Postpartum Menstrual Irregularities During Breastfeeding: When to Seek Help

Postpartum menstrual irregularities, with breastfeeding?

Hello, doctor.
I have been breastfeeding for almost two years now.
About a year after giving birth, my menstrual cycle resumed, but it has been very irregular and long, with periods occurring infrequently.
Sometimes my period lasts only one day, then disappears, and reappears after a few days.
The color of the menstrual blood is not bright red; sometimes it is brown, and other times it is light pink, with very little flow—almost negligible.
I would like to know if I should see a doctor to help regulate my menstrual cycle, or should I wait until I completely stop breastfeeding before seeking medical advice if my periods remain irregular? Thank you, doctor.

Sherey, 20~29 year old female. Ask Date: 2017/07/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have been breastfeeding for two years now.
My menstruation returned about a year postpartum, but my cycle has been very irregular and long, with periods occurring infrequently.
Sometimes my period lasts only a day, then disappears, and reappears after a few days.
The color of the menstrual blood is not bright red; sometimes it is brown, and other times it is light pink, with very little flow—almost negligible.

1.
Can I see a doctor to regulate my menstrual cycle, or should I wait until I completely stop breastfeeding before seeking medical advice if my cycle remains irregular?
Answer: You should wait until you completely stop breastfeeding, and if your menstrual cycle is still irregular, then you should seek medical advice.

Reply Date: 2017/07/06

More Info

Postpartum menstrual irregularities during breastfeeding are quite common and can be attributed to several physiological changes that occur in a woman's body after childbirth. When a woman breastfeeds, the hormone prolactin is elevated, which plays a crucial role in milk production. Prolactin also suppresses ovulation, leading to irregular or absent menstrual cycles during the breastfeeding period.
In your case, having irregular menstrual cycles for two years while breastfeeding is not unusual. Many women experience variations in their menstrual patterns during this time. The fact that your periods are infrequent, with varying colors and flow, is also consistent with the hormonal fluctuations associated with breastfeeding.
However, there are a few important considerations to keep in mind. If your menstrual irregularities are accompanied by other symptoms such as severe pain, significant changes in your overall health, or if you have concerns about potential underlying conditions (such as hormonal imbalances or other reproductive health issues), it would be wise to consult a healthcare provider.
Here are some points to consider regarding when to seek medical advice:
1. Duration of Symptoms: If you notice that your irregular cycles persist even after you have stopped breastfeeding, it may be a good idea to seek medical advice. It is generally expected that menstrual cycles will normalize within a few months after weaning, but if they do not, further evaluation may be necessary.

2. Associated Symptoms: If you experience any unusual symptoms such as heavy bleeding, severe abdominal pain, or any signs of infection (such as fever or unusual discharge), you should seek medical attention promptly.

3. Health Changes: If you have experienced significant weight changes, mood swings, or other health issues, these could indicate hormonal imbalances that warrant further investigation.

4. Family Planning: If you are considering pregnancy or are concerned about fertility, it is advisable to consult with a healthcare provider to discuss your menstrual irregularities and any potential implications for conception.

5. Routine Check-ups: Regular gynecological check-ups are important, especially after childbirth. If you have not had a postpartum check-up, it may be beneficial to schedule one to discuss your menstrual cycle and any other postpartum concerns.

In summary, while irregular menstrual cycles during breastfeeding are common and often resolve on their own, it is important to monitor your symptoms. If you have any concerns or if your symptoms change, do not hesitate to reach out to a healthcare provider. They can provide personalized advice and determine if any further evaluation or treatment is necessary. Your health and well-being are paramount, and seeking help is always a proactive step.

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