The minimum term for which the female reproductive system is restored completely, is a little more than a month. This happens when the postpartum allocations of Lochi end.

Maximum recovery time - For several years, which is associated with long breastfeeding. When maintaining lactation, the organism of the new-minced mother continues to generate hormones, ovulation does not occur.

However, most often the first bloody discharges of a woman come within 4-12 months after transferring births, and their offensive is associated with a large number of factors.

The reasons why there are no menstruation:

• . For a female, the delivery is psychological and physiological stress, this rue of Gomon begins inside. After the reproductive system is restored, the monthly will begin.
• With the installed lactation, hormones are produced oxytocin and prolactin, which together are responsible for the tides of milk. They also suppress cyclic processes in the body of a woman, no menstruation.
• Compliance of the day mode, sufficient sleep and full nutrition. If there is a lack of sleep, nervous or physical exhaustion, the body simply will not be able to recover, which means that the monthly will begin much later. Violation of psycho-emotional state, for example, postpartum depression also negatively affects rehabilitation.

Restoration of hormonal background after childbirth, which depends on the lifestyle of mom including

• They can adversely affect the menstrual cycle, pushing it farther or stopping it.
• Reception of hormonal drugs. The female organism is very sensitive to various hormone medicines that are able to make changes to the cyclicality of menstrual bleeding or eliminate them.
• The age of the rhodes. This situation is quite possible, when the pregnancy and the appearance of a child's child occurred just shortly before the onset of menopause at Mom. Then the female organism begins a kind of restructuring and stops the production of eggs, which leads to the absence of menstrual bleeding.

The type of delivery does not affect the time of arrival of monthly.

Specialists and many years of experience Mom confirms that lactation or its absence does not directly affect when the woman will begin menstruation.

Lactation for the decision of a woman or for physiological reasons may continue for several months, and can reach 3-5 years. The more often the woman applies the child to the chest at night, the more and it will be necessary and sufficient for the infant milk.

The hormone, nameableProlactin, in parallel, performs another function in the female body during lactation: it does not allow the formation of eggs in the ovaries, which eliminates the possibility of the occurrence of the ovulation process. With the introduction of dust, the return of ovulation and menstruation is possible before the end of the lactation period. Most often when feeding to six months or year, a female cycle is restored in the same time with the use of the baby.

If the newmatic mother does not feed the breast at all or very early completed lactation for one reason or another the menstrual cycle is restored significantly faster. A variant is possible that after the month after the birth of the baby will come critical days. Since the beginning of monthly bleeding, the woman becomes fertile, that is, restores the ability to get pregnant and give birth to a child.

The sequence of restoration of the menstrual cycle:

• About a week after delivery, the cervix and inner zev restores.

• The first one and a half or two months the size of the uterus is reduced, and this female body becomes in volume as a drain. The inner surface after separation of the placenta also heals, and a woman can observe lohi - highlighting from the vagina, lasting per month.

Features of menstruation after delivery:

• Menstruation becomes more regular, their frequency is becoming better.
• If, before childbirth, a woman in critical days was observed painful and unpleasant sensations at the bottom of the abdomen, then after the child appeared, they could end up completely or relatively to loosen.

In a large number of women, there is a congenital, which provokes stagnation during critical days, causing painful sensations and even spasms. During childbirth, this pathology is naturally eliminated - the uterus is straightened and more physiologically located among the other organs located in a small pelvis.

Due to the correct position of the female body, blood is not accumulated, and the unpleasant sensations, referred to, do not manifest.

The critical days began to be more abundantWhat were the birth of the baby. The body is rebuilt again, it is the norm. However, it is worth noting that the use of several night gaskets with marking 4 and more drops within an hour is a dangerous sign of bleeding, so it is necessary to urgently consult a doctor, causing ambulance.

Other symptoms to appeal to the doctor:

• several cycles in a row are observed atypically abundant bleeding;
• the presence of any mounted or pathologies formed, such as dysplasia or misa;
• suspicion of possible pregnancy in parallel with lactation or after its recent completion.

Causes to appeal to the gynecologist

• Excess weight stimulates extra extraction of estrogen, which knocks down the regularity of menstruation. Establishing a full-fledged nutrition and water consumption together with light sports exercises will be returned with the weight and female cycle to normal.
• Psycho-emotional and physical exhaustion does not allow the body to recover, negative factors should be deleted or minimized.
• A specialist may write a complex of vitamins sent to the establishment of the regularity of the cycle. Menstrual function will help to configure "Cyclovit", "Time factor" and similar means.

Childbirth by cesarean section Still, they can make their own adjustments to the menstrual cycle. For example, due to operational intervention in the walls of the uterus, its involution may be difficult.

Caesarean section does not pass so easily as it is considered to be given to those who have given birth to women, as it is a long-term operation, so the incision on the female body heals much longer than its physiological stretching and narrowing during childbirth. Also, infections can be listed in the seam area, which complicates the restoration of functionality.

Read more in our article on the restoration of the menstrual cycle after delivery.

Read in this article

When the menstrual cycle is restored after delivery

The minimum term for which the female reproductive system is restored completely, is a little more than a month. This happens when postpartum allocations of Lochi are completed, after which menstrual bleeding can begin.

The maximum recovery time of the female cycle can reach several years, which binds to long-lasting breastfeeding. When maintaining lactation, the organism of the new Mom continues to generate hormones, which inhibit the monthly production of a large number of eggs in the ovary. Those, in turn, do not have time to mature and exit the ovary, that is, ovulation does not occur.

However, most often the first bloody discharges of a woman come within 4-12 months after transferring births, and their offensive is associated with a large number of factors.

Reasons why no monthly

It has long been believed that a woman cannot become pregnant while breastfeeding, and the lactation could continue until 3 years, while the child will not be able to use food suitable for an adult. With the introduction of feeding, reclamation or complete replacement of the baby's nutrition with breast milk on a mixture, the period of the beginning of menstruation in the giving birth was significantly shifted. However, there are many reasons for lack of menitics:

• The body simply did not have time to recover. For a woman, the delivery is a huge psychological and physiological stress, and this rusty of hormones begins inside it. After the reproductive system is fully recovered, the monthly will definitely begin.
• Young mother began or continues to breastfeed. With the installed lactation, hormones are produced oxytocin and prolactin, which together are responsible for the tides of milk. They also suppress cyclic processes in the body of a woman and do not allow ovulation. And if there is no ovulation, it will not be menstruation.
• Compliance with the day mode, sufficient sleep and full nutrition. Even these 3 factors significantly affect the self-sustaining of the new Mom. If she has lack of sleep, nervous or physical exhaustion, the body simply cannot recover, which means that the monthly will begin much later. Violation of psycho-emotional state, for example, postpartum depression, also very negatively affects the process of rehabilitation after childbirth.

• Available diseases in the chronic stage Also can adversely affect the menstrual cycle of a woman, moving farther further, or stop it at all.
• Acceptance of hormonal drugs. Various therapy with similar drugs should be carried out carefully and under the supervision of a competent and experienced specialist. The female organism is very sensitive to various hormone medicines that are able to make changes to the cyclicality of menstrual bleeding or eliminate them.
• The age of born women. It is quite possible that such a situation when the pregnancy and the appearance of a child in the world occurred just shortly before the onset of menopause at Mom. Then the female organism begins a kind of restructuring and stops the production of eggs, which leads to the absence of menstrual bleeding.

It is believed that the number of female sex cells, which can cyclically appear in the ovary, is limited and determined in the womb of the mother, so it is impossible to predict the age of the onset of menopause, each girl will have his own.

It is worth noting that the type of delivery does not affect the time of arrival of menstruation. That is, it will not be an important factor, made a cesarean girl, or she gave birth to a natural way.

See this video about why there are no monthly after delivery:

Influence of baby feeding on cycle

Specialists and many years of experience Mom confirms that the lactation or its absence directly affects when after the birth of the baby in a woman will begin monthly.

If breastfeeding

Lactation for the decision of a woman or for physiological reasons may continue for several months, and can reach 3-5 years. If mom feeds at any time, then its body produces oxytocin hormones and prolactin. The second substance is considered a dairy activator, that is, the more often the woman applies the child to the chest at night, the more it will be necessary and sufficient for the baby milk.

The hormone, referred to as prolactin, in parallel performs another function in the female organism during lactation: it does not allow the formation of eggs in the ovaries, which eliminates the possibility of the occurrence of the ovulation process. However, the less often the mother will feed the child, the less the dairy hormones will be produced.

With the introduction of the attachment, the baby will consume much less nutrition from the breast of the mother, which can provoke an offensive of ovulation and menstruation before the end of the lactation period. Most often when feeding to six months or year, a female cycle is restored in the same time with the use of the baby.

Ovulation (egg outlet)

If the child is on the mixtures

Today, mass production offers a huge selection of breast milk substitutes. Of course, it is an ideal product for a newborn and grown-up child, however, there are reasons why natural lactation is impossible, undesirable for the baby or is not desirable from a woman.

If the newmatic mother does not feed at all breastfeeding or very early completed lactation for one reason or another, its menstrual cycle is restored significantly faster. A variant is possible that after the month after the birth of the baby will come critical days. Since the beginning of monthly bleeding, the woman becomes fertile, that is, restores the ability to get pregnant and give birth to a child.

See this video about whether it is possible to get pregnant with guv:

Menstrual Cycle Recovery Sequence

When a child is born, his mother's body tries to return to a premented state:

• About a week after delivery, the cervix and inner zev restores. During the battles, this peculiar channel is stretched into width and decreases in length, so that it is necessary for the return time for the previous indicators.
• The first 1.5-2 months of the uterus dimensions decrease, and this female body becomes in volume as a drain. The inner surface after separation of the placenta also heals, and a woman can observe loyes ̶ selection from the vagina lasting per month.
• The ovaries also restore their preferred function and begin the production of follicle bubbles that contain egg cells.
• In the absence of overwhelming ovulation factors, the egg cell becomes capable of ripening and fertilization. Critical days are restored, and the woman can again conceive the child.

Features of menstruation after delivery

Some women notice that the menstrual cycle after the birth of the baby undergoes changes:

• Monthly becomes more regular, their frequency is settled.
• If a woman was observed before childbirth, Algodismenorian was observed in critical days, that is, very painful and unpleasant sensations at the bottom of the abdomen, after the appearance of a child, she could end up completely or relatively to loosen.

The above features are associated with physiological disadvantage. In a large number of women, there is a congenital bend bend, which provokes a blood stagnation during critical days, causing painful sensations and even spasms. During childbirth, this pathology is naturally eliminated: the uterus is straightened and more physiologically located among the other organs located in a small pelvis.

Opinion expert

Daria Shirochina (obstetrician gynecologist)

However, it is worth noting that the use of several night gaskets with marking 4 and more drops within an hour is a dangerous sign of bleeding, so it is necessary to urgently consult a doctor, causing ambulance.

Possible complications

A woman should know which color allocations and duration will be observed after the birth of the baby, and also to pay attention to or why to alert. A good reason to contact a specialist will be the following symptoms:

• lactation is over a few months ago, and the first monthly never came;
• several menstrual cycles in a row are observed atypically abundant bleeding;
• during critical days, a woman constantly feels weakness and dizziness;
Endometriosis

Menstrual cycle failures can often be prevented if the woman starts paying attention to his health:

• Excess weight stimulates extra extraction of estrogen, which knocks down the regularity of menstruation. Establishing a full-fledged nutrition and water consumption together with light sports exercises will be returned with weight and female cycle back.
• Psycho-emotional and physical exhaustion does not allow the body to recover, therefore, one should exclude or minimize negative factors like a lack of sleep, negative emotions.
• A specialist may write a complex of vitamins sent to the establishment of the regularity of the cycle. Menstrual function will help to configure "Cyclovit", and similar means.

Recovery after cesarean section

Births that went not according to plan, can still make their own adjustments to the menstrual cycle. For example, due to operational intervention in the walls of the uterus, its involution may be difficult.

Caesarean section does not pass as easily as it is considered to be given in those who have given birth, as it is a long-term operation, the incision on the female organ heals much longer than its physiological stretching and narrowing during childbirth. Also, infections can be listed in the seam area, which complicates the restoration of functionality.

The time of the beginning of the monthly is no longer on the type of delivery, but on the availability of lactation and the intensity of the restoration of the body of a woman.

When a woman practices breastfeeding, critical days come later, but if the child is on a doctor, adhesive or artificial nutrition, the occurrence of the menstrual cycle is possible in early terms. Regular critical days can come almost a month after the birth of a baby, and can stay for several years.

The method of birth of a baby does not affect the beginning of such days, if there were no additional complications. With any ailment or some atypically abundant discharge, a woman should urgently visit the specialist.

When menstruation begins after childbirth

Behind a heavy test - childbirth. Finally, a long period of waiting for its appearance was completed, and here you are connected to him. A young mother is completely immersed in concerns about a child, and the first - six months-a year of his life, she may not pay attention to his own health. She does not even think about, for example, when the first one should come menstruation after childbirth. She simply not before that.

Meanwhile, it is necessary to follow yourself and contact the doctor with any suspected diseases. After all, a child, his well-being and development are directly dependent on the health of the mother. If you have no time to think about yourself - think about it.

One of the main female health indicators is regular menstruation with moderate blood loss. ? What will they be? What if there are no long ago, and for what reasons can it happen?

• When the first menstruation must begin after delivery
• Terms of restoration of the menstrual cycle
  • Natural childbirth
  • Cesarean section
• How to distinguish from bleeding
• Could be the first menstruation 1-3 months after childbirth when influencing breastfeeding
• Changing the nature of the menstrual cycle, secretions

First menstruation after childbirth

Among women there is the following opinion: the discharges that are for a long time after the birth of the child, and there is the first menstruation.

But it is not. The first 1.5 months go Lochi. At first they are very abundant, require the use of special gaskets. By 30 days become scarce and may be simply yellowish bals. - These are bloody bunches, from which the cutting uterus is released. At this time, the uterus is one solid bleeding wound, and she takes time to heal.

Then in the norm of Lochi stop, and a woman does not feel the "charms" of menstrual bleeding for some time.

Restoration of menstruation after childbirth Depends on many factors. Main - presence or absence of breastfeeding.

Why after giving birth no monthly? If a woman feeds the baby with breasts, the level of two hormones is growing in her body:

• oxytocin;

The first "serves" milk, helping the child to suck it from the Milky Duks. He "answers" for the attachment of the mother to the kid.

But the second protrudes the ovulation blocker. When this hormone is much - the production is suppressed:

• FSH (hormone responsible for the ripening of the dominant follicle);
• LG (hormone regulating ovulation and "tracking" for).

It comes time to ripen the dominant follicle - and prolactin does not give this process to implement. Here is the reason for the lack of menstruation: after all, menstruation occurs after ovulation, when the unnecessary egg generated is derived from the body.

During the baby tooling in the body, hormonal changes occur. During this period, menstruation stops, which indicates the occurrence of pregnancy, but when the monthly cycle is restored after delivery? Pregnancy makes its own adjustments to a woman, but this is a physiological process that is not to be afraid, because this is the most anticipated and excellent period in the life of every woman.

After the birth, the monthly cycle does not occur immediately. The timing of his arrival among each mom is individual. It can be somewhat different from the cycle to pregnancy. This is associated with physiological changes that happened to the woman in the birth rate of the child, since childbirth are strongest stress for the body. Monthly are one of the main female health indicators. Therefore, it is so important to monitor their restoration, the nature of the flow.

The exact period for the restoration of the menstrual cycle (menstruation) after giving birth is not, it is individual for each woman. There are factors that affect the resumption of menstruation. These include:

If after childbirth, the menstrual cycle is not restored, it is not necessary to worry, because the body needs to relax and the additional loss of blood leads to the weakening of the body. Therefore, the physiological absence of menstruation gives the opportunity to strengthen and gain strength. Normally, the cycle is restored 2-3 months after childbirth. This is if there is no breastfeeding. Due to the pathological generations, the presence of complications, the recovery period can stay even three months. Woman's body as it were to regulate this process. But if the cycle is not restored for a long time (until six months) and the woman will not feed the breast at this time, then you need to contact the gynecologist and consult about this delay.

Causes of monthly delay after delivery

For reasons that delay the occurrence of menstruals can be attributed:

• breast-feeding;
• pathological childbirth;
• availability of inflammatory process in the uterus;
• chronic lack of sleep;
• poor nutrition;
• weakening the body after multiple birth;
• at the original age of 30 years old.

Normally, after childbirth, the uterus is reduced and acquires physiological size by the end of the second month. By the same time, the inner surface of the organ occurs, loans are distinguished, which cease to 5-6 weeks. The nature of the lohy for this period is changing from bleeding to light and mucous membranes by consistency. If after this period of allocation does not stop and do not change their color, then you need to refer to the gynecologist to eliminate the presence of the inflammatory process in the internal genital organs (endometriosis).

Crop the latency of the normalization of the menstrual cycle may have neoplasms of the uterus and ovaries. Upon normal during the postpartum period, the physiological functions of the ovaries renew the expiration of 2-3 months after childbirth. Again, if there is no breastfeeding.

If after stopping breastfeeding, a high prolactin rate is preserved, then such a state is called pathological hyperprolactineia (GHG). Prolactin, which is produced by a hypophysome inhibits ovulation. After the cessation of breastfeeding in a woman, the number of prolactin should come back to normal. If this does not occur (the reason is the thyroid dysfunction), then the menstruation delay occurs.

The main symptom of the GHG is a disturbance of the menstrual cycle, shortening its duration to complete termination. Also reduced the number of secretions to their complete absence. Such hormonal disorders lead to mastopathy, pathological changes and inflammations of the mammary glands. The sign of this pathology is the discharge of drops of milk from the nipple after the cessation of lactation, as well as pain and nodule seals in the milk glands.

Such seals The woman can detect itself, so it is important to monitor the condition of the mammary glands during the formation of the menstrual cycle after delivery. Once a month, it is necessary to independently inspect your chest and nearby lymph nodes. Carefully feel the dairy glands and armpits and, if there are any deviations from the norm (seals, nipple changes, cracks, hyperemia) Do not delay turning to the mammologist.

When this symptom appears, it is necessary to refer to the doctor to prevent the development of the disease and exclude the appearance of an abscess.

There is another reason for which the normal restoration of the menstrual cycle is delayed - Schihahan syndrome. This is a pathological process that denotes the motion of the pituitary cells and is characterized by the lack of menstruation with a decrease in the amount of selection of to the gas. The reason for the appearance of the syndrome is complicated childbirth, mass blood loss, sepsis. Also causes such pathology. The difficult course of the second half of pregnancy is:

• swelling;
• hypertension;
• violation of the kidney function.

Diagnose Schihan syndrome is possible not only to violate menstruation, but also by the presence of hypotension, weaknesses, headaches.

Menstruation and breastfeeding

In the postpartum period, the restoration of menstruation depends on the presence of breastfeeding. During the lactation period, a woman has a hormone prolactin, which prevents ovulation. Therefore, the menstrual cycle is missing the entire period while the woman feeds the child with breasts.

Such physiological amenorrhea may continue until the year. Dependence is established: the more often the mother applies the child to the chest, the more milk and prolactin is released, the longer there is no monthly. When moving a child to mixed food, a monthly cycle in a woman may come before (5-6 months after childbirth).

Breastfeeding is not yet a reason to be 100% confident that during this period a pregnancy will not come. After all, it happens that the lactation fuses, prolactin is less developed, and the ovarian functions are restored. There is an ovulation about which a woman does not imply. It is this period that the opportunity to get pregnant is dangerous. Therefore, you need to use contraceptive means, since re-pregnancy for a non-faster body is undesirable .

The methods of contraception should tell the gynecologist to which you need to contact the postpartum period.

How are menstruation after childbirth

The monthly cycle is normal in the absence of breastfeeding is restored after 2-3 months after childbirth. Initially, it may not be regular, but for 3-4 months normalizes. If, after this period of menstruation is not being established, it is a pathological deviation that speaks of hormonal violation.

Immediately after childbirth, the woman appears bloody sections, but they do not have anything to do with menstruation. These are the so-called suckers that begin immediately after childbirth and last until two months, gradually subsided. After their termination, a real menstruation occurs in the norm after 2-3 weeks. The nature of the flow and the number of secretions may differ from the menstruation passed to pregnancy. Many women noted that menstruation began to pass harder. This is due to the fact that the body has not yet been fully recovered and the allocation brings it an additional load.

For the same reason, recently born women experience the so-called pre-menstrual syndrome (PMS), which is characterized by:

The amount of blood released may change. Options may increase, which is associated with not yet fully restoring the endometrium of the uterus after delivery. But if the selection is very strong, the blood is allay or with an admixture of bunches, it should alert and be a reason for visiting the gynecologist. It may have opened bleeding. Also changed after the birth duration of the menstrual cycle. If the monthly cycle before the birth was 28-30 days, then after it can be reduced to 25 and this is the norm. The duration of menstruation will be normal 4-7 days.

There are cases when the child's birth was accompanied before the child's birth, and after childbirth, the pain disappeared. This is associated with a change in the position of the uterus and the outflow of blood from it improved. If the cycle recovered, but the woman is experiencing strong battles during menstruation and constantly removes syndrome by painkillers, then you need to contact the gynecologist to eliminate the presence of pathologies in the sexual area.

It is important to draw attention to the duration of menstruation, if it is delayed and passes more than 7-10 days, then this indicates a serious problem. Perhaps the woman has developed inflammatory processes in the uterus and appendages. This will tell her the doctor to whom you need to immediately appeal.

If the period of duration of monthly discharge is reduced to 1-2 days, then this is a serious reason to refer to the gynecologist, since the course of menstruation is pathological.

Increasing the duration of the course of menstruation in women undergoing caesarean cross-section is the norm, since there was an operational injury to the body of the uterus and for its full recovery, a longer period is needed.

The cycle and the nature of the selection after childbirth depends on the prevention methods that the woman uses to prevent unwanted pregnancy. If a helix is \u200b\u200bused as contraception, then the selection will be greater, and the duration of menstruation will increase. When using contraceptive tablets, everything happens on the contrary: the selection becomes scarce, and the period of menstruation is reduced to 3 days. This is associated with the content of components in tablets that reduce the increments of the endometrium during the cycle.

How to restore monthly after childbirth

After childbirth, the woman's body requires a certain period of recovery and when the monthly one will not be able to answer unambiguously. It depends on the individual characteristics of the body. But in the postpartum period, doctors recommend complying with proper nutrition, aimed at replenishing vitamins and microelements lost by the body during pregnancy and childbirth. Therefore, a woman during this period needs to be fully fastened, including in its diet dairy products, meat products, vegetables, fruits. On the advice of the gynecologist, it is necessary to take multivitamins and a complex of trace elements. A full-fledged sleep and recreation is also very important, because in the process of pregnancy and childbirth, the nerve system is exposed to reinforced load. Therefore, a woman needs to plan their day in such a way as to have enough time to rest and walk with the baby outdoors.

If mommy had disorders in the endocrine sphere, then in the postpartum period it is necessary to visit the endocrinologist and observe the state of the hormonal system, since its dysfunction leads to a delay in the restoration of the monthly cycle.

If a woman had pathological gifts that were accompanied by abundant bleeding, then to restore the normal operation of the body, she needs to take iron-containing drugs. After all, bleeding caused a jet-modiform anemia and to resume the menstrual cycle first need to restore the normal state of the body.

Given the above, it is possible to summarize that for the successful restoration of the menstrual cycle (menstruation) after childbirth, mammy need:

• have a full sleep;
• not overwear;
• walk in air;
• keep calm and not nervous;
• fully eat;
• systematically undergo inspection from your gynecologist.

Very important. No need to resort to self-treatment, even if the problem arose seems insignificant. All uncomfortable manifestations need to be reported to their gynecologist.

Compliance with these simple rules will help a woman to quickly restore the monthly cycle after childbirth and will continue to maintain his female health in the future.

It is known that after childbirth, the woman's body takes some time that those organs and systems that have been subject to change during pregnancy and childbirth came to normal. Usually it takes 6-8 weeks. The exceptions are the dairy glands and the hormonal system: for their recovery it is necessary more time. It is with hormonal changes that restore is connected. This complex process deserves a detailed conversation.

Small excursion to physiology

Immediately after childbirth, the level of proteins, which were developed by the pocent and regulated many metabolic processes in the body of the future mother were reduced. Special brain departments - hypothalamus and pituitary gland - are peculiar "conductors" of the endocrine glands. They regulate the activities of various glands of internal secretion - the thyroid gland, adrenal glands, ovaries in women and testicles in men. In the postpartum period, the endocrine system, in particular the pituitary, produces a hormone prolactin, which is sometimes called the "dairy hormone", since it stimulates the formation of milk in women after childbirth and at the same time suppresses cyclic hormone production in the ovary, thereby preventing ripening processes Egg and ovulation - the exit of the egg from the ovary. That is why most women menstruation are missing during the entire period of natural feeding. If the kid feeds only to breast milk, then the occurrence of menstruation at the end of the lactation period is likely, and in the case of mixed feeding of menstruation, it is restored to the 3-4th month after delivery. But it should be noted that exceptions are exceptions from each rule, and in women, lactating toddles, the breasts up to the year or more, menstrual cycles can recover within the same time.

I would like to warn from mistakes: often a young mother is confident that in the absence of regular menstrual cycles during the feeding period, pregnancy cannot come. This is not true. So, the conception can happen during this period.

In the absence of lactation, ovulation occurs on average on the 10th week after childbirth, and the first menstruation is on the 12th. Menstruation can appear on the 7-9th week after childbirth; In such cases, the first menstrual cycle is usually annevulatory, i.e. Not accompanied by the outlet of the egg from the ovary.

After cesarean section, the restoration of the menstrual cycle occurs the same way as after natural genera, and depends on the feeding method.

What you can feel

Selection from sex tract continues from the moment of birth to the 6-8th week of the postpartum period. Despite its similarity with menstrual blood, especially in the first 3-4 days, by origin, these selection differ from menstrual; They are called Lochi. In place of the separated placenta, an extensive wound surface is formed; In the first three days, the release of it is bleeding, further, as the wounds (from the 3-4th to the 7th and 70th day), become serous-succained, and from the 10th day they acquire yellowish-white color, At the same time, their number decreases. At the 5-6th week, the release of the uterus is stopped and have the same character as before pregnancy.

The renewed menstruation after childbirth is a proper cyclic nature, but it is permissible to establish a menstrual cycle during the first 2-3 cycles, which can be expressed by the delay of menstruation, or, on the contrary, a decrease in the gap between menstruation. Despite the likelihood of these phenomena, with such symptoms, you should contact a doctor to eliminate diseases such as inflammatory processes of internal genital organs, uterine tumors and ovaries, etc.

The normal menstrual cycle lasts on average 28 days (21-35 days). The first day of menstrual bleeding is called the first day of the menstrual cycle. Monthly usually last 4-6 days (+ 2 days). The greatest value of blood loss is celebrated during the first and second day. The average size of blood loss in the cycle is 30-35 ml (in the range of 20-80 ml). The blood loss is more than 80 ml per menstrual cycle is considered pathological.

The gap between menstruation and the duration of bloody can be different; It is important that they "laid" in the limits of the physiological norm described above.

It should be noted that sometimes the character of menstruation after childbirth changes. So, if a woman before menstruation has been irregular, then after childbirth, they can become regular. Painful to generic menstruation after childbirth can become painless. This is due to the fact that soreness is caused by the so-called turn of the uterus Kepened, which makes it difficult to the outflow of menstrual blood from the uterus. During pregnancy and childbirth, the interface is changed in the abdominal cavity, and the uterus becomes more physiological position.

Possible disorders of the menstrual cycle

One of the reasons for disrupting the restoration of the menstrual cycle after childbirth may become hyperprolactinemia. In the pituitary, prolactin hormone is formed (in smaller quantities, this hormone is also formed in men). Normally, a woman, the level of prolactin in the blood increases during pregnancy and breastfeeding, which leads to milk isolate milk. As soon as the woman ceases to feed the child, the level of prolactin is reduced to the norm. If the level of prolactin increases independently of pregnancy or does not return to the norm after the cessation of breastfeeding, then such a state is called pathological hyperprolactineia (GHG). As already noted, prolactin suppresses ovulation. That is why the preservation of an increased amount of prolactin at the end of breastfeeding may cause lack of menstruation.

This situation is associated with the increased function of prolactinsection cells of the pituitary gland, the number of which remains normal or increasing extremely slightly. Another cause of hyperprolactinemia can be prolactinoma - a tumor (adenoma) pituitary, producing prolactin. This is the most common cause of PG in a period not related to lactation. The pituitary prolactin is a benign education. Specialists call this tumor formation only because it leads to an increase in the size of the pituitary. The cause of hyperprolactinemia at the end of the breastfeeding may be the insufficiency of the thyroid function (hypothyroidism), which is quite easily detected by measuring the level of thyllropic hormone (TG) in the blood and is easily corrected on the lobby of replacement therapy with thyroid hormone preparations (L-thyroxine).

One of the symptoms of PGs may be a violation of the rhythm of menstruation (oligo- or opsomagnorya - a decrease in the number of menstrual blood or shortening of menstrual bleeding), up to their complete cessation (amenorrhea), since the elevated level of prolactin disrupts the formation of a follicularity hormone (FSH) and luteinizing hormone (LH ), regulating the menstrual cycle. Such patients often suffer from headaches. At the end of breastfeeding, milk formation is preserved in small quantities - a few drops when pressing on the nipple. Against the background of the available hormonal imbalance, it is often evolving. Women with GHG may develop obesity.

Diagnostic studies that are conducted to confirm the diagnosis are quite simple. Usually they include 15 themselves research of blood for the maintenance of various hormones and the study of the pituitary gland to determine the form of the disease. By the way, the primary tests (blood test for the content of prolactin and hormones characterizing the function of the thyroid gland) can assign a doctor in a female consultation, but for further research there may be consultations of a number of specialists.

If, according to the results of the blood test, it turns out that the level of prolactin is increased, and there is no other manifestations of PG, then it is desirable to repeat the analysis to make sure it is not an error. It is necessary to check the function of the thyroid gland, as well as determine the level of other hormones. To study the pituitary, tomography is used.

Usually, drug preparations are prescribed for the treatment of PGs. The most experienced drug for the treatment of hyperprolactinemia is bromocriptine (pairlook). Other drugs are used: Lisivyl, Abergin, Methergolin, Cabbergoline (reaches). All these drugs contribute to a decrease in the selection of prolactin, the level of which in the blood is often reduced to the norm within a few weeks after the start of treatment. In women, the menstrual cycle is restored as the prolactin normalization.

Another complication leading to a violation of the menstrual function after delivery is postpartum hypocituitarism (Schihahan syndrome). This disease develops due to necrotic changes - "dying cells" in the pituitary. Such changes may arise as a result of massive bleeding in the postpartum period, after severe septic (bacterial) clans, such as postpartum peritonitis 1 or sepsis 2. Heavy gestosis of the second half of pregnancy, manifested by edema, the appearance of a protein in the urine, an increase in blood pressure, rarely - convulsive syndrome, can also be the cause of Shihan's syndrome due to the development of intravascular blood coagulation (DVS-syndrome). The frequency of shyhan syndrome is 0.1%, but with massive postpartum or post-charge bleeding reaches 40%.

Since it is a violation of the restoration of the menstrual cycle, it should be said that one of the manifestations of Shihan's syndrome is amenorrhea - the absence of menstruation or oligomenorrhea - a decrease in the number of menstrual blood up to small gas seals. The degree of disruption of the menstrual function, as well as the functions of other glands of internal secretion depends on the extensity of the pituitary damage. Even before the manifestation of the disorders of the menstrual cycle, such signs of shyhan syndrome, as a headache, fast fatigue, weakness, zyability, (reduction of blood pressure), a significant reduction in body weight, small swelling (grinding) of the lower and upper limbs, dry skin, baldness is manifested.

Diagnostics is based on the anamnesis data (communication on the start of the disease with complicated roars), characteristic manifestations and data of hormonal research, which show the reduction in the hormones of the ovarian pituitary.

Treatment of this disease is based on substitution hormone therapy, when with the help of special drugs try to compensate hormones, which should be produced in the pituitary gland and other glands of internal secretion, including in the ovaries. Glucocorticoid preparations are prescribed, thyrotropic drugs. With oligo- and amenorrhea, sex hormones prescribe to compensate for the lack of hormones produced by the pituitary gland and ovaries. The treatment holds a gynecologist together with the endocrinologist.

Once again, I want to recall that with any doubt about the restoration of the menstrual cycle, you need to contact the doctor. By the way, the long lack of menstruation after childbirth may testify to the beginning of a new pregnancy ...

1 Peritonitis - inflammation of the peritoneum - the thin shell of the connective tissue, covering the walls and the organs of the abdominal cavity.

2 sepsis - a condition in which the causative agent of infection falls into the blood.

Marina Pilnenskaya
Doctor obstetrician gynecologist
Central Customs Hospital

The restoration of the cycle after childbirth is a physiological process that speaks about returning to the norm of female health. Not all the reproductive system works well, therefore menstruation proceed with complications and failures.

Norms and recovery time

During the toasting of the fetus, the body completely changes, affecting the internal systems. The birth of a child and the normalization of the cycle represent the process of leakage of women's bodies to a premented state.

The resumption of the menstruation cycle is divided into two stages:

1. the ovaries begin to produce estrogen, the inner layer of the uterus will swell, and the process of ovulation is launched;
2. the egg cell moves in the uterine pipes, falling into the uterus for further fertilization.

Menstruation, or blood extraction, is because the egg cell is not fertilized and the endometrium is rejected by the organism. Normally, bleeding continues up to 7 days, the volume of the lost fluid does not exceed 150 ml.

The deadlines for the beginning of the first menstruation in the postpartum period depend on the physiological characteristics of the body, lactation, the number of previous births, age. In no breastfeeding women, monthly beginnings begin 6-8 weeks after the birth of a baby.

Symptoms of the restoration of the monthly cycle after delivery:

• pulling light sensations in the region of the uterus;
• menstruation from 3 to 5 days;
• allocations have a scarlet shade;
• the volume of blood loss is not more than 80 ml for the entire period of menstruation.

The duration of the cycle on average ranges from 21 to 35 days. The body is restored in different ways, but the main thing is that the deadlines do not exceed the norm.

Possible deviations and complications

The recovery rate of menstruation depends on age, lifestyle and breastfeeding. The feminine has complications for menstruation, as well as their complete absence.

Why not restore the cycle of menstruation:

1. age older than 30 years;
2. a large number of previous pregnancies and childbirth;
3. pathology of the genital organs;
4. incorrect postpartum mode;
5. inflammatory processes.

In women, the cycle is normalized during the lactation period after the introduction of the first dust. This is due to the fact that the amount of breastfeeding decreases and the body begins to return to the former mode of operation.

Complications when the cycle is installed:

• irregularity;
• duration more than 6 days;
• big blood loss;
• severe pains;
• hyperprolactinemia;
• menorragia;
• postpartum hypocituitarism;
• disorders of ovarian functions.

Failures in the menstrual cycle often lead to the fact that the bleeding lasts more than 6 days. Prolonged monthly talks about the uterus, inflammatory processes, endometriosis. Big blood loss, over 150 ml, is not the norm. You can define the deviation if the gaskets are not enough for 5 hours.

Paints in the region of the uterus and the abdomen are called Algodismenorye. When restoring the cycle in women, pain is associated with generic stress, inflammation of the genital organs, a reduction in the uterus.
Menorragia is a disease in which monthly last 10 days. At the same time, the woman loses a large amount of blood.

Postpartum hypocituitarism appears due to vessel spasms. The disease is manifested by the strongest blood loss in the volume of more than one liter. Hyperprolactinemia is expressed in an irregular menstruation cycle under the influence of an increased level of prolactin.

Signs of deviations and regulations

Deviations from the norm during the recovery period of the female organism are associated with inflammatory processes, the exacerbation of chronic diseases. Unstable menstruation or its absence are serious failures in the reproductive system.

After how much periods are restored after delivery? Normally, in nursing breasts, menstruation women begin when lactation ended or entered into the diet of the child. With artificial feeding, the body of the woman in labor returns to the normal mode in the first six months.

Signs when the menstruation cycle is not restored:

• lack of menstruation during lactation;
• short or long-term menstruation;
• severe pain in the region of the uterus;
• swelling of the mammary glands;
• an increase in blood pressure;
• mood swings.

These signs talk about failures in the work of the female sexual system. The reason for the complete absence of menstruation becomes unplanned early pregnancy. Even when breastfeeding, you need to use contraceptive methods.

Can a cycle of menstruation come down after childbirth? In the postpartum period, the regularity of menstruation varies. The number of days often exceeds the one that was in a premium time. In the middle cycle takes from 21 to 30 days.

How to restore the cycle after childbirth:

1. respect recreation and sleep mode;
2. avoid stress;
3. observe the discharge from the vagina during lactation;
4. spend more time in the fresh air;
5. follow the recommendations of the doctor.

Menstruation with breastfeeding comes after half a year. During this period, it is necessary to take care of health, and when a failure and deviations are detected in a timely manner to take treatment.

Cycle with feeding

When the menstrual cycle is restored after delivery, we can talk about the return of the female organism into normal mode. The period of setting monthly depends on whether the baby feeds the baby's breast or not.

Baby feeding is three species:

1. breast
2. artificial;
3. mixed.

In breastfeeding in the body of a nursing mother, the prolactin hormone is produced. It affects the ovaries and does not give egg cells to fertilize. In exceptional cases, monthly during lactation occurs after 1-2 months.

In case of artificial feeding, when the baby eats the milk mixtures, the cycle is restored immediately after the discharge of the selection is a loy. On average, this happens by the end of the second month. Prolactin is not produced by the body and the uterus, returning to the old sizes, begins the reproductive function.

In mixed feeding, menstruation should be recovered after childbirth from 2 to 4 months. The natural process is associated with hormonal changes, the presence of pathologies and chronic diseases.

Some women have long restored monthly after childbirth because of Shihan's syndrome. Such a deviation appears if there was a big blood loss in childly. Reducing the blood pressure that occurred for this reason leads to the death of pituitary cells. The reproductive system does not function and monthly occurs significantly later. Regardless of the feeding method, the woman must follow the body. It is recommended to avoid stress, take vitamins for nursing mothers.

Cycle after cesarean section

Cesarean section is carried out in case of complicated pregnancy. With rapid restoration and healing of seams, monthly arrive at the time limit. But with complications after childbirth, there may be a failure of menstruation.

The healing of the uterus, accompanied by a loan separation, lasts about 1.5 months. The restoration of the menstrual cycle in the absence of pathologies depends on the feeding of the baby. During the period of lactation after 6 months or more, with artificial feeding - in 2 months.

Violation of the menstruation cycle after delivery is frequent phenomenon in gynecology and requires timely treatment. The most frequent complications that lead to deviations in menstruation are inflammatory processes and bleeding. The infection affects the functioning of the genital organs and disrupts the fertilization of the egg.

The absence of periods after cesarean causes diseases such as endometritis, hematoma, placental polyp. Pathologies are accompanied by pain in the region of the uterus, webly discharge from the vagina.

To avoid adverse consequences and quickly restore the menstrual cycle after childbirth, you need to carefully care for the seams, observe personal hygiene. The operation requires a lot of strength from the woman in labor, so you need to get enough sleep well and eat right.

The monthly failure after childbirth is often associated with how the birth of a baby passed. In case of cesarean section, it is impossible to say for what time the cycle is restored, since the operation affects the entire body.

If after the operation, the monthly, the woman should pay attention to the quality and amount of discharge, the presence of pulling pains, general well-being. Surgical intervention requires the body more forces to restore and return to normal mode.

Folk Methods and Physical

People's methods for restoring menstruation are used with caution. This is especially true of those women who feed their breasts. Medicinal herbs are able to cause allergic reactions and baby poisoning.

Popular folk methods:

1. broth wormwood. For cooking, 30 grams of dried grass are taken, 250 ml of boiling water is poured and 4 hours are allowed. Cold decoction is filtering and drink 50 ml three times a day;
2. effective tea from leisse leaves. The handful of dried grass is poured with boiling water in a glass, give time to brew and drink. Per day is permitted no more than 500 ml of tea;
3. with long bleeding, if the woman does not breastfeed, use the tincture of water pepper. On a glass of alcohol or good vodka take 200 grams of pepper. The tincture is kept in a dark room one month and then take on the floor of a teaspoon three times a day before meals.

The restoration of the function of the reproductive organs after the birth of a child helps an active lifestyle. Physical exertion can be started a month after natural genera, and two after the cesarean sections.

For nursing moms are suitable:

• breathing exercises;
• yoga;
• pool;
• light dances;
• walking.

It is impossible to overload the body, physical exertion should be lightweight, without jumps and dumbbells. Optimally engaged three times a week for 40 minutes.

In the complex with an active way to restore the cycle will help thermal procedures. It is a feet for legs with a chamomile or essential oils. The postpartum massage is effective in periods of menstruation, as it turns out pressure on the uterus.

Medical and operational treatment

Menstruation violation is associated with hormonal failure in the postpartum period. In the absence of monthly gynecologists prescribe drugs. Contraceptive tools, for example, Yarina or Zhinin, are aimed at correction and normalization of the cycle.

To generate progesterone use duphaston tablets. The dosage is determined by the attending physician according to an individual reception scheme. According to the instructions, the drug begin to take from 11 days cycle, 20 mg twice a day.

Candles of the uremines help in the treatment of hormonal failures. It is used to eliminate endometriosis and uterine misa. Active substances reduce estrogen production. Vaginal candles are used once a day before bedtime.

Vitamin and mineral complexes support the work of the body of a nursing mother. Accepted courses to six months. Vitamins are necessary for a woman, since with maternal milk trace elements go to the infant.

Often use homeopathic remedies, they belong to the pulsytalla. The drug affects the work of the genital organs. A complex means is considered quite effective in violation of the cycle. It has a short course of treatment - no more than 7 days.

In special cases, operational intervention is applied. When changing in layers, endometrials are made of scraping. If tumors are found, laparotomy operation is needed. Recovery after surgical treatment will be longer.

The postpartum period is considered sufficiently difficult for the female organism. The restoration of the menstrual cycle is accompanied by failures, complications and side symptoms. With abundant bleeding, absence of monthly and strong pain, urgent inspection and treatment is required. A healthy lifestyle, proper nutrition and compliance with postpartum hygiene rules will allow the feminine organism to return to the former rhythm of work.