What to Expect and When to Expect It: Your First Period After Baby

After giving birth, many new mothers look forward to the break from their monthly period that comes with pregnancy. However, the return of menstruation postpartum can be a bit unpredictable. Dr. Holly Loudon, an expert in obstetrics, gynecology, and reproductive science, sheds light on what to expect when it comes to your first period after having a baby.

According to Dr. Loudon, the average time for a period to return after giving birth is between 45 to 64 days. Most postpartum individuals will experience their first period by 12 weeks, with some seeing it as soon as two weeks after delivery, while others may not have a period for a year or more. The main factor influencing the return of menstruation is breastfeeding. Prolactin, the hormone responsible for milk production, can delay the return of your period by suppressing other hormones that regulate menstruation.

While it is possible to get your period while breastfeeding, it may take months or even longer for it to return. Exclusively breastfeeding can further delay menstruation, with 40 percent of individuals who exclusively breastfeed not experiencing a period by six months postpartum. On the other hand, those who combo feed or introduce solid foods to their baby may see their period return sooner.

Despite the delay in menstruation while breastfeeding, it is still possible to get pregnant. Ovulation can occur before the first postpartum period, increasing the risk of pregnancy. Exclusive breastfeeding can act as a form of birth control, but it is not foolproof. It is essential to use additional contraception if you do not wish to conceive.

When it comes to birth control options while breastfeeding, there are several safe methods available, including non-hormonal options like condoms, progestin-only pills, and hormonal methods like IUDs and implants. It is crucial to discuss with your healthcare provider to find the best option for you.

The first few postpartum periods may be irregular, longer, heavier, or more painful than before. Cramping, heavier flow, and small blood clots are common experiences. Postpartum bleeding, known as lochia, can also occur alongside the first period, lasting up to six to eight weeks after delivery.

If you experience any concerning symptoms such as heavy bleeding, prolonged periods, or large blood clots, it is essential to seek medical attention. While changes in your menstrual cycle postpartum are normal, certain symptoms may indicate a more serious issue that requires medical evaluation.

In conclusion, the return of menstruation after giving birth can vary greatly from person to person. Understanding the factors that influence the timing of your first postpartum period can help you navigate this transition period with confidence and awareness. Remember to prioritize your health and well-being as you adjust to the changes in your body postpartum.