Is It Normal to Have Menstrual Changes While Breastfeeding?

Menstruation during breastfeeding?

Hello, I gave birth last September and have been breastfeeding since then.
I got my first postpartum period last month, but this month it hasn't arrived yet.
Sometimes I feel some discomfort in my abdomen.
I'm still breastfeeding; is this normal?

Wei Xingru, 30~39 year old female. Ask Date: 2012/03/13

Dr. Chen Changfu reply Obstetrics and Gynecology

Due to breastfeeding, the mother's pituitary gland secretes high levels of prolactin, which may affect the normal ovulatory function of the ovaries, leading to amenorrhea or irregular menstrual cycles.
However, it is still important to consider the possibility of pregnancy as a reason for the absence of menstrual bleeding.

Reply Date: 2012/03/13

More Info

Breastfeeding can significantly influence a woman's menstrual cycle, and it is not uncommon for new mothers to experience changes in their menstrual patterns during this period. After childbirth, many women may notice that their menstrual cycles are irregular or even absent altogether, especially if they are exclusively breastfeeding. This phenomenon is primarily due to the hormonal changes that occur in the body during lactation.

When a woman breastfeeds, the hormone prolactin is released, which plays a crucial role in milk production. Elevated levels of prolactin can suppress ovulation, leading to a delay in the return of menstrual cycles. This is a natural form of contraception known as lactational amenorrhea. For many women, this can last for several months or even longer, particularly if they are breastfeeding frequently and exclusively.
In your case, since you mentioned that you began breastfeeding in September and have not had your period since, this could be a normal response to breastfeeding. The feeling of "heaviness" or discomfort in your abdomen could also be related to hormonal fluctuations or the physical changes your body is undergoing postpartum.
However, it is essential to note that every woman's body is different, and the return of menstruation can vary widely. Some women may resume their periods within a few months after childbirth, while others may not see a return until they reduce breastfeeding frequency or wean entirely. If you are still breastfeeding and have not had a period for several months, this is generally considered normal, especially if you are exclusively breastfeeding.

If you have concerns about your menstrual cycle or any unusual symptoms, such as severe abdominal pain, significant changes in your breast tissue, or any other concerning signs, it is advisable to consult with a healthcare provider. They can perform a thorough evaluation to rule out any underlying issues and provide personalized advice based on your health history and current situation.

In summary, it is quite normal to experience menstrual changes while breastfeeding, including the absence of periods. This is primarily due to the hormonal effects of breastfeeding, particularly the influence of prolactin. As long as you are not experiencing any alarming symptoms, this is typically a natural part of the postpartum experience. However, maintaining open communication with your healthcare provider is crucial for monitoring your health during this time.

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