Doubt among 8 out of 10 parturients, postpartum menstruation can leave the newly born mother worried by her excessive presence or even by her absence for several months. But know that it is common and more normal than you think not menstruate in postpartum or get minor bleeding of leaks for several weeks. After childbirth, menstruation happens again, but sometimes it is not as it was before pregnancy. In pregnancy, a woman gets used to not bleeding. With the total return of bleeding and hormones to the proper places, some aspects may leave in doubt such as the resumption of sexual life and the risk of pregnancy in the guard .
Endometrium X Pregnancy
In pregnancy, the endometrium, which is menstruation itself, serves as a way for the baby, right? This endometrium is stimulated by estrogen , maintained by progesterone and if the baby is not implanted, it comes out and becomes menstrual bleeding. Some women after childbirth may not have this stimulus for the growth of the endometrium, thus causing them to not have normal menstruation as before. If the mother breastfeeds, these hormones are even less stimulated, as prolactin as a breastfeeding hormone dominates during this period.
Theoretically, postpartum menstruation would only come when the woman was no longer breastfeeding. However, there are cases in which it may come, in lesser quantity, a different color than the ovulatory menstruation of before. Breastfeeding women may be completely absent from menstruation for more than a year after delivery.
Getting pregnant in the Guard?
But it is possible to get pregnant even without menstruating yet. The safest period for not getting pregnant is up to 2 months after delivery. Therefore, with 40 days the woman has to start using the contraceptive to avoid a surprise pregnancy. The ideal pill for postpartum is the progesterone base . Usually Cerazette or similar is used.
They are weaker, but still protect against pregnancy if the woman starts to become fertile before exclusive breastfeeding ends. Women who do not breastfeed can resume ovulatory cycles more quickly. Therefore, postpartum menstruation may return to normal earlier than expected 6, 7 or 8 months. If already 1 month old, the baby does not breastfeed, then menstruation will return soon.
Hormonal changes directly influence postpartum menstruation. So, if you have already menstruated while breastfeeding, you should pay extra attention if you are not yet using medication to prevent pregnancy. Postpartum menstruation may be irregular initially with leaks and a more brownish color . But in most women, regularity returns to normal over time. If you do not return to normal in 6 months without breastfeeding, it is advisable to consult a gynecologist to check the need for hormonal tests to treat.
Libido in Postpartum
There are cases where the libido disappears after giving birth . It is even common to happen and again the fault of the hormones, but there is a treatment for that too. Just a chat with the doctor that everything can be solved with appropriate medications to help the hormones to return to the proper places. However, in contrast to these women who lose their desire for sex after childbirth, another part of women may face a long postpartum period with a desire to have sex. In such cases, you should try to withstand as much as possible a hasty sexual relationship.
A recommendation for when you pass the quarantine phase and you are free to date. The first sexual intercourse after childbirth may be accompanied by vaginal dryness that can cause some discomfort, this is exactly due to the hormonal changes that are still regulating. The tip is to use lubricating gels to improve vaginal moisture and increase pleasure, as is the case with the FamiGel gel that is produced from water, which helps to control vaginal PH. You can buy it here in our online store.
Questions from Readers:
Coitus interrupted in the guard
My baby is 20 days old and I had intercourse with my husband without a condom with withdrawal, can I get pregnant even without postpartum menstruation yet?
Usually right after delivery, the first month is protected and is guaranteed that the woman will not get pregnant. However, it is recommended to use contraceptives before beginning sexual activities even in the period of protection.
Breastfeeding and Menstruation
Does breastfeeding prevent 100% from becoming pregnant?
No, after the 40 days of sexual abstinence indicated by the doctors, the woman must look for a contraceptive method.
My period comes different after delivery, even now a year after delivery. I didn’t menstruate as before, is it normal?
Yes it is normal, until the hormones take their place, menstruating irregularly and with different coloration is more than expected. This is due to the increase of certain hormones in the body and the fall of others.
Is it possible to get pregnant 2 months after giving birth?
Yes, after the period of protection, the chances of a woman becoming pregnant are very high, but not indicated, since the body needs to fully recover from childbirth and from all the transformation it has undergone. The indicated is the use of contraceptives and condoms to guarantee.
Is it normal to bleed more than 40 days?
The normal postpartum is that the bleeding lasts an average of 40 days, nothing more than that. What can happen is the bleeding lasts for a few days, stops and returns after a few days and the woman has the feeling that she is bleeding all the time. If the bleeding, even after 40 days, is still intense and shows signs such as large clots, a bad smell, it is advisable to see a doctor.
When does menstruation return to normal in the postpartum period?
The return of menstruation is not a rule and everything depends on several factors. Women who breastfeed tend to take longer to menstruate and can stay for 3 to 8 months if they breastfeed exclusively. For those who do not breastfeed, menstruation can return to normal after 2 to 3 months.
I had 3 cesarean deliveries and the recovery of each one was different. Menstruation returned after 3, 4 months after delivery and with full strength. Up to a year after childbirth it had very intense flows. Right after the first year it always decreased significantly. Last time I did not resume my love life using contraceptives and I felt that the libido was returning to normal more quickly than the previous times. But I do not regret having started the contraceptive even before completing the 40 days of protection. It took an unnecessary worry out of my head about returning to sex. I recommend that you do the same.
Remember that each organism reacts differently to the postpartum period, any doubts you may have about your physical and hormonal recovery should seek the obstetrician who delivered the child or who accompanied the prenatal exam for better guidance. Do you already know our virtual store ? We have products developed especially for pregnant women, moms and mothers. You can buy them here.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.