No period after pregnancy when to worry not breastfeeding

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No period after pregnancy when to worry not breastfeeding

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An underrated perk of pregnancy is all those months that you don't have to deal with a period. As someone who suffers from horrible cramps come menstruation time, I really appreciated the respite during my pregnancy. I had hoped it would continue long after birth, because I'd heard there are a few reasons your period may be slow to come back after baby. Unfortunately, my body was eager to get back on track — I got my first postpartum period just four months after my daughter was born.

It's worth noting that the timing of a period's comeback varies from women to women. Belly Belly noted that non-breastfeeding moms may see their period return within 10 weeks , while nursing moms might get it back by around 20 weeks. And, unlike me, some women may welcome the return of their period. After all, the return of your period means you're ovulating and can potentially get pregnant if you're already pumped for baby number two. Not to mention, Parents noted that women who struggled with painful cramps or even conditions like endometriosis may find that their postpartum periods are much less unpleasant.

If you're still waiting for the return of your period, here are five possible explanations for the delay.

1

You're Breastfeeding

2

You're Stressed

The same things that can cause your period to be late before getting pregnant can mess with your cycle after giving birth. According to Today's Parent, feeling stressed can produce prolactin, which slows down ovulation and menstruation. What new mom isn't at least a little bit stressed?

3

You Have A Thyroid Issue

4

Your Weight Is Changing Rapidly

5

You're Pregnant Again

Sometimes women mistakenly believe that if they haven't yet seen their first period after birth, they can't get pregnant again. But don't forget that you ovulate a couple of weeks before your period arrives, and it's very possible to get pregnant during that time according to Parents. If you're not looking to have another baby quite so soon, it's important to use some form of protection.

One of the perks of pregnancy is nine-or-so months of skipping your monthly flow, but after the baby is born, it’s only a matter of time before you’re back in pads or period underwear. 

If you're breastfeeding your baby, you might experience many menses-free months, especially if you are nursing exclusively. If not, Aunt Flo could pop back sooner rather than later. 

So when will your period return, and how heavy will it be? Here’s what you should know about your first postpartum period.

When should you expect your first period after giving birth?

While it’s impossible to pin down the timing with any certainty, your first postpartum period may hinge on your breastfeeding regimen. The reason? It’s a hormonal thing. 

Women who breastfeed exclusively and frequently do not, in most cases, ovulate. And if you’re not ovulating, you’re probably not having a period. (You can still get pregnant while you're breastfeeding and before the return of your period, though. More on that below.)

Generally speaking, here’s when you can expect your period to resume:

  • If you’re not breastfeeding, your period could return as soon as four weeks after giving birth, although that’s not typical. Six to 12 weeks is about average. Most new moms are back on track by week 24 postpartum.
  • If you’re breastfeeding exclusively, you’ll likely have a longer break from your monthly cycle than other new moms. Look for your cycle to restart in three to six months. That said, there’s a lot of variability. It’s completely normal for women who breastfeed exclusively to have their first postpartum period six weeks after delivery or a year or more later — even 18 months after giving birth. 
  • If you’re breastfeeding some of the time, you might see your period return sooner. Women who combine bottle-feeding and breastfeeding often see their periods return six to 12 weeks after giving birth.

Will your first postpartum period be heavy?

In short, there’s no typical pattern for the first period after having a baby. Some women may have heavy, painful periods. Others may enjoy light, easy periods. Many women are surprised to find that their first period after baby has more blood clots in it. You can use tampons once it's been four to six weeks since you gave birth and with your doctor's okay.

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Your postpartum flow may depend on your choice of birth control. If you’re not breastfeeding and decide to go back on the pill after giving birth, you may have a lighter period. 

Can you get pregnant before you get your first postpartum period?

Even before your period resumes, you can get pregnant again — and don’t let anyone tell you otherwise. That’s because ovulation precedes menstruation in the monthly cycle.

So unless you’re planning on back-to-back babies (and doctors advise against that because of the possible risks), you’ll want to use birth control as soon as you start having sex again — which likely won’t be for at least four to six weeks postpartum if you had a vaginal delivery.

All types of contraceptives are safe to use while you’re breastfeeding. But keep in mind that your contraceptive needs may have changed. 

For example, if you used a diaphragm or cervical cap pre-pregnancy, you’ll need to have it refitted by your gynecologist, as your cervix may no longer be the same size. It can take six weeks after the birth of a child for your cervix to return to normal.

Because estrogen can reduce a woman’s milk supply, birth control methods containing the hormone aren’t recommended until breastfeeding is well-established, around six weeks after giving birth. Instead, your practitioner may prescribe what's known as the "mini pill," which is considered safe during breastfeeding.

It’s also best to wait at least three weeks before starting a birth control method that combines estrogen and progestin, like the pill or the patch. The reason? Women are already at greater risk of developing blood clots in the postpartum period. These combined hormonal methods can up the risk.

Postpartum period vs. lochia: What’s the difference?

Don’t confuse the heavy bleeding after giving birth with your period. Your body is still shedding the blood, tissue and mucus that lined your uterus while you were pregnant. It’s called lochia, and it’s not the same as your period. 

Lochia starts out bright red and often contains many blood clots. The flow will be heavy for three to 10 days after delivery. As it tapers off, the color morphs from red to pink to brown and then a yellowish-white hue. 

Light bleeding can continue for a month or longer, so keep a supply of sanitary pads handy. By the way, moms who have C-section deliveries may have less lochia than women who deliver vaginally.

Contact your doctor immediately or call 911 if you experience any of these signs of postpartum hemorrhage, a dangerous type of bleeding that can occur up to 12 weeks after giving birth:

  • Heavy bleeding that doesn’t slow or stop, like soaking more than one pad an hour for several hours in a row 
  • Blurry vision
  • Chills
  • Clammy skin 
  • Rapid heartbeat
  • Dizziness, faintness or confusion
  • Nausea

Is it normal to have irregular periods after giving birth? 

There are no guarantees when it comes to your period after pregnancy. You could start having periods like clockwork — two to seven days of bleeding every 28 days, on average. 

Or they could be irregular, meaning the length or duration of your cycle is longer or shorter than usual. You might even miss a period. Again, your breastfeeding status can play a role. If you get your period back but you’re still lactating, for example, you can have irregular periods.

Over time, it’s a good bet that your period will return to what used to be normal for you. But if your period goes missing for months, or if you have questions or concerns about your post-pregnancy body, it’s best to check in with your practitioner.

From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You're Expecting. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy.

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How long does it take to get your period after having a baby not breastfeeding?

Your period will typically return about six to eight weeks after you give birth, if you aren't breastfeeding. If you do breastfeed, the timing for a period to return can vary. Those who practice exclusive breastfeeding might not have a period the entire time they breastfeed.

What happens if your period doesn't return after having a baby?

If you choose to breastfeed exclusively, your first period may not return for several months — sometimes, it might not even return for 1 to 2 years if you keep breastfeeding. If you choose to bottle feeding or partially breastfeed your baby, your periods may return as soon as 3 weeks after childbirth.

What's the longest you can go without a period while breastfeeding?

According to The Womanly Art of Breastfeeding (p. 364-366), almost everyone who is fully breastfeeding their babies will be free of menstrual periods for 3 – 6 months or longer. This is called lactational amenorrhea.

Why didnt have my period after stopping breastfeeding?

Your Period Might Be Different For others, their period may return as they start to drop feedings. Either way, you may notice a few changes in your cycle once it resumes. Irregular periods are totally normal for a while, and having a late (or even missed) period isn't unusual. Not to worry.