Breastfeeding and Menstruation: Your Body After Birth - Obstetrics and Gynecology

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Breastfeeding and Menstruation


Hello, doctor.
I would like to ask a question.
I just gave birth naturally to a baby who is currently over 3 months old.
I delivered in September and have been breastfeeding, but my milk supply is low.
I pump about 6 times a day, with each session yielding around 30-60 ml, at most 90 ml.
I have also consumed many foods that are said to increase milk production, such as peanuts, pig's trotters, herbal lactation tea, rye juice, fish soup, and so on, but it seems to have no effect.
Is it possible that I naturally have a low milk supply?
Additionally, I got my first menstrual period in November after giving birth in September.
Is this normal? I heard that menstruation tends to be delayed when breastfeeding, or could it be related to my low milk supply? If I want to use contraception, will taking birth control pills have side effects? Which type would be better? Please take the time to reply.
Thank you.

Xinshou Mami, 20~29 year old female. Ask Date: 2007/12/30

Dr. Zhou Dali reply Obstetrics and Gynecology


It is advisable to return for obstetric examination.

Reply Date: 2007/12/30

More Info


Breastfeeding and menstruation can be complex topics, especially for new mothers navigating their postpartum bodies. It's great that you're seeking information to better understand your situation. Let’s break down your questions and concerns regarding breastfeeding, menstruation, and contraception after childbirth.

Firstly, regarding your milk supply, it’s important to recognize that every woman’s body is different. Factors such as genetics, hormonal levels, and even stress can influence milk production. While you are doing all the right things by eating foods that are believed to enhance milk supply, such as peanuts, pig trotters, and herbal teas, it’s also essential to ensure that you are effectively emptying your breasts during breastfeeding or pumping. The more frequently and thoroughly you empty your breasts, the more milk your body is likely to produce. If you feel that your milk supply is inadequate despite these efforts, it may be beneficial to consult a lactation consultant. They can provide personalized advice and techniques to help increase your milk production.

Now, concerning your menstrual cycle, it is indeed common for women who breastfeed to experience a delay in the return of their menstrual periods. This is due to the hormone prolactin, which is responsible for milk production and can suppress ovulation. However, every woman's body is unique, and some may find that their periods return sooner than expected, even while breastfeeding. In your case, having your first period just two months postpartum is not unusual, especially if your milk supply is lower. The body can react differently based on hormonal levels, and it’s possible that your body is adjusting to the changes post-delivery.

As for contraception, it’s crucial to consider your options carefully. If you are breastfeeding, some forms of hormonal contraception can affect milk supply. Progestin-only pills (often referred to as the "mini-pill") are generally considered safe for breastfeeding mothers and are less likely to impact milk production compared to combined oral contraceptives, which contain both estrogen and progestin. However, it is always best to discuss your contraceptive options with your healthcare provider, who can help you choose the method that aligns with your health needs and lifestyle.

In summary, your experience with breastfeeding and menstruation is quite normal, and it’s important to remember that every woman’s postpartum journey is unique. If you have concerns about your milk supply or menstrual cycle, don’t hesitate to reach out to a healthcare professional or lactation consultant. They can provide you with tailored advice and support to help you navigate this period of adjustment. Additionally, when considering contraception, discussing your options with your doctor will ensure that you choose the best method for your situation. Remember to take care of yourself during this time, as postpartum recovery is just as important as caring for your newborn.

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