Menstrual cycle (menstruation) after delivery: how to restore and passes, the causes of the delay. First monthly after childbirth: when to wait? When the cycle is restored after delivery

When the first monthly after delivery appears when the cycle acquires regularity, which deviations are possible and how to prevent their appearance.

The unnecessary concern to the newly born woman is harmful, but at the same time it is necessary to know which phenomena point to the presence of pathology to consult a doctor in a timely manner. Therefore, you should explore this topic and consider important features.

Some women believe that the cycle will recover immediately after the child appears. But it is not. A certain period of periods of menstruation will not be, and this is natural. The newly new mother has suckers - so called postpartum allocations. But these are not menstruation, although they remind them of their color.

Lochi is the uterine discharge that is associated with the need for the body will negate all traces of past pregnancy. Within a few weeks from the uterus, endometrial remains, placenta and other fetal life products are published. First, the color of the sucker is rich red, but gradually these selection becomes darker, and their number decreases. After about 1.5 months, Lochi should stop. This is explained by the fact that the inner layer of the uterus returned to a normal state. However, menstruation will be absent for some time.

The absence of menstruation in the postpartum period is due to the hormonal restructuring of the body of a woman. In order for it to feed the baby with breasts, a large amount of prolactin is distinguished into the blood. This hormone prevents the operation of the ovaries, therefore egg cells are not produced and endometrium is not formed. Accordingly, menstruation does not appear.

When the period begin after childbirth

The exact time when the first monthly periods appear after childbirth it is difficult. This is influenced by many factors (diseases, individual properties of the body, hormonal background, etc.). Although in general, monthly depends on how complete is breastfeeding.

Focusing follows such circumstances as:

1. Presence or absence of supplies. If the baby is solely on breastfeeding, menstruation does not appear until the crumb will leave the chest. But a year after the birth of a child, menstruation may appear no matter whether breast feeding continues.

2. Number of milk. With a shortage of milk, a woman has to use dairy mixes. At the same time, the production of prolactin decreases, which allows the ovary to get started. In such a situation, menstruation may appear in 4-5 months. Therefore, it is absolutely not worth worrying here.

3. FEED INTERTING. Some mothers cannot or do not want to feed the baby breast. In this case, monthly after childbirth begin significantly earlier - about 2 months.

4. Features of childbirth. If the child was born due to the operation of the cesarean section, then the beginning of menstruation from the mother depends on the type of feeding. With breastfeeding, monthly missions are missing until the kid will begin to fit.

For a period when monthly after delivery affects the features:

Performance of the day
Age of a woman
Emotional condition.

Therefore, even the doctor cannot provide accurate information.

How many monthly after delivery

Often women after the birth of the first child speak to eliminate discomfort during menstruation and cycle regularity. But the conclusions stand only 3 months after their first appearance. Prior to this, the cycle may vary, and the menstrual periods themselves sometimes take place unusually (with a smaller or greater duration, excessive abundance or poor selection). This is considered normal, although consultation with the doctor is still needed. So it will be possible to make sure the absence of pathologies.

The periodicity of menstruation is normally 21-34 days with their duration of 3-8 days. In terms of discharge, there should be no less than 20 ml or more than 80 ml. The duration of the first postpartum periods does not matter (with normal indicators), it is important that during 3 months they have become regular.

Some women have changes in the peculiarities of the premenstrual period. They note the increase in the symptoms of PMS, which can disturb them. This is usually due to hormonal changes in the body. It is difficult to neutralize this feature - most often with it have to come to terms. But its appearance does not mean that there are problems in the body.

With too much the flow of PMS, it is worth consulting a doctor - perhaps difficulties are associated with violations in the hormonal system.

When need medical care

After the birth of a child, a woman should not forget about his health. It is necessary to go to the doctor to assess the state of the internal organs and make sure that there are no pathologies. Urgently contact the specialist needed in such situations as:

Too abundant first monthly. If the gaskets need to be changed more often than once in 2 hours, it indicates bleeding. Also, a large amount of discharge can be caused by endometriosis, endometrial hyperplasia, deviations in a hormonal background.
The appearance of bloody secretions with an unpleasant odor after the suckers stopped. This means that in the uterus there are residues of a fetal egg.
The poor is discharge or their absence within 3 months after completion of breast feeding. This happens with the increased content of prolactin in the body, although its quantity should decrease by this time.
The presence of unpleasant smell in menstrual secretions. If the blood allocated at the same time has a dark shade, and the woman is tormented by severe pain, this may indicate the presence of disorders in the body.
The irregular cycle 3 months after the start of menstruation. This is also a sign of pathology associated with the hormonal system.

In all these cases, a visit to the gynecologist cannot be delayed. The elimination of violations should be engaged at their first manifestations, because the situation may worse.

Lee need to be protected

Some women due to the lack of menstruation in the postpartum period believe that there is no need to use contraceptive means. Theoretically, this is true, since the ovaries do not function, the eggs are not produced, therefore the pregnancy cannot come. But there are a lot of cases when the pregnancy still occurred, and it was already recognized about it in late terms.

The reason for this is the lack of accurate information about the start of menstruation. It is not known when the amount of prolactin produced will decrease, you can only guess about it. Ovulation occurs 2 weeks before menstruation. Therefore, with unprotected sexual act, a woman can get pregnant again, and the absence of menstruation will explain with hormonal changes associated with breastfeeding (especially if it is not discontinued).

This means that even during lactation it is necessary to be protected. If the couple wants to start a second child, this can not be done, although doctors recommend waiting for about two years so that the female organism is fully recovered after delivery.

Why there are failures

The first three months from the start of menstruation should not worry because of their irregularity. But if menstrual failures are saved and after that, it is necessary to consult with the doctor. It is especially important to do if additional adverse symptoms are observed. The causes of the disorders of the menstrual cycle may be different. It:

Shihan syndrome (postpartum hypocituitarism). This pathology can be caused by peritonitis, sepsis or abundant postpartum bleeding. It can also provoke histosa. The result of the disease can be the absence of monthly either their poorness, which is associated with necrotic changes in the pituitary. Additional symptoms of the syndrome are increased fatigue, headache, swelling, hypotension.
Hyperprolactinemia. The absence of menstruation in this case is due to disorders in the functioning of the thyroid gland or the presence of the adenoma of the pituitary gland.

Both pathologies can be cured, but for this you need to contact a specialist.

Breast milk is the most useful food for the baby. If the child is on breastfeeding, it significantly reduces the risk of developing infectious diseases. But after the start of menstruation, many women do not know whether it is worth continuing to feed the baby with breast milk, doubting his benefits.

The presence of menstruation does not affect the quality of milk, so there is no need to give up breast feeding. But you need to consider some circumstances:

When continuing lactation, the cycle normalization period can delay.
During menstruation, the sensitivity of nipples increases, which makes feeding unpleasant for a woman.
Milk during critical days is allocated in smaller quantities, so the child can be nervous. It is possible to solve this problem, applying the baby then to one, then to another breast alternately.

These features can cause discomfort. But it is not necessary to doubt the benefits of breastfeeding at this time - it can even be continued.

Features hygiene

It is very important in the postpartum period to comply with the rules of hygiene. The female organism at this time requires careful care, because it has not yet been restored after stressful circumstances for him.

While the menstrual cycle has not recovered, do not use tampons and gaskets with absorbent mesh. They are also not suitable for lohy. Optimal hygienic tool in this case - gaskets with a smooth surface. Change them relying every 3-4 hours.
Genitals at this time need to wash more oftenTo prevent the penetration of infections. Use gel for intimate hygiene or flavored soap is undesirable. These funds should be replaced with baby soap.
From sexual life it is necessary to refrain Not less than 6 weeks. After the resumption of sexual life, it is necessary to use barrier means of contraception - this will help to avoid pregnancy and enhancing infection in the uterus.

The beginning of menstruation after the birth of a child is an individual phenomenon, which is affected by many circumstances. The woman herself cannot affect it, but she can take care of his body to prevent the development of postpartum complications.

For each woman who gave birth to the child is relevant about the timing of the restoration of the menstrual cycle. This is not surprising, because it is the regularity of menstruation that can tell about the state of women's health. Menstruation is an indicator of the correct recovery in the postpartum period and the absence of postpartum complications. When the periods are returned and what can not say the regularity of the cycle after childbirth.

Causes of irregularity of menstruation after childbirth

The postpartum period each woman passes individually. Many factors can affect the restoration of the menstrual cycle after delivery. The main reason for the prolonged period of not regular menstruation is to change the hormonal background. It is the hormones that answer the female organism for the frequency of menstruation.

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

In most cases, the cycle failure should not cause concerns among young mammies. Specialists argue that the commissioning of cyclicity can continue for quite a long time. In some women, menstruation acquires the usual cyclicality only after the cessation of breastfeeding.

In any case, when you are worried about the menstrual cycle, visit your gynecologist in order to eliminate possible pathologies.

What happens after childbirth

Immediately after the birth of the baby in the body of the young mother, the process of the involution of the uterus is launched. During this period, the uterus is restored to its pregnant state. Usually this period does not take much time and the body takes the initial state after 2 months.

These changes affect not only the uterus itself, but also the entire generic path. The cervix is \u200b\u200brestored and the inner zev is closed. Upon completion of the process of restoring the internal organs after genera, the menstrual cycle should be resumed.

However, menstruation not always come to the end of the 8th week. Many women have the recovery period is delayed. This does not always indicate deviations or pathologies. According to estimates of gynecologists with a delay in the restoration of menstruation after delivery, about 70% of the feminine are facing.

Young mothers are always wondering when monthly years begin after childbirth. During the recovery of the cycle, it can change the length, the periods often acquire another character, intensity, duration becomes more or less painful than before pregnancy. Often it is the norm, but in some cases the consultation of the gynecologist is required.

Bleeding in the postpartum period

Postpartum bleeding, or suckers, - cleansing the wound surface, which is formed at the site of separated fetal shells and placenta. They last during the entire period of restoration of the inner surface of the uterus.

At this time, the uterus is particularly vulnerable to infection, so hygienic gaskets should be changed and monitor the character of the selection. Maximum, they are expressed within 3 days after childbirth, and then gradually weaken.

Sometimes such sections are completely stopped literally every other day. This is due to blood delay in the uterine cavity (), which leads to an increase in the risk of infection. In this case, the doctor's help is needed.

Normally, the purification of the uterus after the process of natural labor continues from 30 to 45 days. After surgery, it may increase this time, which is explained by the formation of a scar and a longer healing.

How to distinguish between bleeding after childbirth?

Lochi gradually change their character. By the end of the 1st week, they become lighter, after 2 weeks acquire a mucosa. Within a month, blood can appear in them, but its number is minor. Usually a woman easily distinguishes this process from menstruation. There should be at least 2 weeks between the cessation of the loyalty and the beginning of the first menstruation. In case of doubt it is better to turn to the gynecologist or at least start using barrier contraception that protects the uterus from infections.

Start of menstruation

There are no menstruation during pregnancy. This is a natural protective mechanism for preserving the fetus, which is regulated by hormones. After childbirth, the restoration of the normal hormonal status of a woman begins. It lasts within a month if breastfeeding is not started.

When should monthly begin after delivery?

This period is determined primarily by the type of breaming of a child: natural or artificial. The production of breast milk occurs under the action of the hormone of the prolactin pituitary. It is he who suppresses the growth of an egg in the ovary during lactation. The level of estrogen does not grow, so the monthly breastfeeding begin, on average 2 months after childbirth, more often when feeding "by the clock".

In many young moms, this gap is lengthened to six months or more, especially when feeding "on demand". In very rare cases when preserving breastfeeding, even periodic, women note that they have no monthly, and sometimes longer. In such cases, it is necessary to regularly use contraception, and if necessary, to do a pregnancy test. It is also necessary to consult with a doctor to eliminate hyperprolactinemia.

In case of artificial feeding from birth, the duration of the cycle is restored in a month - one and a half. At this time there arises and, so that a new pregnancy is possible.

When a child eats only breast milk, all this time in a woman may not be menstruation. In this case, the first menstruation after delivery will begin during the first half of the year after the end of the lactation "on demand" or the administration of the feeding. However, this is not necessary, and even during the period of breastfeeding menstruation can be recovered.

With mixed feeding (from a bottle and natural way), the restoration of menstruation is developing faster, within 4 months after delivery.

How long is the monthly period in the postpartum period?

Often the first menstruation is very abundant. There may be strong discharge, monthly blood clots. If you have to change the gasket after every hour, you should seek your doctor for help: it may be a symptom of the beginning bleeding. Subsequent periods usually acquire a normal character.

In other cases, in the first months, irregular separating sections appear in women. This is characteristic of breastfeeding, when prolactin synthesis gradually decreases.

Additional factors affecting the speed of restoration of the normal cycle:

difficulties in care for the child, lack of sleep, lack of help of relatives;
unhealthy nutrition;
too young age mom or late childbirth;
concomitant diseases (diabetes, asthma and others), especially requiring hormone therapy;
complications after childbirth, for example, shyhan syndrome.

Changes in menstrual cycles

Irregular periods are often preserved for several cycles after delivery. These changes should not be permanent. For 1-2 months, the cycle normally returns to the prenatal characteristics or a little varies by duration.

Scooty monthly normally can be during the initial 2-3 cycles, especially if mixed feeding is used.
During the first cycles after delivery, on the contrary, some women have abundant monthly. It may be a normal phenomenon, but if menstruation does not become common in the nearest cycle, you need to consult a gynecologist.
The regularity of menstrual secretion is disturbed, that is, the cycle is knocked down.
Painful periods may occur, even if the woman has never complained about the pain. The reason for this - infection, too much reduction in the uterine wall. In most cases, on the contrary, the period painful to pregnancy become normal. This is caused by the normalization of the location of the uterus in the body cavity.
Part of women develops or its precursors: nausea, swelling, dizziness, emotional changes before month.

Causes of postpartum changes in menstruation

Delayed monthly after delivery appears under the influence of a changing level of hormones:

secretion in the hypophysies of prolactin, helps to highlight breast milk and overwhelming ovulation;
suppression under the action of prolactin producing estrogen, which leads to irregular menstruation or their complete absence during breastfeeding (lactation amenorrhea).

When a child eats only with maternal milk, and "on demand", and not "by the clock", and the woman has half a year after delivery there are no monthly - this is the norm.

After the occurrence of menstruation, it is desirable to start using contraception. Although breastfeeding reduces the likelihood of conception, it is still possible. For example, if monthly after delivery began, and then disappeared, the most likely reason for this is re-pregnancy. It should also be remembered that ovulation occurs before the start of menstrual bleeding. Therefore, pregnancy is completely possible even before the first menstruation. If a woman is worried about why there are no menstrual bleeding for a long time, you must first make a home test for pregnancy, and then turn to the gynecologist. Perhaps you will need consultation of the endocrinologist.

It is not necessary after the occurrence of the menstrual cycle to give up feeding with breast milk. Monthly do not change its quality. It happens that the child eats badly in these days, mapping, refuses his chest. This is usually due to the emotional violations of a woman, its experiences on the quality of feeding.

During menstrual bleeding, the sensitivity of nipples can increase, feeding becomes painful. To reduce such sensations, it is recommended before you give the baby breasts, massage it, warm, apply a warm compress to the nipples. It is necessary to follow the purity of the chest and the axillary region. At the menstruation, the composition of sweat changes, and the baby feels differently in a different way. It can be another cause of difficulty feeding.

Irregular monthly

What to do if the menstrual cycle has become irregular:

In the first months of the postpartum recovery period should not panic. In most cases, this is the option of the norm. Each woman has a cycle normalization individually, usually during the first months of renewing menstrual bleeding. Irregularity is more likely to have breastfeeding women.
To restore the normal function of all organs and systems, you need about 2 months. Balance in the endocrine system comes later, especially if breastfeeding is used. Therefore, a woman can feel quite healthy, but it will have a lack of menstruation.
Pay attention to the irregular cycle only through 3 cycles. This may be associated with an inflammatory process, or a tumor of genital organs. The delay of the second monthly is not dangerous, unless it is connected with re-pregnancy.

If any doubts, it is better to consult a gynecologist, to take diagnostics in a timely manner and proceed to treatment.

Cycle after the pathological course of pregnancy or childbirth

Menstruation after frozen pregnancy is not restored immediately. Only from part of women regular bleeding appear in a month. In most cases, the violation of the hormonal background, which led to the interruption of pregnancy causes the irregularity of the cycle.

After interrupting the frozen pregnancy or abortion, the first menstruation occurs within 45 days. If this did not happen, the woman should seek help to the gynecologist.

To eliminate such reasons for amenorrhea, as the remaining part of the fetal egg in the uterus or inflammation, 10 days after the cessation of frozen or normal pregnancy, it is necessary to pass an ultrasound.

The first menstrual discharge after starts from 25 to 40 days after its completion. If they started earlier, it is likely that this uterine bleeding, which requires access to the doctor. The delay of more than 40 days also requires consultation at the gynecologist. If the disease caused severe stress in a woman, the norm is considered to eliminate the recovery time of up to 2 months.

Menstruation after surgery is restored in the same way as after normal genera. During lactation, menstruation do not come for six months. In case of artificial feeding, there are no menstruation for 3 months or even less. Both with physiological and during childbirth, the cesarean sections in the small part of the women did not restore the cycle during the year. If another pathology is not detected, it is considered the norm.

In the first few months after frozen, intrauterine pregnancy or cesarean, the cycle can be irregular. Subsequently, its duration may change compared to the former. But in the normal place it is at least 21 days and no more than 35 days. Menstruation continues from 3 to 7 days.

Pathology of menstruation

Sometimes bleeding, which began in a woman after childbirth, are pathological. At the same time, there should not be a few cycles so that they returned to, but immediately contact the doctor.

A sudden cessation of postpartum discharge is a sign of the fester of the uterus or, clusters of the loyal in the uterine cavity - the Lochiometers.
Scooty periods for 3 cycles and more. Perhaps they are a symptom of hormonal disorders, shyhan or endometritis syndrome.
The irregularity of menstruation in six months after its recovery, a break between bloody discharges for more than 3 months. Most often accompanies the pathology of the ovaries.
Too abundant bleeding for 2 or more cycles, especially after the surgical method of the delivery or interruption of pregnancy. They are often caused by the fabrics of the fetal shells remaining on the walls of the uterus.
The duration of menstruation more than a week, which is accompanied by weakness, dizziness.
The appearance of abdominal pain, fever, unpleasant smell, changing the color of vaginal discharge - a sign of a tumor or infection.
Maching stains before and after the monthly - probable symptom of endometriosis or inflammatory disease.
Itching in the vagina, an admixture of cotton seals - a sign.
Bleeding twice a month, persistent for more than 3 cycles.

In all listed cases, the gynecologist is needed.

Sometimes, despite the apparent health of women, menstruation at the right time does not occur. This may be a symptom of the complication of childbirth - Shihan's syndrome. It occurs with strong bleeding during childbirth, during which blood pressure is dramatically reduced. As a result, the death of the pituitary cells is the main body regulating the function of the reproductive system.

The first sign of this disease is the lack of postpartum lactation. Normally, in the absence of milk, monthly appear after 1.5-2 months. However, with shyhan syndrome, gonadotropic hormone deficits arises. The ripening of the egg in the ovary is disturbed, there is no ovulation, there are no menstrual bleeding. Therefore, if the woman has no milk, and then the cycle is not restored, she needs to be urgently consulted with a doctor. The effects of shyhan syndrome - adrenal insufficiency, which is accompanied by frequent infectious diseases and a general decrease in the body's resistance to various stress.

There is a reverse problem -. This condition is caused by an increase in the production of prolactin in the pituitary after the end of lactation. This hormone depresses the development of an egg, causes anointing, violates the normal thickening of the endometrium in the first phase of the cycle. Its excess leads to the absence of menstruation against the background of the ongoing synthesis of milk.

The main causes of hyperprolactinemia are pituiteance adenoma, gynecological diseases, ovarian polycystic diseases.

When a woman is healthy, the cycle is normally restored. To avoid possible failures, you need to perform some simple recommendations:

To give the body the opportunity to restore the synthesis of hormones faster, you need to fully eat. Many fruits, vegetables, whole cereals and water combined with regular exercise - an effective method of recovery of hormonal balance. The menu should have dairy products, cottage cheese, meat. After consulting a doctor, you can take multivitamins for nursing mothers.
Not to accept . They can change the hormonal background, and cause unpredictable changes in the cycle. If a woman is sexually active, it is better to use condoms or other non-coronal contraception methods.
Madely organize your own mode. If the baby sleeps badly at night, you need to try to get enough sleep during the day. Do not give up any help of loved ones. A good physical condition of a woman will help her to recover faster.
In the presence of chronic diseases (diabetes, the pathology of the thyroid gland, anemia and others) it is necessary to visit the relevant specialist and adjust treatment.

And this is due to the features of feeding. It is important as a woman feeds the child: breast or mixture.

When is the cycle restored?

In non-breastfeeding women or mixed nutrition, the menstrual cycle is restored from 6 to 8 weeks after childbirth. In nursing breasts, the periods of restoration of the menstrual function can vary. If there are no additional dopamans, the doctoration and administration of adhesiveness, menstruation may be absent until six months or before the introduction of sufficient volumes of solid food.

But the method of lactation amenorrhea, i.e., the lack of ovulation in a nursing woman, today can not be considered 100% effective. Since often women have endocrine dysfunctions. Therefore, the beginning of menstruation in a nursing woman is possible from about half a year of the child's life. Although there may be earlier and late periods.

If the mixture is more than 100 ml in the diet of the child, then the return of menstruation is possible after 3-4 months from the date of birth. Accordingly, there is an opportunity and become pregnant.

First monthly after delivery

The first time menstruation is usually non-radical. The follicle ripens in the ovary, but the exit of it is usually not occurring from it, and he himself underwes the reverse regression. There is a rejection of the mucosa layer of the uterus with a visual manifestation - menstrual. It does not always happen, and the part of women ovulation happens before the first menstruation. Accordingly, the possibility of early and unplanned pregnancy after childbirth increases. Especially high probability of this for those women who do not feed the breast. They have only 2 months after childbirth.

At the time of the emergence of the first monthly after delivery, many factors affect:

age;
state of the body of a woman;
preceding pregnancy;
Birth (operational or natural).

It is important for the restoration of menstruation: full-fledged nutrition with enough minerals and vitamins, day mode, sufficient sleep, the presence of chronic pathology of the sexual sphere and body, the state of the nervous system. In the exhausted and waded woman, menstruation usually arise later and are complicated.

After cesarean section

Caesarean section is usually carried out in the case of complicated childbirth, which, one way or another, impose a print on further menstruation. Usually menstruation occurs on the same time as women after natural labor. But with emergency operations and complications of the postpartum period, they can be restored later and adjust longer due to the seam. Sometimes consultation is required for selecting corrective therapy.

Immediately need to contact the doctor: with significant pains at the bottom of the abdomen, abundant discharge with an unpleasant or atypical smell. These may be signs of exacerbation of chronic inflammatory processes arising for postpartum and sluggish.

Difficulties with menstruation

After childbirth, women may encounter certain difficulties. Even if earlier, before pregnancy, there were no deviations in menstruation. First of all, menstruation can be installed in the period up to six months and be irregular, differing on average for 3-5 days. If, after six months, the cycle is not installed in any way - this is a reason to visit the gynecologist.

In addition, the menstrual cycle may change: lengthen or become shorter. But usually women note clearer and regular menstruation and after delivery. However, most women menstruation become longer and more abundant due to the settlement and stabilization of the hormonal background. After childbirth, menstruation is usually passed. And if it occurred - a doctor consultation is needed to eliminate inflammatory processes.

Regular and painless monthly - one of the women's health indicators. It is they who serve as an indicator of the ability to give life to a person. Their absence during pregnancy and in most cases of breastfeeding periods makes it possible to give his life forces only to recently declaring his presence in this world in this world. The arrival of menstruation says that the woman is able to conceive and endure the child again.

What is menstrual cycle

Menstrual cycle is a multifaceted biological process in the female body that affects the functions of both the reproductive system and other (cardiovascular, nervous, endocrine and other). The cycle is called the period of time between the first day of menstruation and the last day before the next discharge. Its duration should be regular (from 21 to 35 days), approximately the same every time. Each such cycle prepares a woman to pregnancy. It consists of the following phases:

Preparation for ovulation. The ovaries produce a hormone estrogen, thanks to which the inner layer of the uterus swells, ripens the follicle (bubble containing an egg cell).
Ovulation. Mature follicle bursts, the egg makes out of it in the abdominal cavity. Usually occurs in the middle of the cycle.
Readiness for fertilization. The egg begins to move in the uterine tubes in the uterus. This process lasts on average three days. If during this time fertilization did not happen, the egg cell perishes. The ovaries in large quantities produce a hormone progesterone, thanks to which the endometrium (inner layer of the uterus) is preparing to take a fertilized egg. In the event of commenced pregnancy, no monthly missions.
Menstruation. If the fertilization did not happen, the endometrium begins to reject, which is due to a sharp decrease in progesterone. Blood discharge begin.

Restoration of the menstrual cycle means for a woman the possibility of a new pregnancy

In many countries earlier, and in some and now to girls and women during menstruation are different. Some believe that the woman becomes unclean. So, some of our compatriots even at the present time during critical days do not go to church. In some Eastern countries, girls are prohibited in these days to cook food, touch idols, do homework, so as not to desecrate anything.
In other regions, it is considered or previously believed that women possess in the days of menstruation special force. So, in the XVI century, the Korean General of Gwak Cheu during the war wore red clothes, painted by the menstrual blood virgins. The general believed that the Dark Women's Energy Yin turned his clothes into the armor, inaccessible to the enemy fire - the personnel of the Male Energy Yang.

How to distinguish monthly from lohi and postpartum bleeding

After childbirth, a woman has bleeding, the first is abundant, and then more and more scanty. These allocations do not have anything to do with menstruation and are called Lochi. Immediately after the birth of Lochi is very abundant. But after a few days, they become similar to non-human periods, after which they will gradually go down. Approximately a month and a half they disappear without a trace.

Sometimes the lochs stop faster, while the uterus does not have time to take the initial sizes (there is a noticeable tummy). This may indicate that the uterus is poorly reduced or spasped the cervical canal. Such pathologies are diagnosed with ultrasound diagnostics. To similar problems can also indicate too dark blood in the form of bunches. Her color says that she was in the uterus for a long time and managed to oxidize.

If the uterus seems to be reduced, the suckers almost stopped, but unexpectedly appeared abundant blood discharge, and after the birth, less than five weeks passed, it means that bleeding began. In this case, it is necessary to immediately consult a doctor. The reason for this situation is hidden in the filter of the placenta remaining in the uterus. Pathology is diagnosed with ultrasound, but confirmed with hysteroscopy or scraping.

Video: The doctor tells about the discharge after childbirth

When to expect monthly after delivery

The monthly cycle of the young mother is being restored gradually: in one month and a half after delivery (but not before), and others and in a year, which depends on the set of factors. But first of all - from the hormonal background of a woman.

The level of hormones in the body is subject to change, and on what quantity they are present in the body depends on the beginning of menstruation. If a woman feeds breasts, prolactin is produced in her body in large quantities. It swallows the work of the ovaries, thereby preventing the restoration of the menstrual cycle. So nature cares for women's forces to be aimed at the toddler's light, and not for a new pregnancy. If for some reason, the mother completed the GW, for the body it is a sign - a woman is free, you can prepare for a new pregnancy. That is why, in most cases, moms whose children are on complete breastfeeding, there are no menstruation. The cycle is also restored shortly after the kid is transferred to artificial or mixed feeding or actively introduced lures.

Thus, most often the cycle recovery time depends on the nature of the baby's nutrition:

if the baby is completely in breastfeeding up to a year, it receives milk at demand at any time of the day, and the lore is only an addition to Mamin Milk, it should be expected to be expected when the kid will be a year and the main place in his diet will take the "adult" food;
if the crumb is actively embarrassed from 5-6 months, gradually replacing the breastfeeding of solid food, menstruation will appear when the baby will be seven or eight months;
when a child is on mixed feeding, the selection is most likely to begin three to four months after delivery;
mam kids on artificial feeding menstruation appear after a half or two months after childbirth.

Hormone prolactin, produced in large quantities in the body feeding mothers, restrains the work of the ovaries and the resumption of menstruation

A modern woman has about 450 menstrual cycles in its entire life. A few centuries ago, this figure was less - about 160 cycles. And in ancient times - about 50. This is due to the fact that they used to give birth many children and fed their breasts for a long time.

What else affects the beginning of the monthly

Of course, for the period of the beginning of menstruation, however, to a much lesser extent than lactation, other factors affect:

the presence of diseases complicates the recovery after delivery, which means that the monthly delay is obtained;
difficult pregnancy and complications of childbirth slow down the recovery processes, so waiting for the arrival of menstruation will have longer;
the level of other hormones is interconnected with the development of prolactin, which means that the beginning of menstruation;
properly balanced nutrition, admission in sufficient quantity of necessary trace elements and vitamins contribute to the full functioning of the body and the speedy restoration of the monthly cycle;
compliance with the mode of sleep and recreation contributes to rehabilitation processes;
the presence of stress, the suppressed emotional state adversely affects the reproductive health and restoration of the menstrual cycle;
the use of hormonal contraceptives can make adjustments to the functioning of the hormonal system: along with the stimulation of progesterone generation, during their use, the amount of prolactin decreases. Therefore, it is possible a speedy occurrence of menstruation, but at the same time a decrease in the amount of milk produced;
the age and number of labor affect the features of the functioning of the reproductive system. A young indistent organism comes to normal faster;
excess weight does not contribute to the timely beginning of the month;
the organism of women who gave birth several times, as well as those who gave birth for the first time after 30 years, as a rule, is longer being restored after delivery.

Recovery after cesarean section

The restoration of the menstrual cycle does not depend on whether the baby appeared as a result of natural genera or after the cesarean section. However, in some cases, restoration can be delayed due to complications in the postoperative period: inflammatory processes in the uterine cavity, as well as in the seam area. In all the rest, the way of the delivery is no meaning.

Restoration of the menstrual cycle after cesarean section, if it passed without complications, does not differ from recovery after natural labor

Features of the menstrual cycle after delivery

After generic menstruation, they may have a completely different character than before delivery, although not necessarily. It happens, their frequency and duration, and the nature of the discharge, their intensity changes. Often they are not so painful as before.

The recovery of the cycle takes some time. The first monthly after childbirth is not immediately becoming regular, the same by duration and do not always occur with the same frequency. The body takes time to rebuild on a new way. On average, it takes two or three months.

Table: What a period should be

Often, before the start of the monthly, the woman overtakes the premenstrual syndrome (PMS), even if in the prenatal period of life it was uncharacteristic for her. This condition is characterized by:

mood swings;
irritability;
sleep disorders;
scattered;
swelling and light soreness of dairy glasses;
fluid delay in the body, edema;
pain in the joints;
allergic reactions.

Many women by changing their well-being determine the approach of menstruation

The pain, abundance of the discharge and the duration of menstruation is usually much more in winter than in the summer.

How to help the body recover

During pregnancy and after the birth of the baby, the load on all organs and systems (especially the nervous and endocrine) women are very big. To promote the restoration of the cycle, the correct functioning of the body will be:

full sleep and rest;
mental balance, calm;
proper, balanced power, reception of vitamins;
moving lifestyle, full-fledged walks in the fresh air.

How does menstruation on breast milk

Moms in whom the cycle recovered is often worried, as the changes in their organism affect the lactation. With menstrual discharge, the amount of prolactin hormone is sometimes reduced in the body, which reduces milk production. At the same time, the quality, taste, the composition of milk remains the same. It is worth mostwise applying the crumb to the chest so that it remains full and calm, as well as drink more fluid.

Menstrual allocations The young mother does not affect the quality of its milk, but can slightly reduce its number

Table: Menstrual Disorders

Reason for concern	Possible reasons
Very abundant monthly	May indicate violations of hormonal balance in the body, as well as on diseases such as endometrial hyperplasia, endometriosis. One gasket should be enough for 4-6 hours, if you have to change them every two hours - this is a reason to turn to the gynecologist.
Blood selection 1.5-2 months after childbirth having an unpleasant smell	They are talking about the presence of an inflammatory process that entails a number of diseases (endometritis, parameters, colpit, etc.).
Lack of menstruation three months after the end of breastfeeding or very meager allocations	Indicate the high level of prolactin, which it was time to decrease.
The irregular cycle a few months after the start of menstruation	There are violations in the work of the body.
Mozhuchi allocations accompanied by headache, increased fatigue, hypotension, edema	There may be signs of shyhan syndrome that detects as a result of damage to the pituitary gland responsible for the synthesis of hormones.
Termination of menstruation or their absence within a few months after the end of breastfeeding	Specify the onset of a new pregnancy, if the woman was not protected properly. Since ovulation comes two weeks before the start of menstruation, the woman may not guess his position, assuming that the cycle has not yet recovered.
Very short duration of menstruation (1-2 days) or very long (more than a week)	Report on the development of pathological processes (endometriosis, benign tumor and others) and require mandatory advice of the doctor.
Overhairs painful monthly	There are signs of pathological processes in reproductive organs.
Dark (black) monthly	Sometimes there are an option for the norm, especially on the first day of the cycle, but may also testify about pathological processes.

Such violations are rarely found, but in order to prevent them in time, all who born women make an ultrasound examination and prescribe analyzes, and also recommend to visit the gynecologist regularly, especially at the first time after delivery. Ignoring these recommendations, the young mother at risk both their health and the health of future children.

The restoration of the menstrual cycle after childbirth is one of the conditions of the physical well-being of a woman. Healthy lifestyle, positive attitude and timely appeal to the doctor in case of anxiety will help make the process easy and natural.