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How long does breastfeeding amenorrhea last?

Understanding Lactational Amenorrhea
Lactational amenorrhea is a natural form of postpartum infertility that occurs when a woman is not menstruating while fully breastfeeding. This phenomenon is primarily due to the hormonal changes that breastfeeding induces, which suppress the ovarian cycle and delay the return of menstruation.
Duration of Lactational Amenorrhea
For most women who are exclusively breastfeeding, lactational amenorrhea typically lasts between 3 to 6 months after childbirth. This duration can vary significantly based on several factors, including the frequency and exclusivity of breastfeeding. Women who adhere strictly to exclusive breastfeeding—meaning their infants receive no other food or formula—are more likely to experience a longer period of amenorrhea.
Interestingly, some studies suggest that women practicing ecological breastfeeding, which includes specific practices that promote breastfeeding as the primary source of nutrition, can experience amenorrhea for an average of 14.6 months. In contrast, those who breastfeed but do not follow these practices may see their menstrual cycles return sooner, with an average of 11.6 months.
Factors Influencing Duration
The duration of lactational amenorrhea can be influenced by various factors:
1. Breastfeeding Exclusivity: The more exclusively a mother breastfeeds, the longer she is likely to remain amenorrheic. This is because exclusive breastfeeding maintains higher levels of prolactin, a hormone that inhibits ovulation.
2. Frequency of Feeding: Frequent breastfeeding sessions, especially during the night, can prolong the duration of amenorrhea. As the baby begins to consume solid foods and sleeps for longer stretches, the protective effect of breastfeeding on menstruation diminishes.
3. Individual Variability: Each woman’s body responds differently to breastfeeding. Factors such as maternal health, body weight, and individual hormonal responses can all play a role in how long lactational amenorrhea lasts.
Conclusion
In summary, lactational amenorrhea is a common and natural occurrence for breastfeeding mothers, typically lasting 3 to 6 months, but potentially extending up to 14.6 months for those who practice exclusive breastfeeding. Understanding this can help mothers navigate their postpartum period and make informed decisions regarding family planning and reproductive health.

How long can it take to get your period back after breastfeeding?

If you choose to breastfeed exclusively, your first period may not return for several months. For those who keep breastfeeding, it might not return for 1 to 2 years. There is no way to know if your periods will return the same way they were before you were pregnant.

How long is lactational amenorrhea effective?

It may be difficult for some to fully or nearly-fully breastfeed. Fertility can return quickly if breastfeeding is reduced. It’s only effective for up to 6 months after you have your baby.

What happens to your body when you stop breastfeeding after 2 years?

Once you stop breastfeeding you may find that your breasts look and feel very empty. The size of the breasts will likely return to your pre-pregnancy size but may look quite different. The fatty part of your breast will come back over time to make the breasts look fuller and plumper again.

Can lactational amenorrhea last for 2 years?

Mothers who breastfed exclusively longer showed a longer span of lactational amenorrhea, ranging from an average of 5.3 months in mothers who breastfed exclusively for only two months to an average of 9.6 months in mothers who did so for six months.

What are the rules for lactation amenorrhea?

These guidelines include the following three criteria, all of which must be met to ensure adequate protection from pregnancy: 1) amenorrhea, 2) fully or nearly fully breastfeeding (intervals between feedings not exceeding 4 hours during the day or 6 hours at night), and 3) <6 months postpartum.

Can your period randomly stop while breastfeeding?

Can Your Period Start and Stop While Breastfeeding? It is completely normal for periods to start and stop while breastfeeding. It all depends on how often you breastfeed. The more often you exclusively breastfeed, the less quickly your period will return to normal.

How long does it take for period to normalize after breastfeeding?

Though most women get their periods within 12 weeks of delivery, breastfeeding is the most significant factor that can delay it. Your first periods after delivery can be different than your periods before you became pregnant, and it can take up to a year for them to return to the way they were.

How long does it take to reverse amenorrhea?

Most cases of amenorrhea are treatable. With treatment, your periods should start to happen regularly. It can take a few months for your periods to come back, but in most cases, they will. Talk to your healthcare provider about what you can expect with treatment.

How long can you go without having a period while breastfeeding?

When will my periods return while I’m breastfeeding? After having a baby, your periods will return at your body’s own pace. If you are breastfeeding your baby, your periods may not return for months or even years after childbirth.

Does amenorrhea mean infertility?

No, amenorrhea isn’t a form of infertility. However, not getting a menstrual period can lead to not being able to get pregnant. If having a child is your goal and your menstrual cycle is irregular or absent, contact your healthcare provider for an appointment.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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