporarily inhibits the production of other sex hormones - estrogens, which are responsible for the mechanism of the origin of a new life.
Cyclicity of reproductive processes does not begin, and there are no monthly ones.
The time of appearance of the first menstruation depends on the intensity of feeding the baby. The more often the feedings occur, the higher the probability of an unprepared arrival of the “red days”.
If the mother feeds the baby at the first request, the period may be absent for the entire period of lactation.
Mixed feeding with the addition of mixtures to breast milk, as well as the introduction of complementary foods bring menstruation closer.
It is easy to explain: prolactin is produced in a smaller amount, estrogens are activated and start the reproductive system and cycle.
In a nursing mother, periods can come during and after the feeding. Normal gynecologists consider the appearance of menstruation 10 to 12 weeks after cessation of lactation.
If this does not happen, it is worth visiting the doctor. Disruptions in the hormonal background, which are corrected by drugs, are not excluded.
Why there are no periods after childbirth, when they should start, and how the menstrual cycle is restored during breastfeeding or artificial feeding, learn from this video:
Hormonal background during lactation and the need for contraception
Doctors have one wise saying: “A woman cannot become pregnant by 100% if she does not have sex with a man. In all other cases, there is always a chance. ” And it’s hard not to agree with them, because experience is on their side.
But even in our enlightened time, the myth of the impossibility of a woman to become pregnant while she is breastfeeding is alive. This is wrong, it is enough to remember what changes occur in the body after childbirth.
The birth of a child is accompanied by a hormonal explosion in the female reproductive system. In place of hormones that support pregnancy, comes the hormone needed to normalize breastfeeding - prolactin. While the balance is in favor of the latter, the woman’s ovaries are resting and there is no cycle.
If the balance deviates towards the hormones estrogen and progesterone, which are responsible for the cyclical nature of the reproductive system, the mechanism will turn on, the ovaries will work - the first postpartum cycle will begin. And the beginning of the female cycle after childbirth during breastfeeding is not menstruation, but the maturation of the egg with its further release into the tube.
It is impossible to notice this process, and a woman may well miss her first ovulation and conception. And not only to miss, but not to notice the development of pregnancy. After all, the absence of menstruation due to feeding will smoothly flow in their absence due to pregnancy. Often the mother will know about the soon replenishment of the family when the fetus is already several months old.
Recall the signs of pregnancy during breastfeeding:
- Nausea in the mother, vomiting, change in food addictions.
- Refusal of the infant from the breast, his anxiety during feeding.
- Abdominal growth and sensation of fetal movement.
To a new pregnancy was not a surprise, you should think about the methods of contraception. It is best to contact a specialist who will assess the condition of the mother and appoint the appropriate means of protection.
- Most often, after the birth of the child, the periods become less abundant and painful. This is due to the improvement of the hormonal background and the correction of the abnormal position of the uterus.
In case of severe blood loss, when the gasket changes more often than once every two hours, it is necessary to urgently visit a doctor.
Should not scare mom and change in the course of PMS. After giving birth, his character may change in the direction of alleviating the symptoms, and vice versa.
But with a strong manifestation and concern about this, it would not be superfluous to see a doctor for help. In modern medicine, there are many ways to deal with the monthly "monster", including safe for nursing mothers.
Breastfeeding counselors and the World Health Organization consider it optimal to breastfeed until they reach two years of age. The beginning of the menstrual cycle is not the cause of the cessation of feeding. The baby should not lose its nutrients and antibodies.
To avoid problems with feeding associated with the arrival of "critical days", mom should follow simple rules:
- During menstruation, sweating increases, an unpleasant odor appears. The kid doesn't like that. It is necessary to thoroughly wash the breasts before feeding and more often take a warm shower.
Changing the level of hormones in the mother’s blood changes the taste of milk, the baby may get worried under the breast, and his stools become liquid.
These are short-term changes, everything will gradually get better, so you shouldn’t particularly worry at all.
It is useful during breastfeeding to frequently change the breast, shifting the infant from one breast to the other.
The resumption of the monthly cycle after childbirth and breastfeeding are natural processes, they rarely need to be corrected. However, a woman must know what is happening in her body in order to be ready for possible complications.
Now you know how much time after birth normal periods begin, what problems can be when they go, and whether to worry when they appear during lactation. Do not forget: at the first suspicious signs - to the doctor!
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How is the restoration of the menstrual cycle after the birth of the baby 6
One of the main signs of recovery of the female body after childbirth is the acquisition of a regular menstrual cycle. And if at first the newly-made mothers are more concerned with questions regarding the care of the baby, then after a while, it is the turn of thoughts about their own health. Moreover, the majority of women are concerned not so much with the very fact of the arrival of critical days, but rather the unexpectedness of this event and the increased likelihood of becoming pregnant again. In order not to be trapped, it is better to immediately find out when the first periods after childbirth begin.
Let's go back to the sources ...
The initial installation of our body, which is confirmed by many doctors, is the complete restoration of the cycle after birth to end on the termination of breastfeeding. So laid by nature, and so it was when women supported breastfeeding for 2-3 years. Moreover, feeding was carried out exclusively on request. Imagine, just a couple of decades ago, nursing mothers had a very carefree life in terms of menstruation.
Nowadays, the following situation is more relevant:
- breastfeeding up to six months or up to a year
- изобилие детского питания на полках магазинов,
- раннее введение прикорма.
А наряду с этим множество гормональных контрацептивов, медикаментозные роды и многие другие факторы, влияющие на отклонение функционирования эндокринной системы женщины от нормы. Все это в совокупности приводит к невозможности точно определить, через сколько после родов начинаются месячные. Everything is very individual, however, the onset of menstruation after three months, and after three years, is considered the norm.
Why is there no monthly after childbirth?
As already noted, many mothers inject early complementary foods, at the same time stopping HB, and some for a number of reasons do not breastfeed the baby at all. Critical days in such cases may begin even 1 month after the birth of the crumbs. However, most often this occurs at the end of the breastfeeding period.
October 7, 2014 | Views: 2,353
If the baby is mixed feeding, the first menstruation should be expected. after 3 months - six months. In the event that breastfeeding is not possible - the recovery of menstruation is probably already for 2-3 months after childbirth. However, you should not fully focus on these figures, since the recovery cycle after childbirth depends on numerous factors and the state of the body of each woman.
Can I get pregnant during breastfeeding and lack of menstruation?
It is possible, and it happens quite often. In each case, it all depends on how much prolactin is produced. It is believed that if the mother feeds the baby to the maximum, then the first six months (no more, and in some cases even less) she is relatively protected from the new pregnancy.
In addition, the following conditions must be met:
- the absolute absence of any other food and drink (even water) for a baby other than breast milk,
- regular feeding from 3 am to 8 am
- feeding on demand without a regimen.
However, you should not tempt fate, and if you feel that you are not yet ready for a new pregnancy, it is better to protect yourself.
Restoration of the menstrual cycle after cesarean The cross section is no different from the same process after natural childbirth.
So, with the onset of menstruation, women can expect unexpected changes in the cycle. First, do not be afraid if the first menstruation is over and the next does not begin within 2 months. This is a normal delay if there is no symptom of inflammatory diseases.
Some women enter lure early. In the pituitary gland, prolactin begins to be produced in smaller quantities and stops suppressing ovarian function. Most often monthly in a similar situation begins six months after delivery.
There are cases when young mothers immediately after birth combine artificial feeding for a baby with breastfeeding. This leads to the fact that the menstrual function in 3-4 months after the birth of the child is restored.
In certain situations, women cannot breastfeed their babies at all. Monthly in this case may begin after birth after 6-10 weeks.
The restoration of menstrual function is influenced not only by the moment when breastfeeding stops, but also by many other factors, both internal and external. Among them are the following:
So, let's see how the reproductive function of a woman, and hence the monthly cycle, is restored after childbirth.
During pregnancy and childbirth, many systems in a woman's body undergo quite significant changes. Their recovery usually takes 6-8 weeks. However, for the hormonal system and the mammary glands, this period is increased by lactation.
In the first moments after childbirth, for 6-8 weeks, a woman’s life is accompanied by secretions called lochia. These secretions are not menstrual. The fact is that after the placenta leaves, the inner surface of the uterus resembles a large wound surface, which is restored over time. Directly after giving birth in the first 3-4 days, the discharge is similar to blood menstrual flow, then, from 5 to 10 days of the postpartum period, the discharge is yellowish or white and their number decreases.
· The presence of chronic diseases
Regularity cycle can recover immediately, but can be set from 4-6 to 12 months.
Durationcycle may change - if before the cycle was 25 days, maybe 28. The main thing is cyclicity.
If the cycle has not started after the completion of lactation for several months, this is a serious prerequisite for visiting the local gynecologist. Postpartum pathology should be excluded.
Do not panic if the cycle is irregular for the first few months. The menstrual cycle after childbirth and completion of lactation is normalized about 6 months. The discharge occurs for 3–5 days, but if this period is shorter (1–2 days), suspicion arises about the development of uterine fibroids or endometriosis.
After we have learned what hormones control the menstrual cycle and in what relationships are with each other, we can assume when the restoration of menstruation after birth will approximately occur in different categories of mothers.
If mommy chooses exclusively breastfeeding up to 6 months old baby, adheres to night feedings and gives breast “on demand”, then most likely, the restoration of menstruation during the first half of the year after childbirth will not occur.
After the introduction of complementary foods, when the number of feedings is gradually reduced, the recovery cycle is possible at any time. Although many moms lactational amenorrhea lasts up to 1 year.
With mixed feeding
When the baby receives both the breast and the bottle, the prolactin level is not enough for a reliable block of FSH, so the menstrual cycle is restored in the first 6 months after delivery.
Premenstrual syndrome is often associated with hormonal shifts, as well as features of the reaction of the female nervous system. Today, there is still no 100% effective means.
Violations of regularity
The recovery period of the menstrual cycle takes some time. After the first discharge, the irregularity of the cycle can be up to three months, which is normal. If longer - the doctor will help determine the causes.
After delivery, in the presence of breast milk, discharge begins after six weeks. When the lochia ceases, the woman may become pregnant again. Remember that menstruation cannot start a month after delivery. If discharge occurs, the doctor may rule out the occurrence of complications.
Some women may experience minor bleeding up to two times per month, this is also the norm. In medical terms, this is hyperplasia, a visit to the doctor is necessary.
Often, even with an active lactation process, recovery takes up to 6 months from the moment of delivery, less often the period is delayed. It happens that menstruation is absent during the year. In this case, or when, after the cessation of breastfeeding, there are no periods for two months to undergo a gynecological examination.
Menstruation after childbirth. Recovery cycle after childbirth
Physiological amenorrhea is one of the first signs of pregnancy. The process of restoring the monthly cycle starts immediately after the baby is born, however, it is impossible to predict exactly when the menstruation will resume. This is influenced by many factors, which will be discussed below.
Are postpartum discharge menstruation considered
In people, postpartum discharge is often called menstruation after childbirth. In fact, the correct name for these secretions is Lochia. They have a different origin of menstruation.
Lochia occurs because after the separation of the placenta and fetal membranes from the uterine wall, the latter is a wound surface.
In addition to blood, fragments of the lochium may include fragments of the placenta, afterbirth, and endometrium.
How much is menstruation after childbirth (lochia)
The duration of postpartum discharge is one and a half to two months with a tendency to decrease in profusion. After surgical delivery, the process of uterus recovery is slower, because lochia can last up to 10 weeks.
In the first days of the Lochia, it is abundant, bright red, since their main mass is blood. Have a characteristic smell of refracted foliage.
Further, the color of the discharge changes to pinkish brown, and even later to pinkish yellow. By day 10 after birth, there is normally no blood in the lochia, the discharge becomes clear and fluid.
Approximately by the third week, the excretions acquire a slimy character, and their number significantly decreases.
If the lochia does not become more scarce, or, on the contrary, they stopped abruptly, lasted less than 5 weeks and longer than 10 weeks, changed color to a greenish or yellow-green, or acquired a putrid smell, you should immediately contact a gynecologist.
How many menstrual cycles are restored after childbirth
The process of restoring the menstrual cycle depends on many factors, including:
- The course of pregnancy and childbirth, postpartum complications. Endometriosis, bleeding, inflammatory processes negatively affect the involution of the uterus.
- Chronic diseases.
- Age of the woman in labor. It is believed that primiparas over 30 years old recover longer.
- The number of births. In women who have repeatedly given birth, the uterus recovers more slowly.
- Natural or artificial feeding of the baby.
- Hygiene in the postpartum period.
- Nutrition. Lean on nutrients ration has a negative effect on the restoration of the menstrual cycle.
- Neuropsychic condition of the woman. Lack of sleep and moral exhaustion can also slow down the recovery of the monthly cycle.
It is impossible to predict exactly when the cycle will be restored after childbirth.
On average, non-feeding women start their periods 2-3 months after giving birth, mothers whose babies are mixed-fed after 4-5 months, breastfeeding menstruation may not be present during the entire feeding period, but most often the cycle is restored range between 6 and 12 months after delivery.
Menstruation a month after childbirth, even among mothers of babies-artificials, is an unlikely phenomenon. Doctors tend to assume that menstruation is not renewed earlier than 6 weeks after delivery. Menstrual-like bleeding at an earlier period is a reason to make an ultrasound to determine the cause of the discharge.
Why does the menstrual cycle after birth with breastfeeding recover later?
When breastfeeding in large quantities produced the hormone prolactin. This hormone has a direct effect on the luteinizing (LH) and follicle-stimulating (FSH) hormones responsible for ovulation and the indirect effect on the growth of the endometrium. Therefore, in lactating women, the cycle of menstruation after childbirth is restored later.
It is on this phenomenon that the lactational amenorrhea method is based - a natural method of protection.
Its essence lies in the fact that the child is not half a year old, and the mother is breastfeeding him exclusively at intervals of not more than 3 hours in the daytime and not more than 6 hours at night, then the probability of becoming pregnant is extremely small.
However, women practicing this method of contraception need to be especially sensitive to their body. Ovulation precedes menstruation, therefore, there is a risk of getting pregnant again, without knowing about the recovery cycle.
Menstruation after childbirth
- Duration The duration of menstruation and the intervals between them may become the same as before pregnancy, and may be shortened or increased. The main thing is that the duration of the monthly fit into the framework of 3-7 days, and the cycle length in the end should not be shorter than 3 and longer than 7 weeks.
- Regularity. The menstrual cycle after childbirth can immediately become stable. And maybe "tune in" for some time. Normally, menstruation should be regular within six months after the resumption of the cycle.
- Soreness Feelings during menstruation may also change. If the pain during menstruation was caused by a uterine bend, then after birth, there is a great chance of getting rid of discomfort. This is due to the uterus taking the correct position. But it also happens that the first menstruation after childbirth becomes more painful. This is due to strong contractions of the muscles of the uterus or the inflammatory process that began after childbirth.
- The amount of discharge. Abundant menstruation after childbirth is normal, especially during the first cycles. If the discharge has a characteristic dark red color, and the sanitary napkin is filled no faster than 4-5 hours, then there is nothing to worry about.
The recovery of the cycle after birth is influenced by many factors: from the way of feeding the infant to the balance of nutrition and the psycho-emotional state of the young mommy.
The exact date of the resumption of menstruation can not be found, the doctor can only assume when the menstruation will begin after birth in a particular patient.
The first few cycles may be irregular, the duration of the periods and the interval between them may also change. If the new cycle fits within the normal range, and the color and smell of the discharge does not cause alertness, then there is no reason for excitement.
Restoration of the menstrual cycle after childbirth: features, timing, complications
The return of regular menstruation after childbirth is one of the signs of the normal recovery of the female body. However, quite often this process takes place with deviations from the norms and even complications, which then have to be corrected by doctors.
Why does the reproductive system get off work after the baby is born? How is the recovery cycle after childbirth and what can be done to avoid dangerous complications? It is useful for all women to know such information in order to recognize pathology in time, seek help from specialists and fix everything.
After the birth of a baby, the restoration of menstruation is the process of the return of the endocrine glands, as well as other systems and organs to the pregenerative state. It begins with the rejection of the afterbirth and lasts from 6 to 8 weeks.
During this time, in the female body, the physiological changes that occurred during pregnancy and childbirth gradually disappear. This applies to all systems: endocrine, cardiovascular, nervous, genital organs.
The flourishing and development of the functions of the mammary glands necessary for full breastfeeding occurs.
Normally, the restoration of the menstrual cycle after childbirth implies the following processes:
- reverse development of the uterus to the prenatal period is called involution, and it happens quite quickly,
- the muscles begin to actively decline, with the result that the size of the uterus is significantly reduced,
- in the first 10-12 days after delivery, during recovery, the bottom of the uterus falls daily by 1 cm (this is normal),
- by the end of 7-8 weeks, its value already corresponds to its former, pregenerative size,
- so that by the end of the first week, the weight of the uterus almost halves and is about 400 grams, and by the end of the postpartum period, only 50-60 grams,
- the cervical canal and the internal pharynx are no less quickly formed: the first is fully formed by the 10th day, and the closure of the external pharynx is fully completed on the 3rd week after delivery, acquiring a slit-like shape (before this, the channel resembles a cylinder).
Such a restoration of the menstruation cycle after childbirth is considered the norm, but there is nothing terrible if the involution is delayed or accelerated.
There may be purely physiological reasons for this that cannot be considered deviations or pathologies. To worry about this is certainly not worth it.
You just need to try to understand what is happening with the body, which is so long (or vice versa too quickly) is restored after labor.
Causes of delayed involution
Rapid or slow recovery of menstruation after childbirth depends on a number of reasons that a woman must take into account in anticipation of the establishment of a regular cycle. This is the general state of health of a woman, and her age, and the particular course of pregnancy and childbirth, and breastfeeding.
Usually involution is slow or accelerated for the following reasons:
- if the female body is too weak after childbirth,
- if by the account it is the third (and more) pregnancy,
- if this is the first birth, and a woman is already 30 years old,
- if the birth proceeded with abnormalities, complications and pathologies,
- if the postpartum period has been disrupted,
- if a young mommy is malnourished,
- if she is in postpartum depression and is morally very tired.
If a woman believes that the restoration of the menstrual cycle after giving birth to her is too slow or her period began very early, she should analyze the situation and identify the reasons for such a deviation.
Nothing wrong with that. To calm down and get rid of the last doubts, you can consult about this with an observant gynecologist.
He will reveal the exact cause of delayed or accelerated involution and will tell you what to do with it.
What else scares young mummies during the recovery period of the menstrual cycle is postpartum discharge. They are different in character, and in color, and in duration. However, you should not be afraid of them either, since their appearance is a completely natural process. They even have a special scientific name - lochia. What are they?
The mucous membrane of the uterus after the discharge of the placenta and the afterbirth is the wound surface. Her recovery ends only on the 10th day, the mucous membrane of the uterus returns to normal and even longer - only on the 7th week.
В процессе заживления как раз и появляются послеродовые выделения.
Over time, their character changes in accordance with the processes of healing and purification of the inner surface of the uterus occurring at this time:
- the first days after childbirth: the lochia is mixed with particles of the inner lining of the uterus, which gradually disintegrate, and because of this they contain a small amount of blood, which should not frighten the young mommy,
- Day 3–4: the discharge acquires the consistency and color of serous iciform fluid, that is, it becomes pinkish-yellowish, but there should be no blood in them,
- 10th day: Lochia is already light, liquid, completely free of blood, their number gradually decreases,
- 3rd week: discharge becomes scarce, since they contain only an admixture of mucus, which is still formed from the cervical canal,
- 5-6th week: Lochia should stop altogether.
If the restoration of the menstrual cycle after childbirth is characterized by abundant or not too long-lasting lochia, this is the first warning sign of complications. In this case, it is recommended to consult a specialist.
As for the volume of postpartum discharge, their total number in the first week should not exceed 1,500 ml. And do not be afraid of their not very pleasant, very specific smell of rotten leaves.
Sometimes there may be difficulties that only experienced gynecologists can help:
- with a slow involution, lochia secretion is delayed,
- blood in the secretions may last longer
- if there is an occlusion of the internal pharynx due to a bend of the uterus or a blood clot, an accumulation of lochia occurs in the uterine cavity — such a complication is called a lohiometer,
- Since the accumulated blood in the uterus serves as a breeding ground for the development of microbes, this condition requires medical treatment.
During the recovery period of the menstrual cycle, it is imperative to monitor the nature and duration of postpartum discharge. If everything is normal with them, then the expectation of menstruation also does not drag on.
You should know that the restoration of menstruation after childbirth during breastfeeding takes longer than with artificial. This is not a pathology or norm. It just happens that way, since this phenomenon is due to physiological processes associated with lactation. Knowledge of these features of involution will help women navigate the timing of the arrival of the first menstruation:
- When artificial feeding
Restoration of the cycle after delivery usually takes from 6 to 8 weeks.
Two scenarios are possible at once:
1 - a woman does not have menstruation for several months, or even during the entire lactation period (a natural and fairly frequent route),
2 - recovery cycle after childbirth takes the same time (6-8 weeks), as in non-nursing moms.
This phenomenon is explained by the fact that in the female body there is prolactin, a hormone that stimulates milk production, suppresses the formation of hormones in the ovaries and prevents the maturation of the egg and its subsequent ovulation.
Most often, the recovery cycle after childbirth with HB occurs after the introduction in the diet of the first baby feeding. If the child is mixed feeding, this process may take 3-4 months.
If the baby is an artificial artist, his mother can expect the arrival of the first menses by the end of the second month after birth. No deadlines here are neither deviations nor the norm. These are natural processes depending on the individual characteristics of the female body.
However, in some cases, all the same there are all sorts of complications.
When restoring menstrual function after birth, young mothers may experience the following problems.
Do not be upset if in the first six months after birth the cycle can not be established. Monthly can come later or earlier than the previous term. This is quite explicable by the recovery processes of all the systems of the female body. However, if the menstrual cycle remains irregular, even six months later, this is a reason to contact a doctor with this problem.
One should not expect that he will fully recover and will be as many days as before pregnancy. In 90% of cases, its duration varies. If earlier it was 21 days, for example, now it can last up to 30 days.
- Monthly duration
Normally, they should go for at least 3 and not more than 5 days. If after childbirth you notice that they have become either too short (1-2 days) or too long (over 5 days), you should definitely tell your doctor about it. In some cases, this can be a symptom of quite serious diseases - for example, uterine fibroids (benign tumors) or endometriosis.
Normally, it should be between 50 and 150 ml. Accordingly, a smaller or, conversely, more of them will not be the norm. How to determine this parameter? In the postpartum period, the usual strip should be enough for 5-6 hours.
If they appear regularly before menstruation or after them and never go away, this is also considered a complication. Most often it is a symptom of endometriosis or endometritis.
If she, during the recovery of the menstrual cycle after childbirth, too worries a woman, prevents her from living, sleeping and working, she is forced to take painkillers or antispasmodics, this is a pathology. In medicine, it is called algodysmenorrhea, and it requires the mandatory consultation of a doctor.
Strong pain during menstruation at this stage may have a different origin: the general immaturity of the body, not sustained birth stress, psychological characteristics, associated inflammatory processes, strong muscle contractions of the uterus.
Yes, in some cases this is not the norm either. If, before giving birth, a woman had unpleasant, painful sensations during menstruation, and after the birth of the baby, they passed, this is no reason for premature joy. So, something happened to the uterus, which could change the situation. In this case, you must also be sure to check with a specialist.
- Exacerbation of chronic inflammatory diseases
Endometritis and salpingoophoritis at such moments are activated and require medical treatment. You can learn about them by strong pains in the lower abdomen, by the abundance of secretions and their unpleasant, uncharacteristic smell.
- Premenstrual syndrome
It could not be in the prenatal period, or it could not be expressed so clearly. But after the birth of the baby, it appears in 90% of all women. This condition is characterized not only by gratuitous irritability, or a bad mood, or a tendency to tears, but also by a whole complex of physiological symptoms.
These include headache, chest engorgement and tenderness, allergic manifestations, fluid retention in the body and, as a result, swelling, pain in the joints, insomnia, distracted attention. Unfortunately, there is no cure for such an incomprehensible and incapacitating state.
A woman just has to learn how to manage her emotions at this stage.
- Ovarian dysfunction
They usually occur after complicated labor, when there have been bleeding, gestosis with edema, an increase in blood pressure to convulsive syndrome.
In such situations, there are frequent violations of the development of eggs, hormonal changes begin, which lead to a delay in recovery of the menstrual cycle after childbirth.
Since the case may end in bleeding, it is imperative to resort to the help of specialists.
- Unplanned pregnancy
The most common complication during the recovery period of menstruation after childbirth.
Many women either do not know or forget that ovulation occurs approximately 2 weeks before the menstruation, which means that the risk of becoming pregnant is very high.
Accordingly, you must be protected, if you do not plan in the near future another crumbs. Methods of contraception at this stage should be chosen by a doctor.
This is not all the difficulties that a woman can face when restoring the menstrual cycle after childbirth. They are much more, but they are quite rare.
In order not to allow them and not to worry because of the absence of periods for too long, it is better to resolve all your doubts in the doctor’s office. It is desirable that this was the same gynecologist who led you throughout the pregnancy.
He knows the individual characteristics of your body and the nuances of childbirth. Therefore, it is recommended to start with a medical examination, and then wait for the arrival of menstruation.
There are a number of conclusions about the dangers of detergent cosmetics. Unfortunately, not all newly-made moms listen to them. In 97% of baby shampoos, the hazardous substance Sodium Lauryl Sulfate (SLS) or its analogues is used.
Many articles have been written about the effects of this chemistry on the health of both children and adults. At the request of our readers, we tested the most popular brands. The results were disappointing - the most publicized companies showed the presence of those most dangerous components.
In order not to violate the legal rights of manufacturers, we cannot name specific brands.
The company Mulsan Cosmetic, the only one who passed all the tests, successfully received 10 points out of 10 (see). Each product is made from natural ingredients, completely safe and hypoallergenic.
If you doubt the naturalness of your cosmetics, check the expiration date, it should not exceed 10 months. Come carefully to the choice of cosmetics, it is important for you and your child.
Monthly and breastfeeding: what is the relationship
After childbirth, a woman has bloody discharge, at first abundant, and then more and more scarce. These secretions have nothing to do with menstruation and are called lochia. After about a month and a half, they disappear without a trace. When menstrual flow occurs, depends primarily on the hormonal system.
The level of hormones in the body is subject to change, and the beginning of menstruation depends on how much they are present in the woman’s body. If a woman is breastfeeding, prolactin is produced in large quantities in her body.
It drowns out the work of the ovaries, thereby preventing the restoration of the menstrual cycle. Thus, nature takes care that the feminine forces were directed primarily to the already born baby, and not to a new pregnancy.
If for some reason the woman stopped feeding, for the body it is a sign - the woman is free, you can prepare for a new pregnancy. That is why, in most cases, mothers whose children are fully breastfed do not have menstruation.
The cycle is restored when the baby is partially transferred to artificial feeding, or the supplements are actively introduced.
Thus, most often the cycle recovery time depends on the nature of the baby’s nutrition:
What else affects the beginning of menstruation?
Of course, other factors also influence the period of the beginning of the monthly, although to a much lesser extent than lactation:
- The presence of diseases slows the recovery after childbirth, and hence the monthly receive a delay.
- Difficult pregnancy and childbirth complications slow down the recovery process, which means it will take longer to wait for the arrival of menstruation.
- The level of other hormones is interrelated with the production of prolactin, and hence the beginning of menstruation.
- Proper balanced nutrition, the supply of sufficient trace elements and vitamins contribute to the full functioning of the body, which means the earliest possible recovery of the monthly cycle.
- Respect for sleep and rest accelerate recovery processes.
- The presence of stress, depressed emotional state also affect reproductive health, slowing down the recovery process of the cycle.
- The use of hormonal contraceptives can make adjustments to the functioning of the hormonal system: along with stimulating the production of progesterone, their use reduces the amount of prolactin. This means that the onset of menstruation is possible as soon as possible, but at the same time a decrease in the amount of milk produced.
- Age and number of births affect the functioning of the reproductive system. A young unworn organism returns to normal faster.
- Excess weight is not conducive to the timely onset of menstruation. The organization of women who gave birth several times, as well as those who gave birth for the first time after 30 years, as a rule, recovers longer after giving birth
Features of the menstrual cycle after childbirth
After childbirth, menstruation may be completely different than before birth, although not necessarily. It happens that their frequency, duration, nature of discharge, their intensity changes. Often they are no longer as painful as they were before.
The recovery cycle takes some time. The first periods after childbirth do not immediately become regular, the same in duration and do not always occur with the same frequency. The body takes time to restructure in a new way. On average, it takes two to three months.
Restoration of the menstrual cycle does not depend on whether the baby was born as a result of natural childbirth or after a cesarean section. However, in some cases, recovery may be delayed due to complications in the postoperative period: inflammatory processes in the uterus, as well as in the suture area.
Monthly after childbirth generally causes less anxiety.
Often, before the onset of menstruation, premenstrual syndrome catches up with a woman, even if it was uncharacteristic for her in the prenatal period. This condition is characterized by mood swings, irritability, sleep disturbances, absent-mindedness, swelling and slight tenderness of the mammary glands, fluid retention, swelling, pain in the joints, and allergic reactions.
When to worry
Regular visits to the gynecologist will help to maintain women's health in proper form. However, young mothers do not always have time to visit this specialist. In some cases, the visit cannot be postponed:
- Very heavy periods can indicate violations of the hormonal balance in the body, as well as diseases such as endometrial hyperplasia, endometriosis. One pad should be enough for 4-6 hours, but if you have to change them every two hours, this is a reason to contact a gynecologist.
- Bloody discharge after 1.5-2 months after childbirth, having an unpleasant odor, suggests the presence of an inflammatory process, entailing a number of diseases (endometritis, parametritis, colpitis, and others).
- The absence of menstruation three months after the end of breastfeeding or very scarce discharge indicates a high level of prolactin, which it was time to decline.
- Irregularity of the cycle a few months after the onset of menstruation speaks of problems in the body.
- Stinging discharge, accompanied by headache, fatigue, hypotension, swelling - signs of Sheehan syndrome, which is found as a result of damage to the pituitary gland, which is responsible for the synthesis of hormones.
- The termination of menstruation or their absence are also a signal of the occurrence of a new pregnancy, if the woman is not protected properly. Since ovulation occurs two weeks before the onset of menstruation, a woman happens and does not realize her position, assuming that the cycle has not yet recovered.
- A very short duration of menstruation (1-2 days) or very long (more than a week) may indicate the development of pathological processes (endometriosis, benign tumor, etc.) and require a mandatory consultation with a physician.
- Too painful periods may indicate the presence of disease.
What will speed up the recovery cycle
Menstruation sometimes delivers certain anxieties to a woman, so the majority do not rush things, do not strive to ensure that menstruation begins as early as possible.
The body is not yet ready for the onset of a new pregnancy, it needs time to gain strength.
However, it is important for some women to recover faster in order to be able to track the onset of ovulation and other changes in their bodies. Contribute to the early recovery cycle will be:
- the introduction of an additional feeding or feeding for a baby if the woman is breastfeeding (just remember that this should be done gradually),
- refusal of night feedings (replacement with another drink or use of a pacifier),
- full sleep and rest,
- peace of mind, calm,
- proper, balanced diet,
- active lifestyle, full walks in the fresh air.
How menstruation affects breast milk
Moms who have recovered from the cycle often worry about how changes in their body affect lactation.
With menstrual flow, the amount of the hormone prolactin sometimes decreases in the body, which reduces milk production. The quality, taste, composition of milk remain the same.
It is more often to put the crumb to his chest, so that he remains full and calm, and also drink more fluids.
Подробнее о кормлении грудью при менструации в нашей статье — Влияние месячных на лактацию: можно ли кормить грудью во время менструации.
Восстановление менструального цикла после родов оказывает значительное влияние на жизнь женщины. Indeed, together with purification at the physiological level during menstruation, it is also cleared at the mental level from negative thoughts, useless experiences, destroying quarrels and offenses. And for a young mother, it is important that in her life there is only room for positive.
Restoration of the menstrual cycle after childbirth. Monthly breastfeeding
Read the original publication at prosto-mariya.ru
After childbirth, the woman's menstrual cycle is gradually restored. This process depends on factors such as the duration of breastfeeding, physiology, age, and the presence of complications.
Monthly breastfeeding occurs when the level of prolactin in the blood that affects milk production decreases and the level of sex hormones responsible for the maturation of eggs increases.
If the duration, intensity and timing of the onset of menstruation are normal, then the woman is healthy, can conceive and give birth to a child again.
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:
- If a child is 6 months old and is breastfed, and then, in addition to breast milk, he begins to be given complementary foods (at the same time he is less likely to be applied to the breast), the mother’s menstruation appears 6–7 months after delivery as milk production decreases.
- If a woman breastfeeds her baby exclusively for 1 year or more, then her period will resume after the end of feeding.
- 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: In 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.
A number of factors affecting the recovery of menstruation after childbirth:
- daily regime,
- quality of rest,
- mom's age
- the presence of chronic diseases
- complications during and after childbirth,
- psycho-emotional state
- hormone therapy.
But the number of previous deliveries does not affect the recovery process at all.
Influence of breast and artificial feeding on the cycle
Normalization of the menstrual cycle indicates the restoration of reproductive function, and hence the possibility of conception. The feeding method plays one of the main roles here. Do you offer breasts to your baby when he is hungry or according to a regimen? Or maybe you prefer artificial mixtures? This is all reflected in the resumption of the menstrual cycle.
1. When will your period begin if you are breastfeeding.
When HBP in the pituitary gland produces prolactin - a hormone that controls the process of lactation, as well as suppressing ovarian function. Feeding by the regime provokes a violation of prolactin production, so critical days can come even after a couple of months. But when feeding at the first request, the cycle is usually restored within a year.
But keep in mind that the slightest failure in the established feeding scheme can lead to a decrease in the level of prolactin and, accordingly, to the restoration of the functioning of the ovaries.
2. When will monthly begin if the baby is bottle-fed?
As for when menstruation begins after childbirth with IV, it can happen even earlier than you thought - after 1-2 months. A caesarean section and IV delays the arrival of the first menstruation only slightly, by about 2.5 months. As you can see, the rate of recovery of hormonal background is almost independent of the mode of delivery. With mixed feeding, the period increases to 3-4 months.
The sequence of recovery of the menstrual cycle
After childbirth, the functioning of all organs and systems in the female body gradually approaches the pregenerational one. Within 6-8 weeks, there are many changes relating to the endocrine, cardiovascular, nervous, reproductive systems, as well as the work of the mammary glands.
To ensure a normal menstrual cycle, the process of involution (that is, the process of reverse development) of the uterus must occur. It consists in the following:
- the bottom of the uterus falls (first 10-12 days),
- its size decreases (lasts 6-8 weeks),
- the weight of the uterus is reduced from 400 g to 50 g (the first 7 days),
- internal pharynx is formed (first 10 days),
- the external pharynx closes, it becomes slit-like instead of cylindrical (lasts 3 weeks),
- endometrium is restored (6-8 weeks).
The rates of involution depend on your general state of health, age, the course of pregnancy and the well-being of labor, the mode of feeding, etc. Involution occurs more slowly if:
- the body is weakened
- you have given birth many times,
- last childbirth was pathological,
- disrupted sleep and rest in the postpartum period.
Features of critical days after the birth of a baby
Menstruation may differ slightly from the critical days that you had before the birth of the baby.
Answer the most popular questions of young mummies:
1. How long do they go?
The duration of menstruation remains the same. However, do not confuse with monthly physiological bleeding after childbirth (lochia). The latter begin almost immediately after the birth of the crumbs and normally last no longer than 6-8 weeks. They have nothing to do with the menstrual cycle, because they are caused by damage to the endometrium of the uterus due to labor.
2. What will be the intensity of discharge?
The nature of menstruation often changes. They can become both more abundant and poorer in comparison with the discharge during menstruation before pregnancy.
3. Will the first menstrual periods after childbirth be painful?
Many women note that with the birth of their first child, their pain has decreased, and their regularity has become more stable. However, it often happens and vice versa. Here is a mysterious female body.
4. How fast is the cycle being restored?
Usually the cycle is fully restored after 2-3 periods, but sometimes it happens immediately.
Useful tips for new mothers
1. Take a multivitamin plus a complex of all necessary micronutrients for nursing mothers, eat the most useful and varied. Your menu should include milk, cottage cheese, meat, fruits, vegetables. After the birth of the baby, the load on the nervous and endocrine systems increases, which can affect the scarcity and pain of menstruation. Therefore, in order to avoid disruption of the functioning of the ovaries, taking vitamins and healthy balanced food is the rule number 1 on our list.
2. Learn to properly organize your sleep and rest regime. Caring for a newborn is undoubtedly exhausting and time consuming. Lack of sleep and the regular lack of proper sleep at night inevitably affects the increase of fatigue, general weakness, and mood swings. This is reflected in the menstrual function. Rest when the baby sleeps during the day, and if possible get enough sleep at night.
3. Get treatment for chronic diseases of the endocrine system, if any. Diseases of the thyroid gland, diabetes mellitus, etc., can also have a negative impact on cycle violations. To avoid this, do not neglect the advice of a specialist.
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. The time of appearance depends on the characteristics of the organism.
The very first menstruation is called anovulatory. When they are from a ripe follicle, the egg does not come out. Therefore, the bag disintegrates, which leads to exfoliation of the endometrium and blood discharge. In due course all functions of an organism of the woman are restored.
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.
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 menstruation 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.
Изменение месячных по длительности (меньше 2, больше 7), скорее всего, симптомы миомы (образований из мышечного слоя матки) или эндометриоза (разрастания слизистого слоя матки). Самолечением в таких случаях заниматься нельзя.
Если месячные то приходят, то пропадают, это сигнал о патологии или беременности. 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 menstrual periods disappear 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.
Diagnosis is simple, includes blood tests for hormones. To conduct further research, consultations of narrow specialists are necessary.
If the results of studies suggest an increased hormone level and there are no other signs, then it is better to repeat the analysis in order to avoid mistakes.
You should check the operation of the thyroid gland and find out the level of the remaining elements. Computed tomography is performed in studies of the pituitary gland.
Basically, the cycle is getting better after two years of natural nutrition of the infant, but menstruation in women comes within three to four months after the birth of the child. As a result, lactation does not necessarily affect the inhibition of menstruation. Diagnosis is carried out on the basis of manifestations, testing.
Previously, women were breastfed for a long time by children, but today the introduction of complementary foods is practiced, children go on to food for adults. The occurrence of menstruation does not change the taste of breast milk.
It is possible to lower its quantity, but after menstruation, the production does not change, as before. The composition of milk also does not change, the child’s health does not deteriorate.
The behavior of the baby is influenced only by the emotional sphere of the mother, which is associated with changes in the hormonal system.
If a woman in a calm state continues to breastfeed her newborn, then nothing will change with the arrival of her period. It should be patient and not nervous over trifles. The duration of menstruation is not so long, this is not a reason for the end of breastfeeding.
In the treatment of hyperprolactinemia prescribed tablets, stabilizing the level of prolactin. As soon as prolactin is normalized, the cycle is restored after childbirth during breastfeeding.
There is a complication contributing to the disruption of the functions of menstruation - Sheehan syndrome. In the pituitary gland, cells die, then the disease develops. These manifestations occur due to severe bleeding of the postpartum period, as well as bacterial complications.
In addition, the presence of edema, hypertension, seizures is the cause of the syndrome. The main manifestations of the disease include the absence or reduction of menstruation.
The main symptoms are pain in the head, fatigue, low blood pressure, weakness in the body, weight loss, small swelling, dry skin, hair loss. Treatment is prescribed in the form of hormone therapy.
With the help of drugs compensate for missing hormones. Appointments are carried out by an endocrinologist together with a gynecologist.
Some mothers claim that milk during menstruation has a detrimental effect on the newborn. In fact, nothing happens, probably, mom just does not want to breastfeed.
Milk can change its smell and taste, but it depends on the nutrition and use of certain cosmetics by mom.
If it seemed to the woman that there was little or no milk production, it is advisable to consult a doctor for prescribing and complementary foods for the baby.
Thus, in case of violations of the menstrual cycle after giving birth, the nursing mother should go to the doctor. The absence of menstruation for a long time can be a sign of a new pregnancy. Not always a long delay indicates a problem. But do not self-medicate.