Since pregnancy and childbirth is a very complex physiological process that affects all systems of vital activity, the menstrual cycle is not immediately restored after giving birth, and for each woman individually. To understand better how this process occurs, when menstruation begins after childbirth, and what needs to be done to normalize, you need to briefly highlight such a concept as the menstrual cycle.
What is the menstrual cycle and its phases
The menstrual cycle is the period from the 1st day of one menstruation to the 1st day of the next. For all women, it is different and lasts from 21 to 36 days, and sometimes more. In healthy women, it is constant and runs like a clock - day to day.
The menstrual cycle is divided into 3 phases, each of which is characterized by specific processes in the sexual, endocrine and other systems, including the nervous and cardiac.
- 1st phase. At this time, the pituitary gland sends a signal for the production of estrogen, which provides loosening of intrauterine tissue. In the ovaries, the follicle is maturing, inside of which is an egg cell. At the end of this phase, the ripe follicle bursts and the egg begins its journey.
- 2nd phase. During this period, progesterone is released into the body, which prepares the uterine layer (endometrium) for the adoption of a fertilized cell, the movement of which through pipes comes to an end. If it is fertilized, it enters the villi of the inner wall of the uterus, its development begins and pregnancy begins.
- 3rd phase. If fertilization has not occurred, the level of progesterone begins to decline sharply, the endometrium is rejected and exits in the form of bleeding. The first day of menstruation begins a new cycle.
If the pregnancy has come, hormonal changes take place in the female body, which will now work to preserve the fetus. At this time, there are no monthly periods, i.e. physiological amenorrhea occurs.
Restoration of the menstrual cycle after childbirth
After giving birth, the work of the endocrine glands gradually returns to normal. This period begins after the release of the afterbirth and lasts normally 6-8 weeks. At this time, complex physiological processes take place in the body, some are aimed at restoring the state after pregnancy, others - at the beginning of work of the mammary glands - of lactation.
Restoration of the menstrual cycle after childbirth is the synchronous work of the ovaries and uterus, which should be reduced. In the first 2 weeks of the postpartum period, the uterus descends by 10 mm per day and after 2 months can take a normal size. In non-lactating women, this process can occur a little faster. The duration of the normalization of the uterus may increase for several reasons:
- After pathological childbirth.
- The "old-aged" women - i.e. those who give birth for the first time after 30 years.
- In weakened by the disease or "part-carrying" women.
- Bad psycho-emotional background.
- Adverse living conditions - malnutrition, lack of sleep, etc.
If everything goes well, then already after 7-8 weeks a healthy woman can begin the first menstruation after childbirth.
Causes of violations
If the period when menstruation arrives comes, and they are delayed, what could be the reason? If normalization does not occur, do not panic, and immediately consult a doctor to find out what the problem is, which can only be determined by a specialist.
Sometimes it happens that the menstrual cycle after birth is not restored quickly enough due to breastfeeding. This can happen because during lactation the pituitary gland produces a special hormone - prolactin, which suppresses ovarian function and the process of ovulation. The same hormone can cause menstruation irregularity, their scarcity or vice versa, abundance, i.e. normal picture may be distorted.
Since the time, after how many months after childbirth begin individually, it is impossible to hope that it is you who, since ovulation does not occur, pregnancy may not occur. No wonder gynecologists say that prolactin can suppress this process, or it may not suppress, because the human body is extremely complex, and no one will take it with confidence about what kind of reaction a particular woman will have.
If the menstrual cycle is not restored after childbirth, and a new pregnancy is completely excluded when examined by a gynecologist, other causes of disorders can be considered. Among them should be noted:
- Hormonal failure and, consequently, lack of estrogen.
- Emerging or chronic infectious diseases.
- Inflammatory processes that have arisen in the uterus, ovaries, tubes.
- Cystic changes of the ovaries.
- Frequent stress or excitement of a young mother.
- General weakening of the body, lack of sleep, poor nutrition, etc.
- Postpartum complications.
- Sheehan's syndrome or pituitary apoplexy.
For many, it happens that the mother is breastfeeding and at the same time begins feeding from a bottle, in which case the periods will begin in 3-6 months, but they will be irregular.
As you can see, there are many reasons, but a specialist should be engaged in their search.
Menstrual Restoration Tips
If the doctor did not find serious causes of menstrual irregularities after childbirth and treatment is not required, he will most likely give advice to normalize the woman’s life and diet. And when menstruation comes after childbirth, the question will be removed by itself.
Since the young mother has dramatically increased the load on the nervous and endocrine systems, she needs to provide the body with essential trace elements and vitamins. The doctor will prescribe the necessary medicinal complexes, and the woman herself should monitor her diet, including meat and dairy products, vegetables and fruits. Meals during this period should be complete, which is necessary both for the baby and for the woman's health in order to restore the menstrual cycle.
If during the period of pregnancy chronic diseases were observed, it is necessary to deal with their correction, but strictly under the supervision of a physician.
It is also necessary to adhere to sleep and wakefulness, the woman's body should receive proper rest. And although it is difficult to do this with a small child, do not hesitate to ask close relatives to help you, and if there is no such opportunity, try to rest more while the child is sleeping.
Remember, the more correctly and in the best conditions a woman lives, the faster the body will recover and the monthly periods after the birth of the child will go, and this is the key to women's health.
When menstruation comes after childbirth
Almost all doctors say that the full menstrual cycle returns to normal after breastfeeding stops. This is a completely natural process observed at the time when women breastfed their baby for 2 or even 3 years. At the same time they fed the child only on request. About 20 years ago, nursing mothers could completely forget about their periods for a long time.
Today, in most cases, things are as follows:
- breastfeeding up to 6 or 12 months,
- there is a huge choice of food for kids,
- practiced early start of lure.
Also the fact that the female endocrine system begins to function "abnormally", can affect drug delivery, hormonal contraceptives, and other factors that together can affect the time of the onset of menstruation after childbirth, so to say when it happens with an accuracy of one week is impossible. In each case, it is individual. However, if menstruation began 4 months later or 2 years after delivery, then in both cases it is considered normal.
How quickly the recovery of the body of the woman has given birth is influenced by many factors, namely:
- how old is a woman
- what state is her health
- what are the features of lactation, and whether a woman breastfeeds,
- how the child-bearing period and the childbirth process flowed,
- are there any concomitant diseases.
There are several reasons for slowing the reverse development of the uterus (involution):
- the body is weakened
- This is not the first birth,
- Mommy over 30 years old gave birth to the first time
- the history of childbirth is burdened
- violation of the rules of the postpartum regime
How do menstruation begin after childbirth
For many women who have given birth, normalization of the regular menstrual cycle takes relatively little time. When the first 2 months of the onset of menstruation occurs ahead of time or, on the contrary, there is a delay - this is considered the norm.
There is a lot of speculation regarding the menstrual cycle and the time it takes to restore it. Many women are of the opinion that how the process of normalization of the menstrual cycle proceeds will necessarily be influenced by the way the baby was born. However, this is not the case. The onset of menstruation has no connection with whether a cesarean section took place or whether the birth was natural.
The menstrual period after childbirth causes less discomfort associated with pain than before the woman became pregnant. This is because the pain during menstruation has a direct connection with the uterus bend, which is a cause of impaired normal blood outflow. The abdominal organs somewhat change their position after the woman gives birth, and, most importantly, the bend is fully extended. Therefore, the pain during menstruation is practically not felt.
A large number of women such discharge as lochia is taken for menstruation. Lochia is mucus mixed with blood clots. Such secretions appear due to injury to the membranes of the uterus. They are abundant and have a rich red color only the first few days after birth. After 7 days, the discharge becomes significantly less, and they change their color to brownish. Every day the number of allocated lohia decreases, because the healing of the uterus mucous membrane occurs. As a rule, the allocation of lohia can last 1.5–2 months, after which they disappear.
The beginning of menstruation in the woman who gave birth is not a signal that her body is ready for a new pregnancy. It takes at least 2 years for it to fully recover. Experts advise only after so much time to plan the next pregnancy. In this regard, contraception should be used, even if the postpartum menstruation has not yet begun.
How is the restoration of the menstrual cycle
In the woman who gave birth in the body, all systems and organs gradually begin to work in the same way as before the onset of pregnancy. In the first 1.5–2 months, changes occur in many systems, for example, in the cardiovascular, sexual, endocrine, and nervous systems. And changes occur in the mammary glands.
In order for normalization of the menstrual cycle to occur, it is necessary that the process of uterus reversal development (involution) is completed. Involution sequence:
- the first 10–12 days - lowering of the uterus,
- within 1.5–2 months - reducing the size of the uterus,
- the first week - a decrease in the mass of the uterus from 400 to 50 grams,
- the first 1.5 weeks - the formation of internal throat,
- within 3 weeks - it takes so much time to close the external os, it changes its shape from cylindrical to slit,
- for 1.5–2 months - restoration of the endometrium.
The speed of the process of uterus regression depends on the state of health of the woman, on her age, on how the pregnancy proceeded and on the birth itself, on the way the baby was fed, etc. This process slows down when:
- weakening the body
- repeated childbirth (i.e., a woman has given birth several times),
- pathological last childbirth,
- violations in the mode of rest, as well as sleep in the postpartum period.
The onset of menstruation after childbirth
The presence of various diseases, the level of hormones, the frequency of stress and several other causes can influence the duration of the first postpartum menstruation. But the most important place here is occupied by how full lactation is. For the first time postpartum menses can tentatively begin:
- If breastfeeding is complete and supplemental feeding is not used, the first menstruation will begin after the lactation period ends. However, after the child turns 1 year old and continues to breastfeed, in this case, the onset of menstruation may well occur.
- If there is too little milk and the baby is fed with milk mixtures, then for the first time menstruation may occur after 4–5 months, even if breastfeeding is not stopped. In this case, prolactin is produced less, and it affects the ovaries much less.
- Very often full artificial feeding occurs. Some of the moms do not want to breastfeed themselves, while others have certain health problems. In this case, the first postpartum menstruation occurs in 6–8 weeks.
- If the baby was born as a result of cesarean section, the time of appearance of the first menstruation is directly dependent on breastfeeding, provided that the woman has no complications. The first postpartum menses will begin after breastfeeding is stopped or from the time of complementary feeding.
How does the cycle of artificial feeding and breastfeeding
The body's ability to reproduce is fully restored when the menstrual cycle returns to normal. This suggests that a woman can now become pregnant again. The way a baby is fed has a direct effect on the cycle. Breast feeding occurs on demand, and maybe on a schedule? Or maybe milk formulas are used to feed it? At what time is the first menstruation after childbirth when breastfeeding and artificial mixtures:
- The production of prolactin in the pituitary gland occurs only when breastfeeding. This hormone has the ability to suppress ovarian function, and it is also responsible for lactation. If mom feeds the baby according to the regimen, then this hormone is produced in violation and therefore menstruation can begin approximately 8 weeks after delivery. If the woman feeds the baby on demand, then the restoration of the menstrual cycle occurs within 12 months. However, one should not forget that even a not very large deviation from the scheme used for breastfeeding on demand may cause a decrease in the amount of prolactin in the body. As a result, the functioning of the ovaries begins to recover relatively quickly.
- With artificial feeding, the first postnatal periods can begin in 4–8 weeks. If a caesarean section has been performed and the baby is fed with artificial mixtures, then a slight delay may occur, and the first periods will begin 10 weeks later. The way in which the baby was born, does not affect the cycle very much. If the baby is breastfed and artificially fed, then the first menstruation in this case should be expected 3-4 months after birth.
- Lack of postpartum menstruation.
If breastfeeding was discontinued or the baby is fed artificially, but there is no menstruation, this may be a sign of health problems. This can be caused by various diseases of the reproductive system, for example: endometriosis, postpartum pathologies, tumors, inflammation of the ovaries, etc. And this may also be due to the fact that the woman became pregnant again. It should be remembered that the restored menstrual cycle is not a sign that the body is ready for conception. A new pregnancy often causes a depletion of the mother's body, and the fetus may also suffer. All doctors recommend re-becoming pregnant only after 2-3 years after the last birth. In this case, the body will have time to fully recover. The risk of conception can be reduced by taking care of protection in advance. Do not forget that breastfeeding is not a method of contraception.
- Irregular menstruation after childbirth.
Restoration of the body in each woman who gave birth occurs in its own way. If the onset of menstruation is irregular, then this indicates a hormonal adjustment. As a rule, everything returns to normal after 2 or 3 cycles. Irregular menstruation after the third cycle indicates the presence of the same diseases as in the complete absence of menstruation. And it may also be due to hormonal imbalance. If there is a delay, then this suggests a possible conception.
- Abundant postpartum menstruation.
The amount of discharge from each woman is different. It is possible to understand whether their abundance is normal, after comparing with the volume of discharge that was before the woman became pregnant. Also, the presence of health problems can speak duration of menstruation for more than 1 week. Если в течение полутора недель у женщины наблюдается кровотечение насыщенного красного цвета, то ее могут госпитализировать. Нормой считается длительность месячных 3–7 суток, при этом женщина не должна терять более 150 мг крови.
In order to prevent the emergence of complications and possible health problems, it is imperative to go to the doctor if there is even the slightest suspicion.
After the birth of the baby, the resumption of menstruation means a return to the normal activity of the endocrine glands. It all starts with the fact that there is a gradual cleansing of the uterus. This period lasts for six to eight weeks and is accompanied by the release of lohia. Gradually, the restoration of the functions of the mammary glands. Cardiovascular and nervous systems return to normal.
To resume the menstrual cycle, the following processes must occur in the uterus:
- The return of the body to its original size. Such a process is called involution. It passes quite quickly due to the active contraction of muscles, the contraction of blood vessels and the breakdown of intracellular proteins.
- Involution is associated with the prolapse of the uterus. This process occurs in the first ten to twelve days after delivery. Every day the bottom falls by about one centimeter, and on the 10-12th day it is already below the pubis.
- Reducing the mass of the body. Seven days after birth, the weight of the uterus is reduced to four hundred grams. After six to eight weeks, it already weighs no more than sixty grams.
- Contraction of the cervix. Closure of the internal pharynx occurs in the middle of the 2nd week after delivery. External pharynx is formed only after 2 months. If before the birth, the opening of the external pharynx was round, now it takes the form of a transverse slit.
Causes of Slow Recovery
Recovery of menstruation may be slow. This happens for a number of reasons. These include:
- marked weakening of the body after pregnancy and childbirth,
- having more than three pregnancies
- the first birth of a woman over thirty years old
- generic activity with complications
- violations of the postpartum regime
- mom's bad food
- the presence of postpartum depression.
If the patient thinks that the resumption of the menstrual cycle is slow or, on the contrary, menstruation came early, then you should visit the doctor and understand the reason for what is happening. An experienced doctor will answer the question how much will the body regeneration go and how long may it not be monthly after childbirth.
Do not be afraid of the fact that within five to six weeks after the birth of the baby, the woman goes to the discharge. They are called lochia. Every day the nature of uterine secretions changes:
- In the first two days, discharge is copious, scarlet, with clots. During this period, there is an active contraction of the uterus. On the second or third day, the intensity of the discharge decreases slightly, but the lochia is still bloody. Perhaps the appearance of pain when feeding a baby (by increasing the contractile activity of the uterus).
- On the third or fourth day, the lochias change shade. They become pink-red, less abundant.
- Ten days after giving birth, the discharge becomes light in color and becomes liquid, pinkish. Every day their number decreases.
- In the third week, lochias become scarce, smearing.
- After five to six weeks, the discharge should stop altogether.
Lochia persisting for more than 6 weeks after delivery is a sign of the development of complications. In this situation, you should immediately consult a doctor. The appearance of an unpleasant odor, impurities of pus in the vaginal secretions is also a reason for the gynecologist to appear.
It is well known that menstrual periods after childbirth with breastfeeding (HB) come later. This condition does not apply to pathological processes. But there are two options for the development of events:
- Menstruation begins only after completion of breastfeeding. This phenomenon can be explained by the fact that in the female body during HB there is a lot of prolactin. It is this hormone that stimulates the production of breast milk and inhibits the activity of the ovaries, with the result that the egg does not mature. Often the monthly with GW come at the moment when the child is given the first complementary feed (after six months).
- The second option - the restoration of menstruation after childbirth after eight weeks. This process is also not a deviation. In this case, the first menstruation is usually anovulatory. That is, the follicle at the same time matures and ruptures, but the egg does not come out, since it does not exist. After that, the vial undergoes a reverse development, as a result of which disintegration and rejection of the uterine mucosa occurs. Later on, the restoration of the cycle begins after childbirth, and the menstrual function is fully resumed.
In practice, it also happens that menstruation came after childbirth, and then disappeared and went again after two months. This condition is also the norm, since ovulation does not always occur during the first menstrual periods.
It should be noted that the first menstrual periods after childbirth can be scanty and short (not more than three days). The fact is that the mucous membrane of the uterus has not yet had time to fully recover. But with subsequent cycles everything will be as before.
If a woman goes monthly after childbirth, it does not mean that it’s time to breastfeed. There is an opinion that when menstruation begins, the child refuses to breast himself. There is some truth in this. But it is caused not by a change in the taste of milk, but by a change in mother's smell.
If we talk about artificial feeding, then in such a situation the cycle will be able to normalize within six to eight weeks after giving birth.
Features of the menstrual cycle after childbirth:
- Irregular (if the woman feeds the baby with breast milk).
- The nature and volume of discharge varies (in the first months, menstrual bleeding can be abundant).
- Ovulation on the background of HB does not always occur, and many cycles are anovulatory.
- The average cycle time can increase up to 35 days or more. The gap between menstrual bleeding increases.
- The intensity of the pain may be different. Many women note that menstruation after childbirth is easier and is not accompanied by PMS.
An unstable cycle in a nursing mother is a variant of the norm. After weaning the baby, the cycle will return to normal without additional therapy.
Menstruation after cesarean section
Often, the menstrual cycle after delivery with a caesarean section differs from those of menstruation that were before pregnancy. Such changes may concern regularity, soreness and volume of bleeding during the menstruation period.
Abundant or very scarce, irregular periods after childbirth suggest that something is amiss in the body, consultation of a gynecologist is required.
Re-pregnancy should be avoided within two years after surgery. It is necessary to choose the correct method of contraception, after consulting with a gynecologist.
An artificial interruption of pregnancy during the first year after cesarean section will also not benefit the woman.
Monthly problems after delivery
After the menstrual function is restored, a woman may experience several problems. These include:
- The irregularity of the cycle. No need to worry if during the first six months after birth the periods have not been established. Menstruation may be delayed from two to seven days. This is considered normal as the body tries to recover.
Irregular periods may occur during breastfeeding. The whole process depends on how much prolactin is secreted in the body to produce milk. If mom has a lot of milk, the ovarian function fades a little. As soon as its quantity decreases, appendages take over.
Women can worry and a long absence of menstruation after childbirth. If the patient is breastfeeding the baby, then you should not worry. Monthly can not come to the end of the lactation period. However, after childbirth with breastfeeding and the absence of menstruation it is necessary to use methods of contraception. Often a woman thinks that if she is breastfeeding and has no menstruation, she cannot become pregnant a second time. This opinion is wrong, because the ovaries still reproduce the egg.
- Change the duration of the cycle. Many women wonder how much the cycle is restored after childbirth. In ninety percent of cases, the cycle duration varies and can be from twenty to thirty-five days. Too frequent periods after childbirth are also considered a deviation, because this may indicate the presence of endometrial hyperplasia and other gynecological pathology. This problem arises due to hormonal failure.
- Change the duration of menstruation. During normal operation of the body, they should last from three to six days. If menstruation is shorter than two days or more than a week, you need to visit a doctor. In some situations, this may be a signal of the presence of uterine fibroids or endometriosis.
- Change the amount of discharge. On average, the amount of discharge per day should not exceed one hundred and fifty milliliters. To determine this parameter, you need to follow how often there is a change of gaskets. One gasket should be enough for four to six hours.
- The presence of pathological secretions. If the patient has a failure of the menstrual cycle against the background of the appearance of unusual vaginal discharge (turbid, with an unpleasant odor), you should see a doctor. This may be a symptom of inflammation of the uterus (especially in combination with fever).
- Pain. Severe pain during menstruation with a violation of the general condition are called algomenorrhea. Severe pain can occur due to reasons such as:
- the immaturity of the body
- postpartum depression
- inflammatory processes
- Unplanned pregnancy. To avoid this problem, the patient needs to choose methods of contraception.
- Premenstrual syndrome. In most cases, PMS after childbirth proceeds more easily or disappears altogether, but this is not always the case. PMS can be expressed not only in the form of increased irritability or bad mood, but also in the form of other symptoms:
- breast engorgement and tenderness,
- mood swings
After the menstruation comes, all unpleasant symptoms stop. Therefore, a woman needs to learn how to control herself so as not to harm herself and the baby.
Loop Recovery Tips
Many women ask the doctor how to restore the cycle, if the monthly do not go long.
Recommendations of specialists in this situation:
- Avoiding stress. Having a baby is stressful for the body. Perhaps the development of postpartum depression. To avoid this, close people should be nearby.
- Receiving infusions of sedative herbs (only after consulting a psychologist or a neurologist).
- Use of reliable contraceptive methods.
- Balanced diet.
- Breastfeeding for at least six months.
- Reception of vitamin complexes.
- Daily execution of simple exercise.
Subject to such measures, the menstrual cycle is fully normalized six months after delivery. The absence of menstruation in a nursing woman 6 months after delivery is also a variant of the norm.
Many young mothers are interested in how much the first periods go and when the organs and systems are fully restored. Only an experienced specialist will be able to answer these questions, based on the characteristics of the patient's body. If the cycle is not restored although all the time has passed, you should receive a course of treatment at the gynecologist.
The sequence of the recovery process
How is the recovery of menstruation after childbirth, why are there complications? During gestation of a child, all the glands of the endocrine system work in a strengthened mode, after giving birth a gradual return to the former rhythm occurs. This period takes from 6 to 8 weeks.
The size of the uterus decreases, the external pharynx closes, the mammary glands and milk production increase. The rate of recovery processes depends on the woman's age, the presence of concomitant diseases, the peculiarities of pregnancy and lactation.
The body is slowly recovering in the following cases:
- pathological childbirth,
- cesarean section,
- violation of postpartum mode,
- late first childbirth in girls over 30,
- nervous disorders
- climate change, hot summer,
- in women who gave birth many times or there was a small gap between the birth of children.
How long are the periods after childbirth, how intense should they be? After the release of the placenta, the regeneration of the uterine mucosa begins. In the process of healing, lochia secretes with a characteristic odor; in the first days they appear mixed with blood. After two to three days, their color changes to pink-yellow. On day 10, the discharge becomes transparent, liquid without bloody content. 20–25 days after birth, discharge stops completely.
If regeneration is delayed, then the duration of critical days and the amount of blood lost increases. There may be a blockage of the pharynx with lochia (lohiometer), which causes the development of the inflammatory process. To eliminate the pathology prescribed medication, washing the uterus.
How many are missing monthly after childbirth
Why there are no periods after childbirth, what is the reason? Normally, menstruation stops during breastfeeding of the baby. In the body of a woman there is an increased production of prolactin when the baby is attached to the breast. It is this hormone that is responsible for the increase in the mammary glands, the secretion of milk, its maximum concentration in the blood is noted from 3 am to 7 am. Therefore, it is important to feed the baby at night and express the breast when there is an excess of milk or skipping the feeding.
Prolactin inhibits ovulation, for this reason, menstruation should disappear during lactation. Due to this, the body gets the possibility of regeneration after childbirth and eliminates the possibility of a new pregnancy.
Most often, the menstrual cycle is restored after 3–6 months, but in some cases amenorrhea can last up to 1–1.5 years. This process depends on the individual characteristics of each woman. In some cases, pregnancy occurs when a nursing mother does not suspect that ovulation has occurred. Critical days still do not come, but this is connected with the conception of a new life.
When menstruation begins after childbirth, why are there no spotting? Menstruation occurs when the baby begins to lure or transferred to infant formula. If there was no lactation, the child received only artificial nutrition, then there are monthly periods a month after birth.
Monthly after childbirth without lactation
When do menstruations come after birth during artificial feeding of the child and how long do they last? In women who do not breastfeed, the menstruation cycle after delivery should recover at 6–8 weeks. The work of the ovaries is fully normalized, and the follicle and egg cell mature.
When will menstruation come after childbirth, if a woman breastfeeds her baby for a short time? Menstruation should usually begin 1 month after cessation of lactation or the start of complementary feeding. In some girls who breast feed a baby, periods can come after 3 months, this is not considered a pathology, but refers to the physiological characteristics of the body.
What to do if there is no menstruation a year after giving birth, when regulations should appear? In the case when the child was breastfed all this time, such a condition (physiological amenorrhea) is considered normal. If, after cessation of lactation, menstruation does not begin in a month, you should consult a doctor.
After how many after childbirth begin monthly, are there any changes? Most of the girls after the onset of menstruation, there are changes for the better. The menstrual cycle becomes regular, the pain and symptoms of PMS disappear. The reason is the change in the position of the uterus, the organ occupies a physiological position, in most cases the bend disappears, because of which the outflow of blood is hampered.
But if painful, irregular periods after childbirth are observed, it is necessary to go to the doctor. The reason may be endometriosis, the formation of tumors, inflammatory diseases of the appendages, hormonal failure.
The main cause for concern should be that there is no menstruation after childbirth, even after giving up breastfeeding. There may be scant, spotting dark brown or black, sharp, cramping pain in the lower abdomen. Such disorders cause a high level of prolactin. Excessive secretion of the hormone occurs against the background of hypothyroidism (hypothyroidism).
Pathology is diagnosed in women who have been breastfed for more than 1.5 years, in women of asthenic physique and women who have suffered from menstrual disorders before pregnancy. To accurately determine the reasons why the delay of menstruation after birth, you need to consult with an endocrinologist, gynecologist, pass a blood test for the level of prolactin and thyroid hormones in the blood, make ultrasound of the reproductive organs, thyroid gland.
Features of the first menstruation
How do the first periods begin after childbirth, after weaning a baby, why does the stomach hurt badly? Usually, before menstruation, follicle maturation occurs, but without the release of an egg cell (anovulation). The second periods after childbirth occur after the onset of full ovulation.
The cycle can be normalized immediately or in 3-4 months. Minor delays are allowed at this time. But if after this period the regulations are not restored, it is necessary to visit a gynecologist.
How many days go after childbirth, what features are observed, does the duration of critical days increase? The norm is a cycle that lasts 3-5 days. If the discharge is too abundant, it does not stop longer than 7 days or, on the contrary, it is scarce, these are symptoms of pathology.
The appearance of bloody bleeding before the onset of menstruation and after its termination also indicates the development of diseases of the reproductive organs or hormonal imbalance.
The first periods after childbirth, when the stomach is in pain, can be caused by the body's immaturity, psycho-emotional state, inflammatory processes and excessively intense contractions of the uterine walls. But more often, menstruation is painless, even in those women who previously suffered from dysmenorrhea.
Painful periods after childbirth bother girls with a history of endometriosis, endometritis, adnexitis. Critical days cause exacerbation of chronic diseases. At the same time there is abundant blood loss, discharge may have an unpleasant odor, contain clots, mucus or pus.
Menstruation after pathological delivery
How long after childbirth begin periods, if the birth was pathological? If a woman suffered various abnormalities while carrying a child, there was a threat of miscarriage, fetal hypoxia and gestosis were observed, then after the birth of the baby, ovarian dysfunction may occur due to the failure of hormonal regulation.
When do menstruation after childbirth come with complications, and what are the symptoms of a malfunction of the reproductive system? Each patient who gave birth with a caesarean section is restored in different ways, so when the menses begin, only a doctor can say. Signs of pathology include:
- dysfunctional bleeding,
- critical days can begin 2 months after delivery, regardless of the mode of feeding,
- deterioration of general well-being,
- there may be a delay in menstruation,
- acne on the face and body
- irritability, apathy.
When should menstruation go after childbirth if a cesarean was done? Menstruation begins at the same time as other women, but the uterus will recover longer due to surgery. Reguli normalize a little longer if there is a disruption of the ovaries, beginning the infectious process.
General recommendations in the recovery period
To the first menstruation after childbirth began on time and without complications, it is necessary to fill the deficiency of trace elements and nutrients in the body. To this end, it is useful for moms to take pharmaceutical vitamin complexes, to make a balanced menu.
Caring for a newborn takes a lot of energy, but for a woman it is important to ensure proper rest. Chronic lack of sleep, fatigue can lead to poor health, disruption of the endocrine system. This, in turn, disrupts the menstrual cycle.
In order for the onset of menstruation after childbirth to occur without delay, girls suffering from chronic diseases of the thyroid or pancreas (hypothyroidism, thyrotoxicosis, diabetes mellitus) should be regularly examined by the attending physician, adjust the dosage of drugs, in time to stop the pathological process that began.
In order for the first menstrual periods after childbirth to begin in time, and no complications arise, it is necessary to follow the recommendations of the doctor during the recovery period, to undergo a preventive examination by a gynecologist, to treat concomitant diseases in time. A regular menstrual cycle after childbirth is a symptom of a woman’s health and the ability to conceive and carry a healthy baby.
The menstrual cycle and its phases. The first menstruation after childbirth and possible complications. Restoration of menstrual function after cesarean section.
One of the signs of normal recovery of the female body after childbirth is the return of the regular menstrual cycle, which does not always go smoothly. What happens to the basis of the reproductive function of a woman after the birth of a child and how dangerous are the complications arising from this?
The sequence of recovery of menstrual function
After the birth of the child, the work of all the endocrine glands, as well as all other organs and systems, returns to its pregenerative state. These important changes begin with the expulsion of the afterbirth and last for about 6-8 weeks. During this time, important physiological processes take place in a woman's body: almost all changes that have arisen due to pregnancy and childbirth in the genitals, endocrine, nervous, cardiovascular and other systems take place, and the function of the mammary glands develops and flourishes, which is necessary for breastfeeding .
The normal menstrual cycle is a well-coordinated mechanism of the ovaries and the uterus, so the process of restoring the work of these organs is inseparable. The process of involution (reverse development) of the uterus occurs quickly. As a result of the contractile activity of the muscles, the size of the uterus decreases. During the first 10–12 days after birth, the bottom of the uterus drops daily by about 1 cm. By the end of the 6–8th week after birth, the size of the uterus corresponds to the size of the non-pregnant uterus (for lactating women, it may even be less). Thus, the mass of the uterus by the end of the first week decreases by more than half (350-400 g), and by the end of the postpartum period is 50-60 g. Just as quickly, the internal pharynx and cervical canal are formed. By the 10th day after birth, the canal is fully formed, but the outer pharynx passes even for the tip of the finger. The external pharynx closure is completed completely at the 3rd week after delivery, and it acquires a slit-like shape (before birth, the cervical canal has a cylindrical shape).
The speed of involution may depend on a number of reasons: the general condition, the age of the woman, the characteristics of the course of pregnancy and childbirth, breastfeeding, etc. The involution can be slowed down in the following cases:
- at weakened and many times giving birth to women
- in primiparous over 30 years old,
- after pathological delivery,
- with the wrong mode in the postpartum period.
After separation of the placenta and the birth of the afterbirth, the uterine lining is a wound surface. The restoration of the inner surface of the uterus usually ends by the 9-10th day, the restoration of the uterine mucous membrane - on the 6-7th week, and in the area of the placental site - on the 8th week after delivery. In the process of healing the inner surface of the uterus, postpartum discharge - lochia appears. Their character changes during the postpartum period. The nature of lochia during the postpartum period varies in accordance with the ongoing processes of purification and healing of the inner surface of the uterus:
- in the first days of lochia, along with the disintegrating particles of the inner lining of the uterus, contain a significant admixture of blood,
- From the 3rd-4th day, lochia acquire the character of a serous-blood-like fluid — a pinkish-yellowish,
- by the 10th day, the lochia becomes light, liquid, without blood admixture, their number gradually decreases,
- from the 3rd week they become scarce (contain an admixture of mucus from the cervical canal),
- on the 5-6th week the discharge from the uterus stops.
The total number of lochy in the first 8 days of the postpartum period reaches 500-1400 g, they have a specific smell of rotten leaves.
With slower backward development of the uterus, lochia secretion is delayed, the admixture of blood lasts longer. If the internal pharynx is blocked by a blood clot or as a result of the bending of the uterus, there may be an accumulation of lochia in the uterus, a lohiometer. The blood accumulated in the uterus serves as a nutrient medium for the development of microbes; such a condition requires treatment — the use of drugs that reduce the uterus or, along with this, wash the uterus.
In the postpartum period, the ovaries also undergo significant changes. The reverse development of the yellow body, the gland that existed in the ovary during pregnancy at the site of the egg, released into the abdominal cavity, and then fertilized later in the tube, ends. The hormonal function of the ovaries is restored completely, and the maturation of the follicles, the vesicles containing eggs, begins again. normal menstrual cycle is restored.
Terms of recovery of the menstrual cycle
Most non-nursing women experience menstruation on the 6th – 8th week after childbirth. In lactating women, mostly menstruation does not occur for several months or during the entire period of breastfeeding, although in some of them the menstrual function resumes soon after the end of the postpartum period, that is, 6-8 weeks after childbirth. Here you should not look for norm or pathology, since the timing of the restoration of the menstrual cycle after childbirth for each woman is individual. This is due, as a rule, to lactation. The fact is that after childbirth in the woman’s body, the hormone prolactin is produced, which stimulates the production of milk in the female body. At the same time, prolactin inhibits the formation of hormones in the ovaries, and, therefore, prevents the maturation of the egg and ovulation - the release of the egg from the ovary.
If the baby is fully breastfed, that is, it feeds only on breast milk, then the mother’s menstrual cycle is often restored after the start of complementary feeding. If the child is mixed feeding, that is, in addition to breast milk, the baby’s ration includes mixtures, then the menstrual cycle is restored within 3-4 months. With artificial feeding, when the baby receives only milk formula, menstruation is restored, as a rule, by the second month after childbirth.
After the birth of a baby, the young mother increases the load on the endocrine and nervous system. When breastfeeding increases the need for vitamins, minerals and trace elements, which are necessary for a woman for the proper functioning of the ovaries and the production of hormones. With their deficiency problems such as scanty or painful menstruation may occur. Therefore, women after childbirth are encouraged to take multivitamins with a complex of trace elements for nursing mothers and good nutrition, including dairy products, meat, vegetables and fruits.
In addition, caring for a newborn takes a lot of time and effort from a young mother, it must be remembered that the lack of a full night's sleep, lack of sleep can lead to increased fatigue, weakness, and sometimes even depressive states, which also adversely affect the formation of menstrual function. In this connection, it is necessary to make up your regime so that the young mother has time to rest during the day, if possible to save the night time for a good rest.
As mentioned above, the presence of chronic diseases can also adversely affect the formation of menstrual function, especially diseases of the endocrine system (thyroid, diabetes, etc.). Therefore, in the postpartum period, it is necessary to carry out the correction of these diseases in conjunction with specialists, thus avoiding menstrual disorders.
In conclusion, I would like to note that the restoration of normal menstrual function after childbirth is one of the main conditions for a woman’s future health. Therefore, any problems associated with its violations should be solved together with the doctor.
The menstrual cycle - the time period from the beginning of the month to the beginning of the next day. The process is characterized by cyclical and biological complexity of regulation. The phases of the cycle prepare the female body for a possible pregnancy, but if the fertilization process has not occurred, menstruation occurs.
Another option - fertilization occurred, the woman became pregnant. The body changes, hormonal changes take place, the goal of which is now to preserve the pregnancy. During the period of gestation of the offspring do not go monthly.
After nine months of pregnancy, the child is born, and the female body begins to restore functions. The hormonal balance is normalized, organs and systems return to normal functioning, as it was before conception.
All changes during pregnancy and after childbirth are physiological, and recovery lasts up to two months. All organs and their systems come to normal. However, the mammary glands change: their functional development is focused on the process of breastfeeding of the newborn.
Restoration of the reproductive system after childbirth begins with the reduction of the uterus. Then a cervical canal is formed, and the external pharynx closes. The duration of the process depends on various factors:
- the number of postponed childbirth,
- body capabilities
- correct mode
- pathological childbirth.
Women who give birth several times often have a weakened body and recover longer. Birth for the first time after 30 years, postponed pathological childbirth feel physiological changes harder, to return to normal takes more time. Doctors advise to follow the postpartum regime, significantly accelerating the resumption of antenatal functions.
The duration of recovery depends on the method of feeding the child. An important factor in this - lactation.
The cycle time is different for women who are nursing and not breastfeeding. The reason for this is associated with the production of prolactin. The hormone causes the female body to produce milk, and the mother's body directs forces to feed the newborn. And since the birth has already happened, a new conception is not supposed. Based on this “logic”, prolactin inhibits reproductive function, and with it monthly.
Non-breastfeeding moms, whose babies feed on mixtures, mark the onset of menstruation for 6–8 weeks after giving birth. Prolactin in this case does not suppress the development of the egg, and the first menstruation begins after birth. The specified period is considered average.
Mothers who breastfeed their babies only note that menstruation may begin after the introduction of complementary foods. Prolactin controls the formation of milk, suppressing hormonal processes in the ovaries, and those who breastfeed for over a year do not have menstruation. But there are opposite cases: when breastfeeding is adjusted, the periods can start from 3-4 months after the baby is born.
Lactating mothers are advised to undergo regular gynecological examinations to detect pregnancy, invisible in the absence of critical days, and the diagnosis of possible diseases.
Another case is mixed feeding containing breast milk and complementary foods. The representatives of the weaker sex, connecting these types of baby food, mark the onset of menstruation in a period of 3 to 4 months. The reason is that in this case a smaller amount of prolactin is produced.
Recovery of menstruation after cesarean section and independent labor is slightly different. The time of appearance of critical days and the normalization of the cycle are the same, but there are additional factors that change the described process:
- psychological state,
- food quality,
- possibility of rest, sleep duration,
- age of laboring woman
These factors affect the time of onset of menstruation, the period of arrival of which strongly depends on the characteristics of the organism. The duration of postpartum recovery cycle is always individual.
Doctors advise to adhere to the basic recommendations. The body of the mother who gave birth to the child has special needs. It should be enough to relax, do not exhaust yourself physically. To establish the functions of the ovaries, mammary glands, reduce vitality and microelements to reduce the pain of menstruation. But the course and drugs should be prescribed by the doctor.
Get the right vitamins can eat right. Nutritionists advise to use lean meat products, better boiled, good to drink plenty of milk. The most useful cereal is oatmeal. Thermally processed fruits and vegetables are also considered useful. Nursing mothers are advised to avoid allergens in food.
Newborns require attentive care, but do not forget about the health of the mother. Stable, restful sleep helps to avoid overwork, weakness, psychological depression. Lack of sleep reduces the ability to quickly restore the menstrual cycle. Night sleep and daytime rest will support the health of the young mother.
An important tip is to get tested on time. In the postpartum period, chronic diseases are activated, new ones may appear. Не наладившиеся менструации после родов, обилие выделений, длительные задержки, продолжительность месячных более десяти дней – всё это очень серьезные основания, заметив которые стоит обратиться к доктору.
Рождение ребенка сильно изменяет организм женщины. Normalization of the monthly cycle is a complex process that takes a different amount of time and is determined by the individual characteristics, as well as the state of health of the young mother. It is important for a woman to eat healthy foods, maintain a good mental attitude, relax, then the restoration of reproductive function will be faster and without complications.