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Home > Breastfeeding > Becky Flora > Menstruation and Nursing a Baby

Menstruation and Breastfeeding
Becky Flora, BSed, IBCLC

Almost anything is considered normal when it comes to your periods while breastfeeding. All women experience a time of postpartum bleeding following birth which is not considered a menstrual period. If bottle-feeding, most mothers will have their first real period not long after this. Breastfeeding, however, suppresses menstruation at least for a while. For some mothers, there may be an absence of menstruation for weeks, months, and even years while still breastfeeding. Some mothers will even need to completely wean before they see their first period. Others, once their babies begin taking supplemental foods or sleeping longer periods at night, will see the first period. Once menstruation returns it may continue to be irregular during lactation. It's not uncommon to have a shorter or longer than normal period while breastfeeding. It's also not abnormal to skip a period or see the first period return and then find that months pass before the next one.

When the first period returns depends upon several factors: how frequently the baby is nursing, how often the baby is supplemented with bottles, whether or not the baby takes a pacifier, how long the baby is sleeping at night, whether or not solids have been introduced, and the mother's own individual body chemistry and the way it responds to hormonal influences associated with breastfeeding. Any time the stimulation to the breast is decreased, especially at night, menstruation is likely to return soon after.

When menstruation does return, you should consider yourself fertile and take precautions against pregnancy if desired. Some women consider their first period as their "warning period" that they are now capable of becoming pregnant. However, it IS possible to become pregnant before the first period returns, although quite rare.




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