Delayed Menstruation: Impact of Breastfeeding on Cycle Changes - Obstetrics and Gynecology

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Delayed menstruation


Hello, I would like to ask about my menstrual period.
My last period was from July 6 to July 9, and this month's period on August 8 was delayed by several days.
Previously, my cycles were almost always regular and had never been delayed since I gave birth.
This time, the first day was normal, but on the second day, the flow seemed to decrease significantly, and I didn't feel like I was bleeding as much.
I am still breastfeeding; could this be related to breastfeeding?

hdisne, 20~29 year old female. Ask Date: 2016/08/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, diet, uterine or cervical lesions, pregnancy, and breastfeeding, among others.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/08/09

More Info


Delayed menstruation can be a common concern for many women, especially those who are breastfeeding. The relationship between breastfeeding and menstrual cycles is well-documented, and several factors can contribute to changes in your cycle during this time.

Breastfeeding can significantly influence hormonal levels in a woman's body. When you breastfeed, your body produces higher levels of prolactin, a hormone that helps with milk production. Elevated prolactin levels can suppress ovulation, leading to a delay in menstruation. This is often referred to as lactational amenorrhea, which is a natural form of contraception that can last for several months postpartum, especially if breastfeeding is exclusive.

In your case, since you mentioned that your menstrual cycle was regular before and has now become delayed, it is likely that breastfeeding is playing a role in this change. The fact that you experienced a reduction in menstrual flow on the second day could also be attributed to hormonal fluctuations caused by breastfeeding. It's not uncommon for breastfeeding mothers to experience lighter periods or even skipped cycles altogether.

Moreover, stress, fatigue, and changes in your overall health can also impact your menstrual cycle. If you are feeling overwhelmed or not getting enough rest, this can further delay your period. It's essential to consider your overall well-being, including your mental and physical health, as these factors can also contribute to menstrual irregularities.

If you are concerned about the changes in your menstrual cycle, it is advisable to consult with a healthcare provider. They can evaluate your situation more thoroughly, considering your breastfeeding status, any other symptoms you may be experiencing, and your overall health history. They may recommend monitoring your cycle for a few more months to see if it stabilizes or suggest further investigations if necessary.

In summary, breastfeeding can indeed affect your menstrual cycle, leading to delays and changes in flow. This is generally considered normal, especially in the early months postpartum. However, if you have any concerns or if your cycle does not return to normal after you stop breastfeeding, it is always best to seek medical advice for peace of mind and to rule out any underlying issues.

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