Causes of irregular menstruation after childbirth


Monthly after childbirth are normalized when the normal hormonal background is established in the woman's body. The timing of the first menstruation after childbirth is directly dependent on lactation. If the mother is breastfeeding the baby, then the period can begin about six months after the birth. This is due to an increased level of prolactin - a hormone responsible for the production of milk and suppressing ovulation. When milk consumption decreases and its quantity decreases, hormonal background is restored and menstruation begins. In this regard, many moms do start monthly after lactation stops.

The regularity of menstruation after childbirth

Often women are interested in the question of why irregular periods go after childbirth. Monthly after childbirth is indeed often irregular. This is again due to hormonal adjustment. Monthly failure of the first 3 - 4 cycles after childbirth is a common phenomenon and is within the normal range. If the regularity of menstruation after birth has not recovered during this period, it is worth contacting a doctor. Since the irregular cycle of menstruation after childbirth can signal serious problems in your body. The cause of irregular menstruation after childbirth can be:

  • hormonal disorders,
  • inflammatory process in the genitals
  • diseases of the uterus and appendages,
  • the presence of a tumor
  • and do not forget about the possibility of pregnancy.

Pregnancy after childbirth without periods

A fairly common reason for the delay in menstruation after childbirth is a new pregnancy. Due to the hormonal imbalance, a woman may well have both ovulation without menstruation and menstruation without ovulation - this often occurs after childbirth. With unreliable contraception, you can be in an interesting position again. Not every woman consciously wants, having a baby in her arms, immediately second. So babies with a difference of about a year are often tricks of irregular periods after childbirth.

The nature of menstruation after childbirth

The menstrual cycle of a healthy woman lasts from 21 to 35 days, the bleeding itself should not exceed 7-10 days. If periods after childbirth have become quite frequent, and the cycle is significantly reduced, this is a serious reason to consult a doctor.

It is believed that after delivery, not only the duration of the cycle changes, but also the nature of the menstruation. In many cases, this is true - painful menstruation becomes less noticeable. If earlier there was a failure of the cycle of menstruation, then due to hormonal and physiological restructuring, it can even out after giving birth.

Also on the nature of the month significantly affects the method of contraception. Doctors do not recommend that women who have had painful and heavy periods before childbirth, use the intrauterine device. Since it will only exacerbate existing problems. When taking oral contraceptives menstrual flow

more like a spotting and proceed almost imperceptibly and painlessly.

Women do not have to worry much about how to restore menstruation after childbirth. When the body adapts and hormonal balance returns to normal, they will definitely begin.

If the reasons for the delay in menstruation after birth are sufficiently clear, they are directly dependent on lactation. With a decrease in the level of prolactin, the body begins to function normally.

And if in the future, after 2-3 full menstruations after childbirth, the cycle of menstruation does not even out, most often it will not be possible to understand without a gynecologist, since this may indicate diseases of the reproductive system.

Causes of menstruation irregularity after childbirth

The postpartum period for each woman passes individually. Many factors can influence the recovery of the menstrual cycle after childbirth. The main reason for the prolonged period of non-regular menstruation is a change in hormonal levels. That hormones are responsible in the female body for the frequency of menstruation.

In addition to hormonal changes, failure of menstruation after childbirth may be due to heredity, physiology, or breastfeeding.

In most cases, a cycle failure should not cause concern to young moms. Experts say that the adjustment of cyclicity can take quite a long time. In some women, menstruation becomes habitual cyclical only after the cessation of breastfeeding.

In any case, when you are disturbed by failures in a menstrual cycle, visit your gynecologist in order to exclude possible pathologies.

What happens after giving birth

Immediately after the birth of the baby in the body of a young mother, the process of involution of the uterus starts. During this period, the uterus is restored to its pre-pregnant state. Typically, this period does not take much time and the body takes its original state after 2 months.

These changes affect not only the uterus itself, but also the entire birth canal. The uterus neck is restored and the internal pharynx closes. Upon completion of the process of restoration of internal organs after childbirth, the menstrual cycle should resume.

However, the monthly does not always come to the end of the 8th week. For many women, the recovery period is delayed. This does not always indicate the presence of abnormalities or pathologies. According to gynecologists, about 70% of women in labor face a delay in the recovery of menstruation after childbirth

Possible reasons for slow recovery

The reasons for slow recovery can be many. The recovery period directly depends on the woman’s health, on the presence of chronic diseases and even on the age of the woman in labor. The main reasons why the menstruation cycle after childbirth can be disturbed are:

  • The weakening of the immune functions of the body.
  • Late pregnancy.
  • Frequent birth.
  • Complicated childbirth.
  • Violations of the postpartum regime.
  • Bad food.
  • Postpartum depression.

The same reasons can cause the reverse process - too fast recovery of the uterus after childbirth, which is also not desirable, because in a healthy woman’s body everything should work like a clock. If you notice that your period after childbirth is much delayed, or vice versa came very quickly, contact your gynecologist to find out the true cause of the anomaly.

Determine the rate of postpartum discharge

Every woman after giving birth should carefully monitor their health. The main indicator by which you can determine the state of the uterus are postpartum discharge. Lochia is present in every newly mommy, it is these secretions that can tell us how the recovery period goes.

  • 1-2 days after the birth of the baby. Discharge bloody, often with clots. The color is dark brown sometimes.
  • 3-4 days after the birth of the baby. Lochia fade, become pink. Clots and blood should no longer stand out.
  • 5–14 day postpartum. At this time, the lochia becomes transparent. The intensity of discharge gradually decreases.
  • 14–21 days. The discharge is scanty, ghostly, consisting of mucus.
  • 21–28 day. Allocations must stop.

If postpartum discharge goes too plentifully, for a long time, and blood impurities do not disappear, you should immediately consult a doctor. These symptoms may indicate the development of postpartum complications.

Breast feeding and menstruation

As practice shows, the recovery of menstruation may be delayed during breastfeeding. As a result of breastfeeding, the hormone prolactin is intensively produced in the woman’s body. It is thanks to this substance in the mammary glands is the formation of milk. This hormone suppresses the production of other hormones responsible for the restoration of menstruation.

As a result of these processes, irregular periods during breastfeeding or their complete absence for a long time are possible.

If you do not have menstruation during the first months of breastfeeding, do not worry. Monthly return as soon as the baby starts to receive the first lure.

As mentioned earlier, the body of each woman is individual. For this reason, there can be no clear timeframe for restoring the menstrual cycle absolutely for all young mothers.

First menstruation

Many women complain that when the first periods after childbirth appear, they are especially painful. These complaints are not always adequate. Most often, experts write off this reaction of young mothers to the fact that they simply forgot their feelings during menstruation.

However, the first periods after the birth of a baby may differ significantly from the usual menstruation. The period of bleeding, intensity of discharge and general sensations may change. The second period may come earlier or, on the contrary, with a delay. This should not cause much concern. The normal cycle is restored within 3 months after the first menstruation.

In order for the process of resuming menstrual periodicity to take place as naturally as possible, gynecologists recommend abandoning contraceptives for a while and using condoms until complete recovery. In this case, you can clearly track the entire process of the recovery period and notice dangerous deviations in time.

Consult a doctor if:

  • After the start of menstruation, there was a delay that lasts more than 4 months.
  • When menstruation lasts longer than 8–9 days.
  • Menstruation is accompanied by severe pain in the lower abdomen.
  • There is an unpleasant smell in the discharge.

These symptoms can signal the presence of inflammatory processes, postpartum complications, and infectious diseases.

Physical exercise

The issue of physical activity in the postpartum period is discussed constantly. Women are not recommended to abuse exercise in the first 2–4 months after giving birth. Further, if your doctor does not limit sports, you can take up your figure closely.

However, when menstruation comes, it is recommended to reduce power loads. This does not mean that you need to give up daily charging. This means that you can not overstrain the body, so as not to cause heavy bleeding. In the days of menstruation, you can practice calm sports such as yoga, easy running, stretching, etc.

Particular attention to their health should be given to women undergoing operative labor. Their menstruation is restored at the same time as women with regular childbirth. The only requirement is a minimum of physical exertion, until the seams are healed. Also, women after cesarean section need to be carefully protected. Experts do not recommend getting pregnant again after surgery for 2 years. This time is usually enough for the uterus to heal completely.

Also, all women after childbirth is not recommended to rely on contraception from breastfeeding. This protection method works when certain rules are followed. The slightest deviation from them can lead to re-pregnancy.

Many women in the postpartum period are prone to unreasonable anxieties about their health or the health of the infant. This is especially true of young mummies, in whom it was the first birth. Doctors strongly recommend to calm down and not panic at the slightest occasion. If something really bothers you, consult a doctor, only a specialist can adequately assess your condition and, if necessary, prescribe the correct treatment.

Menstruation after childbirth - when to expect?

What time is the occurrence of menstruation after birth? Long absence of menstruation is observed when breastfeeding a baby. Even if there is no milk, all the same monthly for some time will not appear.

They will resume, as a rule, 1-2 months after the birth of the child, provided that the woman does not breastfeed. Such an early appearance is due to the fact that, with the lack of breastfeeding in such mothers, the level of the hormone prolactin in the body does not rise.

Mothers who have breastfed milk have the exact opposite. This explains the later occurrence of regular menstruation during breastfeeding.

The time of appearance of the next menstruation during breastfeeding varies depending on the individual physiological characteristics of the female body.

Monthly, appeared after childbirth, most often occur without the process of ovulation. Maturation of the follicle containing the egg cell occurs, but it does not come out of its capsule. Therefore, the bag, in which the follicle is located, further disintegrates, which causes detachment of the endometrium, and this, in turn, causes the release of blood.

After some time, the reproductive function of women to be restored. But she should be very careful if the next pregnancy after the birth of the child is undesirable for her, since the long absence of menstruation does not exclude the possibility of conception.

The appearance of the next menstruation causes such factors as:

  1. The presence of a chronic disease
  2. Disorders in the endocrine system.

Factors affecting menstruation after childbirth

Health of the nervous system, as often in women you can observe a change in the psychological state, such as postpartum depression.

The causes of postpartum depression can be such factors:

  • The social status of women, confusion in personal family life,
  • The late age of the woman in labor and many other factors
  • The effect of cesarean section on menses.

After applying such an operation, the menstrual cycle can be broken. This is explained by the fact that cesarean section is associated with a large number of complications than with ordinary obstetric aid.

The most common complication is the development of endometritis (inflammation of the lining of the uterus). Provocative of the development of the disease is the contact of the uterus with the air when cutting the abdominal cavity. Even with all the proper safety measures in the operating room, it is not easy to achieve absolute sterility. It is clear that with natural childbirth such a process is impossible. The development of endometritis contributes to infection in the seam.

In addition to this disease with caesarean section, there are other complications inherent in all abdominal operations:

  • Peritonitis,
  • Thrombophlebitis,
  • Blood infection and others.

In order to avoid this kind of reaction, after childbirth, all women undergo a course of antibiotic therapy.

Irregular periods after childbirth through caesarean section may be due to a violation of the process of uterine contraction, which is caused by the presence of the scar.

When such reactions of the organism to an operation occur, a woman must necessarily appear to a specialist. He will prescribe the appropriate therapy, and this will help protect the body from many problems.

Monthly problems after delivery

The problems associated with the appearance of irregular menstruation after birth are quite common. They are associated with the presence of exacerbation of chronic inflammatory diseases, or with the occurrence of complications in the postpartum period.

Another reason for which menstruation does not last long is the psychological status of the woman in labor.

Violations with caesarean section are of several types:

  • As a rule, heavy discharge during menstruation due to the presence of inflammatory processes in the internal genital organs, or with infection of the body during childbirth. It should be noted that monthly is considered abundant in the event that the pads for blood discharge is less than 4 hours. In the event of such a phenomenon, a woman should know that the amount of blood lost by her is not considered normal, and the gynecologist should be contacted as soon as possible, since the organism can reach a high level of anemia as a high level of blood lost. Symptoms such as severe dizziness, headache, weakness and even loss of consciousness may occur.
  • The second problem is very scanty periods after childbirth. This manifestation also indicates the presence of an inflammatory focus in the internal genital organs of a woman. It should be noted that the cycle recovery process proceeds with slightly different indicators of blood loss, but not to a large extent.

The occurrence of long or on the contrary short for the duration of menstruation after childbirth also indicates problems in gynecology. In the event that menstruation lasts more than a week or less than two days, then it indicates a failure in the body of a woman. This phenomenon is often observed in the presence of a benign tumor in the uterus, called myoma or endometriosis. In no case do not resort to the methods of traditional medicine and do not make the diagnosis yourself. In this case, only a specialist will help you, otherwise the consequences will be irreparable.

Postpartum period - how is recovery going?

Regular periods after childbirth can be established immediately, but this is rather a rare case. Often the regularity of menstruation is achieved in 4-5 months after the first regulalov. If a woman’s period is irregular again after this period, she should immediately contact a gynecologist.

Иногда задержка месячных может сопровождаться дальнейшим обильным выделением крови при менструации. Такое бывает при нарушении гормонального фона роженицы. More often, a complication of this kind occurs in women whose gestation in the second part of the pregnancy was unfavorable, and the childbirth itself was difficult.

It should be noted such phenomena as:

  • bleeding
  • puffiness
  • high blood pressure
  • the presence of seizures.

Women who are faced with such complications during pregnancy should be under the supervision of a gynecologist.

In order to draw a conclusion from the foregoing in this article, it should be pointed out that every woman who has irregular periods should be observed by a doctor. In no case can not engage in self-healing.

To restore the childbearing function after childbirth should follow a number of rules:

  • Clearly plan the mode of work and rest,
  • Pay attention to the full duration of sleep,
  • Take frequent walks in the fresh air,
  • Balance your food. Include more products containing vitamins. The menu should contain meat and fish dishes, cereals.

Compliance with these recommendations will help the female body to undergo the process of optimal recovery after childbirth.

Irregular periods during lactation

Normalization of the regularity of menstruation after childbirth is a process that is determined by the swiftness of the restoration of hormonal levels after birth. This is related to how breastfeeding occurs.

The decisive role played by prolactin, which affects the production of milk. At the same time, the hormone suppresses ovarian function, and prevents the maturation of the follicles and the appearance of the egg. Therefore, when breastfeeding often for a long time, periods do not start.

When the baby is exclusively breastfed, menstruation appears only at the end of lactation. When breast milk and complementary foods are present in the baby’s diet, the recovery period is reduced to four months, then excretions return to normal.

If a woman observes an irregular cycle of menstruation after childbirth during lactation - this is the norm and should not cause the termination of breastfeeding of the baby.

When menstruation is restored, there is a disappearance of milk, it is worth starting the introduction of complementary foods. The first supplement is prescribed by the pediatrician after screening.

Irregular menstruation at caesarean section

Irregular cycle after childbirth due to cesarean section. This is explained by the fact that during the operation a number of complications occur, which are absent during natural childbirth.

One of the problems is endometritis - inflammation of the uterine mucosa. As a rule, its occurrence is caused by air contact with the mucous membrane of the uterus. It is impossible to avoid this even in sterile operating rooms. With natural childbirth such a phenomenon is excluded.

Can there be a failure of menstruation after childbirth? Yes, one of the reasons for its occurrence is the infection of the postoperative suture, which contributes to the development of endometritis. If the bleeding after childbirth has stopped and started again, thrombophlebitis, peritonitis, sepsis can be complications.

As a preventive measure for women in labor after a cesarean section, the gynecologist prescribes bactericidal therapy. An irregular menstrual cycle is caused by a violation of the involution of the uterus due to the presence of a postoperative scar on it, which prevents the required reduction. When the consequences of surgery, the woman in labor must consult with a gynecologist.

Pathology treatment

The basis of therapy for recovery is the identification of the cause of the disorder, as well as the prescription of drugs and procedures that help to eliminate them as completely as possible. For women who have reached the age of 45, menstruation is irregular for a long time. This is due to the physiological unpreparedness of the body and its possible depletion.

Irregular periods after childbirth requires the appointment of drugs in the absence of pregnancy. To this end, the gynecologist initially determines the cause. The key method of treatment used in such situations is the use of drugs.

  1. administration of oral contraceptives, intramuscular infections,
  2. in the case of inflammatory processes - antibiotics,
  3. curettage of the uterus when polyps
  4. surgery, removal of cysts.

With effective therapy for an irregular menstrual cycle, a fundamental change in the patient's lifestyle is required. The treatment consists of total abstinence from smoking, refusal from diets, grueling exercise, reducing stress. All this helps to restore the regularity of the monthly without the use of drugs.

Loop recovery

Herbal medicine methods are also used to renew critical days. A woman is recommended to drink broths and tinctures of St. John's wort, vervain, motherwort. This method of treatment is quite acceptable for young patients who do not have serious pathological disorders.

You should not forget about good nutrition, that food must be high-calorie. Proteins should be present in the diet, as well as foods rich in easily digestible carbohydrates. Any tough, debilitating diet is strictly contraindicated in case of irregular menstrual cycle.

If possible, a woman should avoid stress at work, at home, if necessary, the gynecologist prescribes a spa treatment. The advantage in such a situation is given to spa resorts.

American doctors recommend that women with a delay in menstruation do headstand. Such a simple physical exercise contributes to the activation of blood circulation processes in the pelvic organs, which is a stimulant for the onset of menstruation. A similar effect causes exercise "birch".


The consequences that prevent the restoration of regular monthly after childbirth, is infertility. Violation of the cycle is accompanied by a lack of ovulation - the egg does not leave the follicle and does not enter the ovarian tissue.

Less often there are cases when there is a lack of hormones of the second phase, which makes pregnancy almost impossible - the probability of miscarriage, premature birth is high. In order to avoid such complications, the gynecologist recommends that the patient be tested for the determination of ovulation.

If the change in the menstrual cycle is associated with STDs, treatment begins immediately. Such diseases pose a threat to the female body. Launched gonorrhea causes infertility: as a result of inflammatory processes, fallopian tube adhesions are formed, which makes conception impossible.

Disruption of hormonal background, causing menstruation, provokes the development of tumors in the mammary glands. Not rarely, by the age of 40 women are diagnosed with mastopathy.

The fact that after the birth of the menstrual cycle is broken, many women know. It takes time for normalization of hormonal levels to take place regularly.

The birth of a child requires respect for health. Therefore, when the first complaints appear, you should immediately contact a medical institution for advice. One of the reasons for visiting a gynecologist is irregular periods after childbirth.

When menstruation comes after childbirth

Answering the question of when menstruation begins after childbirth is quite difficult, since the timing of menstruation recovery for each woman is individual and depends on many factors, such as the woman’s age, her health and psycho-emotional mood, pregnancy and childbirth, and the presence or absence of breastfeeding.

If the baby is on artificial or mixed feeding, menstruation comes within a few months after birth. In women whose child eats only breast milk, menstruation usually begins after the introduction of complementary foods or later. This is explained by the fact that for the appearance of milk in the mammary glands of the women who gave birth, the hormone prolactin is intensively produced.

It is thanks to him that the menstrual periods after childbirth in breastfeeding women on demand are absent until the number of feedings is reduced or lactation is complete, because prolactin not only controls the excretion of milk in women, but also suppresses ovulatory function, preventing the maturation of the egg and its exit from the ovary .

The arrival of menstruation after childbirth also depends on the method of birth of the child. Monthly after childbirth by caesarean section usually begin later, because in this case the woman needs more time to recover due to the presence of a suture on the uterus or infectious complications after surgery.

Many women naively believe that the absence of menstruation after childbirth allows you to have sex without protection, but this is a completely wrong approach. As mentioned above, the period of arrival of the first menstruation after the birth of a child is very individual, especially since it comes a few weeks after ovulation.

If fertilization occurs during unprotected contact, the woman will not even know about the pregnancy until the first signs appear. Therefore, it is imperative that you protect yourself during breastfeeding by first selecting the best way for you with your doctor.

Recovery of menstruation after childbirth is usually cyclical, but in the first few months there may be some deviations, such as an increase or decrease in the length of critical days, a change in the amount of blood secreted (too heavy a month or very scarce), delays, hemorrhage.

The rate of resumption of menstruation after childbirth is influenced by the age of the mother, her physiological parameters, concomitant diseases, sleep and rest, and nutrition. The course of critical days after birth often changes. If a woman could have a painful menstruation before pregnancy, pain can disappear after giving birth.

The cycle is also normalized, in many women endometriosis disappears (pathological proliferation of the endometrium outside the uterus), ovarian cysts undergo, libido increases. But it happens that when restoring a cycle after childbirth, there are a number of problems that can either resolve on their own with time, or require the advice of a doctor and the appointment of treatment.

Irregular periods after childbirth

Recovery of the menstrual cycle after pregnancy and childbirth is often accompanied by certain problems. Some of them may disturb a woman for the first few cycles and then stop, but if the pathological conditions continue for a long time, this is a reason for going to a gynecologist.

Problems with a menstrual cycle which the woman can face after the delivery:

  • profusion of menstruation after childbirth

The rate of blood loss during menstruation is about 50 ml per day. Measuring the amount of menstrual flow is quite difficult, so this is usually done using the number of used pads. If you have to change hygiene products more often than once every one and a half to two hours, you should consult a gynecologist for advice, as this may indicate uterine bleeding. Also very abundant periods after childbirth often indicate the development of endometriosis.

Too scanty menstruation after childbirth, when menstrual flow comes out in very small quantities and ends within 1-2 days, may indicate endometrial pathology - postpartum endometritis (inflammation of the mucous layer of the uterus) or hormonal disorders.

  • duration of menstruation after childbirth

How much should go monthly after childbirth? The resumption of menstruation after pregnancy and childbirth is sometimes accompanied by longer menstrual flow - more than 7 days - or vice versa, very short - 1-2 days. If this condition continues for a long time, it is necessary to make ultrasound of the pelvic organs and undergo an examination by a gynecologist. Also should be alerted by prolonged weakness and dizziness during menstruation.

  • brown daub or black periods after childbirth

The appearance of bloody discharge before and after periods of dark brown or black is usually a symptom of endometriosis or adenomyosis. This is a rather complex hormone-dependent disease, characterized by a pathological proliferation of the endometrium of the uterus beyond. Very often, for those who suffered from endometriosis before pregnancy, it passes after giving birth, but for some it appears the other way around.

In addition, sometimes brown daub before and after menstruation may indicate the presence of inflammatory processes in the pelvic organs or indicate a hormonal failure.

  • pain during menstruation after childbirth

Painful menstruation after birth is very common. Pain can be caused by any inflammatory processes in the small pelvis, endometriosis, or developmental pathology of the reproductive organs. If the pain is so strong that they require medication and violate the usual rhythm of life, you should consult a doctor.

There is also a reverse situation when the pain during menstruation in women giving birth pass. Often this is due to the physiological elimination of the causes that led to the appearance of pain, for example, such as the bend of the uterus, adenomyosis.

  • delayed postpartum

The menstrual cycle after childbirth is not established immediately, usually it takes several months, so irregular periods and delay after childbirth is a frequent occurrence. The explanation for this is the stabilization of the hormonal background of the woman and the restoration of the work of all her organs after her pregnancy.

  • exacerbation of chronic inflammatory diseases of the pelvic organs

During menstruation often exacerbation of chronic infectious diseases of the genital organs - colpitis, cervicitis, endometritis, salpingoophoritis, and after childbirth, when the uterus - a continuous wound - even more so. Symptoms of inflammatory processes in the pelvis are abundant discharge, sometimes with an unpleasant odor, abdominal pain, fever.

  • postmenstrual syndrome

After childbirth, some women begin to be disturbed by premenstrual syndrome (PMS), which manifests itself in increased irritability, tearfulness, bad mood, headache, insomnia and tenderness in the mammary glands. There is no cure for PMS as such; you can only alleviate your condition by taking sedative herbs, light sedatives and doing yoga and sports. But if these symptoms are expressed too acutely - this is a reason to consult with a specialist.

How to adjust the menstrual cycle after childbirth

To restore your health as quickly as possible after giving birth, you need to follow simple guidelines:

  • observe sleep and rest

A good physical and emotional state of a woman after the birth of a child favorably develops on restoring her body, so try to walk more, relax with your child, do not refuse help from loved ones, periodically distract from household chores to stay in good spirits and avoid postpartum depression.

Hormonal background is better restored with full and proper nutrition. Consume more vegetables and fruits, herbs, dairy products, cottage cheese, cereals, meat and fish. Regularly engage in at least easy sports. All this will strengthen the body's defenses and allow you to quickly enter into the former rhythm of life.

  • avoid taking hormone pills

After birth, you should not resort to this type of contraception, as hormonal contraceptives. The hormonal background of the woman who gave birth recovers for at least several months, for someone it takes several years.

Oral contraceptives can disrupt the natural course of events, which will lead to a failure in the synthesis of hormones and as a consequence of health problems. Only a competent gynecologist-endocrinologist after a series of tests and research can pick up a COC.

Thus, the restoration of the cycle after childbirth is a purely individual process and depends on a large number of various factors. If you have any problems with menstruation after the birth of a child, you should consult with your doctor in order to avoid complications and the development of complications.

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Causes of brown menses
Causes of brown discharge before and after menstruation, in the middle of the cycle. Why after menstruation smears brown.

Nastya April 30
Hello. Bore in December. Monthly went somewhere in 3 months. After childbirth. Now 8 months baby. She began to breastfeed less and there is no menstruation. Maybe this is due to the fact that she began to feed less?

Svetlana [Expert] May 01
While breastfeeding, the cycle may not be regular.

Katya April 30
Good evening breastfeeding 1.6 years, monthly went immediately as she stopped feeding. Very plentiful and with pain. Now the middle of the cycle after 5 months. There is a selection of brown, not strong. Spoiled. What could it be. I signed up with a doctor. Very worried.

Svetlana [Expert] 01 мая
Возможен гормональный сбой, киста, эрозия, полипы, разные варианты. Сходите на осмотр к гинекологу, сделайте узи

Юлька April 30
Hello. Моей дочке год и семь месяцев. Я кормлю грудью до сих пор. Первые месячные после родов у меня начались когда ребенку был год уже. Пока восстановился цикл. В последние три месяца,они идут в срок, только вот первый день чуть чуть выделения и всё.And only on the third fourth plentifully go. Or, as today, the second day of menstruation, abundantly half a day and gone, the stomach pulls as usual, and just a weak discharge. I have a child still active GW. This is generally normal. Or is something wrong ??

Svetlana [Expert] May 01
While breastfeeding, it's all in the normal range.

Jeanne April 30
Hello, I gave birth in January and after the birth I had menstruation for 28 days and in February 14 days came the first menstruation, in April only brown discharge came and what does this mean? I breastfeed

Svetlana [Expert] May 01
The cycle is just set

Evgenia April 30
Hello. I gave birth 5 months ago. After birth, menstruation did not come for several months. And last month, came the first menstruation. But I studied at the medical college, and there the midwife told us that the first 5 days after the menstruation, and 5 days before her, the girl could not get pregnant. And after the first menstruation on the 5th day with her husband there was unprotected sexual intercourse. And this month, the delay is already 7 days. Tests show a negative result. And sensations as before menstruation and during them are present. All this time I am breastfeeding. Tell me, is it ok? And is pregnancy still possible?

Svetlana [Expert] May 01
Nonsense! Like an adult girl, you need to somehow more seriously treat the issue of protection. After 5 days after menstruation, the time most favorable for conception, t ovulation occurs. Pregnancy is likely and quite, guv is not a way of protection

Anna April 30
Good day. Bore in January, monthly were once in March. I breastfeed, after the previous two births, the periods began after 2-3 months without delay. Tests are negative, after birth began to gain weight. Is it worth running to a gynecologist, or is it too early to panic?

Svetlana [Expert] May 01
To panic early, the cycle is not yet established because of GW

Irina April 30
Mens. started after 7 months. after childbirth, the cycle was like before birth - extended (33-35 days), six months later, barely smearing in the middle of the cycle for 2-3 days began .. And so it was 7-8 cycles in a row. Over time, the cycle shortened, 31 days, the next 30, 30, then another couple of 29, and two more each of 28 .. and the last one is 27 days (half a day later and 28). All this time, on guv, a child is 2 years old .. I am frightened by such a shortening of the cycle, or is he thus striving for an ideal 28 .. What could it be?

Svetlana [Expert] May 01
While feeding, all this is within the normal range.

Leysan April 30
Hello)))) I have had the last monthly periods in February from 5 to 10, and in March and April were not. I feed from birth breast. Could it be like that?

Svetlana [Expert] May 01
Yes, while breastfeeding, your period may be irregular.

Axana April 30
Good afternoon, I gave birth 8 months ago, I stopped breastfeeding 4 months ago, after 10 days my monthly (10) days went, they lasted). In January they were not there, they went on February 6, now the end of March is not there again, a week ago the test showed a weak second strip, and now nothing at all. P / a was unprotected all this time and on the days of ovulation too

Svetlana [Expert] May 01
Well, if the pas was unprotected, then the probability of pregnancy is high. Hand over analysis for beta hCG

Inna April 30
Hello! A child of 6 months, on IV since month. There were 3 cycles. 1) 20- 3 days 2) 30-5 days 3) 29-6 days. Now a delay of 7 days, (37 d.ts.) tests are negative! P.A. was in p. Can I be pregnant? And after what time you need to apply to the railway station. ? (How many days are delays normal in my case?)

Svetlana [Expert] May 01
PA was protected or not? Do another test after a week and a half, if the months do not come, contact the LCD

Marina April 30
After the birth, almost 8 months have passed, the first periods came at 2 months after delivery, the baby eats the mixture. Until now, the monthly is not regular, the maximum delay was 8 days. Can a cycle take so long to recover or is it something else?

Svetlana [Expert] May 01
Delays of up to 5 days are considered normal. Refer to the gynecologist, take the tests for hormones.

Julia April 30
Good evening. 4 months. The baby was on gv.v this time was sex, the child switched to mixed feeding. Menstruation began. It was once. It's 32 days now. Previously, the cycle was 25-28 days. After the menstruation and until today there was no sex. Very worried. Can I be burdened?

Svetlana [Expert] May 01
HB is not a way of protection, and breastfeeding does not protect against pregnancy ... But since the menstruation was and after it there were no unprotected PAs, the pregnancy is unlikely. Your cycle is just being set.

Karina April 30
Hello. Please help me figure it out. 4 months passed after giving birth, she stopped breastfeeding 2 months after giving birth and immediately went monthly, before that they started 3 days earlier. Now 10 days delay, did the test (negative)

Svetlana [Expert] May 01
Perhaps the hormonal background has not been established yet, for the first time there may be delays.

Nastya April 30
My child is 4 months old, I have a delay for the second month, can I be pregnant?

Svetlana [Expert] May 01
You can. If you are breastfeeding on demand, the probability of pregnancy is low, but there is a high risk of pregnancy if the baby is in the feed.

Marusya April 30

There was no month after childbirth, the child was 1 year and a month. Last month was the first monthly, and this month is a delay of 3 days, tests are relative. Child on gv I'm afraid of re-pregnancy ... But in the days of ovulation sexual intercourse was not ....

Svetlana [Expert] May 01
Breastfeeding periods may be irregular, it is absolutely normal. There are places to be delayed. The cycle returns to normal within 3 months after completion of the GW. But since hormones jump, the calendar method of calculating ovulation is very unreliable for protection, I advise you to use condoms to avoid re-pregnancy

Alina April 30
In 6 months after birth, my period came with me, and now there are already 12 days. there was no misfire. today buy a test. scary because after kc. I hope just fail.

Svetlana [Expert] May 01
If you are breastfeeding, it is quite normal, because the hormones have not yet stabilized after childbirth. If lactation is completed, then it is necessary to consult a gynecologist for advice and exclude pregnancy.

ghoul April 30
after giving birth after 6 months, the first month was given, but then the negative pregnancy test disappeared. I can not

Svetlana [Expert] May 01
If you are breastfeeding, it is quite normal, because the hormones have not yet stabilized after childbirth. If lactation is completed, then it is worth contacting a gynecologist for advice.

Article author: Svetlana Sargsyan
Symptoms, treatment and prevention of various diseases, psychology and other women's topics - this is something that I am interested in studying and sharing with you! Read my articles, watch the video and ask any questions in the comments, always open to discussions. My contact e-mail: [email protected]

How and when are the first periods?

If a woman goes monthly after childbirth, it does not mean that they will be regular the first time, and the cycle is fully resumed. Monthly sometimes restored very long. There may be a delay, and the second periods will go much later. To begin regular periods, must pass at least 3 months from their beginning.

The first irregular periods go from 3 days to a week. They can be plentiful and long or, on the contrary, scanty and short. It should be prepared that the cycle after childbirth may change, and the monthly will be irregular for some time.

If the previous periods were abundant, they can turn into scanty and vice versa. The type of contraception chosen after childbirth also influences profuse periods. So, you need to be careful with the uterine spirals, as they can cause heavy bleeding.

Do not rush and wait for the monthly began, and the cycle resumed the first time. Everything has its time. Your body knows better how long it takes and when the cycle will fully resume. Irregular, abundant or scanty monthly rate for this period.

If there is a delay?

If the cycle is irregular for six months after childbirth, and the bleeding is heavy and does not go away after 8 days, you should consult a doctor. This may be inflammation of the genitals.

In female athletes, the cycle may be irregular and several months after the start of menstruation. It is not recommended to engage in heavy loads after childbirth, because the body has not yet returned to normal. How much time it takes to recover, and when you can start training, depends on the individual condition of the woman.

Sometimes exercise is contraindicated due to difficult childbirth or complications. Exercises can cause heavy bleeding the first time, which a woman can later distinguish from lohii.

Bleeding risks

Sometimes after delivery from the first time there may be a risk of bleeding. It can be distinguished by the fact that the menstrual flow is rather scarce compared to it. Bleeding can go within a month after childbirth.

There are other symptoms that can identify pathological bleeding:

  • fever, fever,
  • bleeding with an unpleasant odor,
  • gaskets change every hour
  • bleeding does not change color in a few days.

The reasons that a woman in labor begins to bleed a few days or months after childbirth can be:

  • poor blood clotting,
  • if remains of the placenta or membranes of the fetus remain in the uterus, healing does not occur, and bleeding begins after 1-2 days,
  • the uterus is loose, distended, as a result of which it is poorly reduced. In this case, the bleeding can be scanty in the form of individual portions or in a continuous stream.

Bleeding does not need to be ignored. How long they will go is unknown, and the delay can be fatal for a woman. Yes, and to distinguish bleeding from menstruation is not difficult.

If the monthly irregular, do not need to panic ahead of time. But you should not postpone the visit to the doctor if you are worried about other symptoms. It is better to solve the problem from the first time than to shelve it for fear of your health.

Irregular menstruation in the postpartum period

The appearance of the menstruation itself depends on the type of feeding of the child. Feeding can be exclusively breast, mixed and artificial. During the period of breastfeeding, the hormone prolactin is produced. Its level depends on the frequency of feeding and the duration of the lactation period as a whole.

With artificial feeding, the first menstruation most often occurs within a few months after delivery. In the case of breastfeeding, periods may begin with the introduction of complementary foods or one year after delivery. With regard to mixed feeding, in this case, the first postpartum menstruation may occur by the fourth or fifth month of life of the baby.

The first few cycles are often irregular. For a complete recovery should take some time and resources of the body. Menstruation may differ from those before pregnancy: the volume changes, the duration of discharge, the cycle itself can change its length.

It often happens that before pregnancy, a woman hardly endured menstruation due to pronounced pain syndrome, large blood loss, and characteristic premenstrual symptoms. After childbirth, all negative symptoms disappear like a bad dream, hormones return to normal, and uterine curvature is adjusted. The cycle after childbirth is aligned, continuing the average number of days (26-28).

Causes of irregular menstruation after childbirth

To restore the monthly there is no difference between cesarean section and natural childbirth, of course, if there are no complications. Common causes of menstrual irregularities after childbirth include the following conditions:

  • depletion of the body
  • re-pregnancy
  • individual characteristics,
  • developed postpartum complications,
  • inflammatory diseases of the genitourinary system,
  • tumors in the pelvic area,
  • hormonal disbalance,
  • hyperprolactinemia,
  • pituitary adenoma,
  • Sheehan syndrome,
  • taking some drugs
  • endocrine disruption

If menstruation recovers longer than four cycles, then you should consult a doctor: a gynecologist and an endocrinologist.

The problem of irregular menstruation after operative delivery

The main difference between cesarean section and natural childbirth is the incision and suture on the uterus. In addition, the risk of postpartum complications increases:

  • suture infection,
  • big blood loss
  • development of adhesive disease,
  • endometritis,
  • hematomas in the area of ​​the scar,
  • seam divergence
  • ventral hernia,
  • diastasis of the abdominal muscles
  • complications caused by anesthesia, including epidural.

The likelihood of such complications is small, but higher than with natural childbirth. The consequences associated with the use of epidural anesthesia are still relevant in obstetrics.

The scar left on the uterus helps to reduce the contractility of the organ and reduce its strength. If there has been a history of endometriosis and other inflammatory diseases, the likelihood of uterine rupture during subsequent pregnancies and childbirth arises.

How to speed up the recovery of menstruation

First of all, if there were complications during childbirth, they must be cured together with the attending doctor. Timely access to a doctor significantly reduces the likelihood of the situation getting worse. For the early resumption of the monthly it is necessary to follow some recommendations:

  • enrichment of the diet with essential products
  • taking vitamin complexes
  • metered exercise,
  • hormonal control,
  • avoidance of stress, emotional exhaustion,
  • consumption of sufficient water per day,
  • regular sex life.

The implementation of the above tips will significantly improve the condition of the body and reproductive organs, in particular. The positive trend from the implementation of the recommendations will not be immediately visible, it will take at least a month or more. A good option for recovery after childbirth will be sports: swimming, yoga, Pilates. Do not interfere with physiotherapy exercises together with a massage.

Postpartum syndrome, which is also called depression, can adversely affect the state of the nervous system. A psychologist and herbal teas, perhaps light soothing preparations from natural ingredients, will help in the struggle for psychological comfort.

To prevent impaired microcirculation in the groin, you need to choose the right underwear. Preference should be given to bras for nursing mothers and natural fabric panties that will not squeeze blood and lymphatic vessels. If you follow the recommendations, after some time the irregular cycle is sure to recover.

What hygiene products to use after childbirth

Some women have problems choosing hygienic devices for postpartum discharge. It is recommended to use postpartum pads or special absorbent laundry during lochia.

After the establishment of menstruation, you can use the usual means. For example, let's say a menstrual cap. It consists of medical grade silicone and is used in the same way as a tampon. It lasts about five years. Such a cap is economically beneficial, hypoallergenic, with its use it is possible to measure the volume of blood loss.

It must be remembered that during menstruation it is necessary to change hygiene every three hours. This is due to the fact that blood is a suitable medium for the reproduction of pathogenic flora that can cause various inflammatory diseases of the genitourinary system. Since the immune forces of the body can be significantly weakened after giving birth, neglect of intimate hygiene can have serious consequences for a woman’s health.

In addition, during critical days it is necessary to wash more often than usual, it is best to use gels for intimate hygiene. Their advantage is to keep the pH of the vagina in the normal range and delicate care.


After birth, periods may be irregular. For the formation of the cycle, it is necessary to return the body to its former state, normalize the hormonal background, and this takes time. The birth of a child requires a more attentive attitude of the mother to her health than before, because having children is a big responsibility for them and for herself. In this regard, when there are alarming symptoms and complaints, you should seek medical advice. One of the reasons to visit a gynecologist may be irregular menstruation.