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What causes a missed period while breastfeeding?

Understanding Missed Periods While Breastfeeding
For many new mothers, the return of menstruation can be a perplexing topic, especially when breastfeeding. A missed period during this time is not uncommon and can be attributed to several physiological factors primarily linked to hormonal changes.
The Role of Prolactin
One of the key hormones at play is prolactin, which is produced in higher quantities during breastfeeding. Prolactin’s primary function is to stimulate milk production, but it also has a significant impact on the menstrual cycle. Elevated levels of prolactin can inhibit the release of hormones necessary for ovulation, effectively delaying the return of menstruation. This phenomenon is often referred to as lactational amenorrhea, where breastfeeding acts as a natural contraceptive by suppressing ovulation and menstruation.
Variability in Breastfeeding Patterns
The frequency and intensity of breastfeeding can also influence menstrual cycles. If a mother experiences changes in her breastfeeding routine—such as a decrease in nursing due to the baby being sick, teething, or simply a change in appetite—this can lead to fluctuations in hormone levels. Such changes may result in irregular periods or even missed cycles. For instance, if a mother who typically breastfeeds frequently suddenly reduces the number of feedings, her body may respond by allowing ovulation to occur, which could lead to the return of her period.
Individual Differences
It’s important to note that every woman’s body responds differently to breastfeeding. While some may find that their periods return relatively quickly after childbirth, others may experience prolonged delays. Factors such as the duration of breastfeeding, whether the baby is exclusively breastfed or supplemented with formula, and individual hormonal balances all play a role in this variability.
When to Seek Medical Advice
While missed periods during breastfeeding are generally not a cause for concern, they can sometimes lead to anxiety for new mothers. If a missed period is accompanied by other symptoms, such as severe pain or unusual discharge, it may be wise to consult a healthcare provider. Additionally, if a mother suspects she could be pregnant despite breastfeeding, a pregnancy test can provide clarity.
In conclusion, missed periods while breastfeeding are primarily caused by hormonal changes, particularly elevated prolactin levels, and can be influenced by variations in breastfeeding patterns. Understanding these factors can help alleviate concerns and provide reassurance to new mothers navigating this complex phase of motherhood.

Why is my period absent during lactation?

Mechanical detection of suckling increases prolactin levels in the body to increase milk synthesis. Excess prolactin may inhibit the menstrual cycle directly, by a suppressive effect on the ovary, or indirectly, by decreasing the release of GnRH.

When should I take a pregnancy test if I am breastfeeding?

So, if you’re breastfeeding, having sex without using birth control, and think there’s a possibility you might be pregnant, you should take a standard pregnancy test on the first day of a missed period or two weeks after having unprotected sex.

What are the signs of pregnancy while breastfeeding?

In the early stage or first trimester of your pregnancy, you may have nipple tenderness and breast soreness. You may have a decreased food and water intake due to morning sickness and feel tired. Such physical discomfort may increase while breastfeeding.

Can breastfeeding start and stop your period?

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.

Can a breastfeeding mother be pregnant without seeing her period?

“You can’t get pregnant if you’re breastfeeding.” Maybe you’ve heard this myth before…and we should warn you, it’s just that—a myth! The truth is you can get pregnant while you’re breastfeeding, even if your menstrual cycle hasn’t returned to normal.

Can you fall pregnant while breastfeeding?

“You can’t get pregnant if you’re breastfeeding.” Maybe you’ve heard this myth before…and we should warn you, it’s just that—a myth! The truth is you can get pregnant while you’re breastfeeding, even if your menstrual cycle hasn’t returned to normal.

What causes a breastfeeding mother not to see her period?

This is called lactational amenorrhea. Fully breastfeeding means the baby relies completely on breastfeeding for nourishment and for all sucking needs. Frequent nursing inhibits the release of hormones that cause your body to begin the monthly preparations for a new pregnancy.

When to take a pregnancy test while breastfeeding and no period?

So, if you’re breastfeeding, having sex without using birth control, and think there’s a possibility you might be pregnant, you should take a standard pregnancy test on the first day of a missed period or two weeks after having unprotected sex.

Is it possible to get pregnant while breastfeeding?

“You can’t get pregnant if you’re breastfeeding.” Maybe you’ve heard this myth before…and we should warn you, it’s just that—a myth! The truth is you can get pregnant while you’re breastfeeding, even if your menstrual cycle hasn’t returned to normal.

Is it normal to miss your period while breastfeeding?

It’s not unusual to skip a period, or even for it to be a few months before your next one. When you start reducing the amount of time you spend breastfeeding, your periods should start to return to their usual routine. You should talk to your doctor about your periods if you are having: changes in their usual pattern.

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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