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Is It Normal to Have Irregular Periods While Breastfeeding?

Mahshid Moghei, PhD Medically reviewed by Mahshid M. on

Breastfeeding and Postpartum Cycle Changes

Many new moms notice wonky periods while nursing. This is mostly because of high prolactin levels, which put ovulation on pause. As your breastfeeding routine shifts, your monthly visitor might start showing up again, but when exactly can really vary. It's super important for new moms to get a handle on why this happens and what it means. What else could be messing with your postpartum cycle?

Key Takeaways

  • Skipping periods or having irregular ones is common when breastfeeding because high prolactin levels stop ovulation.

  • If you're exclusively breastfeeding, your periods might stay away longer, especially in the first six months.

  • Your first period could pop up as early as five weeks after birth, or much later, and it might not be like your old cycles.

  • Hormone swings can mean lighter, heavier, or shorter periods, and you might have some spotting before they fully return.

  • If your periods are still all over the place after three months, or if you're bleeding a lot, it's a good idea to chat with your doctor.

Why Your Periods Might Be Irregular While Breastfeeding

Lots of women find their periods are a bit unpredictable when they're breastfeeding, and it's all down to how the body works. When you're nursing, your body cranks out more of the hormone prolactin. This hormone tells your ovaries to chill out and not release an egg, which often means your periods go MIA or become super irregular. How often and how long you breastfeed makes a big difference too; if you're exclusively breastfeeding, your periods will likely stay away longer, especially during the first half-year. As your baby's feeding schedule changes and you breastfeed less often, your cycles might start to get back on track. Everyone's body reacts a bit differently to these hormonal shifts and breastfeeding habits, which is why everyone's postpartum cycle is unique. So, don't be surprised if your periods come back shorter, longer, or just plain different than they were before you got pregnant.

How Breastfeeding Affects Your Monthly Cycle

Breastfeeding can really shake up your menstrual cycle as your body gets back to its old self after giving birth. Many breastfeeding moms experience lactational amenorrhea, which is just a fancy way of saying your periods are absent or all over the place because those high prolactin levels are keeping ovulation at bay. When your period decides to return is a total toss-up; some women get their first one back as soon as five to six weeks postpartum, while others won't see it until they start weaning. Your periods might also feel different – they could be lighter, heavier, or shorter than they were before pregnancy. Plus, those hormonal rollercoasters during your period can sometimes cause a temporary dip in your breast milk supply, which might make nursing a bit uncomfortable or affect how your baby nurses, especially towards the end of your cycle.

Spotting the Signs of Postpartum Cycle Irregularities

How can new moms tell if their postpartum cycle is acting a bit strange? Many breastfeeding moms will notice their periods are a bit off due to the hormonal dance that happens with lactational amenorrhea. In the postpartum phase, it's pretty common to have periods that are lighter, heavier, or shorter than you remember. You might even see some spotting or light bleeding before your full period returns, which is just your body getting used to the hormonal changes. Some women might not have any periods for months while they're exclusively breastfeeding. You might also notice more cramping or discomfort during your period, which is another sign your body is adjusting to postpartum hormones. Knowing these signs can help new moms feel more in tune with their unique menstrual journey during this time.

When to Get Medical Advice About Irregular Periods

When should new moms think about getting a doctor's opinion on irregular periods while breastfeeding? It's a good idea to check in with your healthcare provider if you notice a few specific things. If you're experiencing heavy bleeding that means you're changing pads every hour or your period lasts longer than seven days, it could signal something that needs a doctor's attention. If you have severe cramping or pain that makes it hard to go about your day, especially if it's worse than what you experienced before pregnancy, you should definitely see your doctor. Also, if your menstrual patterns haven't returned after more than three months, even though you're breastfeeding less, it might point to hormonal imbalances. Any weird changes, like suddenly irregular periods, hair loss, or big shifts in your weight, are worth getting checked out to make sure you're healthy during this postpartum period.

Natural Ways to Help Your Menstrual Cycles Get Back on Track

While you're busy navigating the joys and challenges of new motherhood, many breastfeeding moms look for natural solutions to help their menstrual cycles find their rhythm again. Eating a well-rounded diet packed with iron, good fats, and whole foods can support your hormones and potentially help regulate your cycle. Staying hydrated is also key, as drinking enough water helps your whole body function smoothly, including your hormone balance. Gentle to moderate exercise can boost blood flow and reproductive health, which also helps your cycle normalize. Plus, stress-busting techniques like meditation and yoga can help your hormones chill out and ease any period discomfort. Some moms also find relief with supplements like magnesium and calcium, but it's always smart to chat with your doctor before trying anything new. These tips can help you feel more comfortable and in control during your postpartum journey.

Frequently Asked Questions

Can Periods Start and Stop While Breastfeeding?

Yep, your periods can totally start and stop when you're breastfeeding. It all depends on things like how often you're nursing and your hormone levels, so your cycle might be a bit unpredictable during this postpartum time.

What Causes Irregular Menstruation While Breastfeeding?

Irregular periods while breastfeeding are mainly caused by high prolactin levels, which put ovulation on hold. How often you nurse also plays a big part in when and how regularly your period shows up postpartum.

What Are the Signs of Pregnancy While Breastfeeding?

If you're breastfeeding and think you might be pregnant, watch out for missed periods, feeling queasy, being tired, and sore breasts. You might also notice changes in your milk supply or how your baby nurses, which could mean your hormones are shifting and it's time to talk to your doctor.

When Should I Worry About Irregular Periods Postpartum?

You should get concerned if your periods are super heavy, last longer than seven days, or come with really bad cramps. Also, any major changes, like big weight swings or hormonal imbalances, mean you should definitely see your doctor.

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Sources

  1. McNeilly, A. (2001). Lactational control of reproduction. Reproduction Fertility and Development, 13(8), 583.https://connectsci.au/rd/article-abstract/13/8/583/47617/Lactational-control-of-reproduction?redirectedFrom=fulltext

  2. Todd, N. and Lerch, M. (2021). Socioeconomic development predicts a weaker contraceptive effect of breastfeeding. Proceedings of the National Academy of Sciences, 118(29). https://www.pnas.org/doi/full/10.1073/pnas.2025348118

  3. Jackson, E. and Glasier, A. (2011). Return of ovulation and menses in postpartum nonlactating women. Obstetrics and Gynecology, 117(3), 657-662. https://journals.lww.com/greenjournal/abstract/2011/03000/return_of_ovulation_and_menses_in_postpartum.20.aspx


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The content on this page is for informational and educational purposes only and does not constitute professional medical advice. Patients should not use the information presented on this page for diagnosing a health-related issue or disease. Before taking any medication or supplements, patients should always consult a physician or qualified healthcare professional for medical advice or information about whether a drug is safe, appropriate or effective.