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Breastfeeding, Hormones, Motherhood, Pregnancy

How to Get Your Period Back Postpartum & Conceiving While Breastfeeding

May 27, 2020 By Robyn 56 Comments

This is part two of a two part series on breastfeeding – you can read part one here. My goal with this series is to provide information that’s a little harder to find when you start digging around on the internet. I don’t know everything about breastfeeding and I am certainly not an IBCLC. What I’m sharing in this series is a combination of my nursing knowledge, a lot of time spent researching, and my experience as a mama. I hope you find it empowering & encouraging!

One of the most common questions I’ve received over the last year center around 1) how to know when your period will come back postpartum 2) how to support your body so you can get your period back while still breastfeeding and 2) how to conceive while breastfeeding.

My aim is for this post is to shed light on all three of these concerns. Since every woman is unique, this post certainly doesn’t take the place of working with a knowledgable healthcare provider to address your own body’s needs. But I do hope it equips you will some helpful information and practical tips. I’ve worked with hundreds of women over the past 8 years to help them regain healthy, normal periods. And over the past 18 months as I’ve gratefully experienced the conceiving-while-breastfeeding journey myself, it’s been really rewarding to expand my clinical work and knowledge to postpartum periods & fertility, which can present its own challenges.

How Breastfeeding Affects Fertility

If you’ve experienced breastfeeding, you’ve probably heard someone tell you the perk of not getting a period while nursing. Sounds great! But that’s not always the case for women – the time it takes for a woman’s period to return postpartum varies A LOT. Before we dive into factors that influence the absence or return of your period, let’s talk about lactational amenorrhea.

What is lactational amenorrhea?

Lactational refers to breastfeeding and amenorrhea refers to not getting your period. When you are exclusively breastfeeding under certain conditions, lactational amenorrhea is actually considered a form of birth control that is 98% effective. These conditions are:

  1. your baby is under 6 months old
  2. your period has not returned yet
  3. you are exclusively breastfeeding on demand both day and night – which means baby gets no solid food or other liquids and you are nursing at least every 4 hours during the day and every 6 hours during the night

Because lactational amenorrhea relies on the intensity and frequency of baby suckling, pumping (and therefore bottle feeding) unfortunately does not provide the same hormonal effect as nursing – so some moms who pump + bottle feed instead of breastfeed (even if it’s just 1x a day) might see the return of their period sooner. Suckling by the baby stimulates prolactin production – prolactin is the hormone responsible for producing milk. This prolactin production disrupts the release of a hormone (gonadotropin-releasing hormone aka GnRH) that gets released from your hypothalamus and therefore everything downstream in the HPG axis gets disrupted, preventing ovulation.

In short….high amounts of prolactin produced in breastfeeding prevent your body from ovulating.

What Affects the Return of Your Period Postpartum?

When I was exclusively breastfeeding Cal, I knew about lactational amenorrhea so didn’t expect my period to return in the early months – even though I would occasionally replace a nursing session with a bottle of pumped milk if I was away…or wanted to have a drink. He also wasn’t a baby who slept through the night so I was nursing 1-3x a night throughout the whole first year and beyond. When he was about 8 months old we were thinking about another baby, but for me, it didn’t feel right to cut back on nursing or wean to get my period back. I do remember being stressed when he would wake during the night and only want the boob though, because in my brain that meant more frequent nursing, which meant less of a chance of my period coming back. After a few weeks of stressing over this I realized the stress of that was very much not helpful and turned to the research and started digging for as much as I could find about return of fertility while breastfeeding.

The catalyst to all this digging was my history of hypothalamic amenorrhea or HA. Essentially, HA is a state of low energy availability. So your body is expending more energy than it is taking in. Stress plays a role too, but central to HA is this mismatch between energy going out and energy going in. In conjunction with my HA history, I thought about the vast variation of the return of postpartum periods in women. I knew women who got their periods back 6 weeks postpartum while exclusively breastfeeding, some at 6 months, 10 months, 16 months and beyond. There was so much variation! Of course genetics do play a role, but I thought there had to be something more going on. I knew from Nicola Rinaldi’s research that only about 20% of women with a history of HA (which is me) get their periods back while breastfeeding. That was discouraging, but I was determined.

After a lot of reading and digging I realized there was another theory out there besides the frequency and duration of baby suckling that could explain the return of ovulation (and thus, your period). The idea with lactational amenorrhea is that once any of the variables (age of baby, frequency of nursing, absence of period) are no longer met, there’s an increased likelihood of ovulation resuming. But that wasn’t happening for me – Cal was over 6 months, I was going more than 6 hours without nursing most nights and he was eating solids.

After coming across this study and reading this post, things started to click. There was this other theory out there called the metabolic load hypothesis where essentially researchers found when a nursing woman reached a positive energy balance her period would return soon after – despite a high nursing intensity. That positive energy balance usually resulted in a small amount of weight gain (as little as 1/2 a pound a month which shows how sensitive the body can be) as her body prepared to ovulate and potentially grow another baby. I was fascinated by this, but it made a lot of sense to me. Our bodies have to be in a place of adequate energy availability and low stress for them to think, “hey, it’s safe to house and grow a baby in here!” So I thought about my recovery process from HA years prior and focused on energy availability.

In Summary

From what I’ve gathered, there are a couple theories out there regarding breastfeeding and the return of fertility – the intensity and frequency of baby’s suckling and the energy availability of the mom. The former is far more well known. Baby’s duration and frequency of suckling could play a role since that affects prolactin like stated above. But according to the metabolic load hypothesis, in the presence of adequate energy availability, it seems baby’s suckling has less influence over fertility – perhaps little at all. Breastfeeding is calorically expensive. And in a culture hyper-focused on wellness and diet, women consciously or subconsciously are likely not meeting their energy needs. Couple our diet culture with the mom’s needs often falling second to the baby’s and it’s easy to ignore hunger cues, go hours without eating, etc.

Anecdotally, I saw the metabolic load hypothesis play out in my own life. I stopped worrying about Cal’s night nursing and instead focused on my energy availability. I’m thankful for the years of knowledge I had stored up surrounding HA recovery and the work I’d already done around body image & intuitive eating so these changes were just matter-of-fact. I wanted my period back, so I was willing to make any changes. I know for many women, these changes could be very emotionally loaded. That is okay. You are right where you need to be in your own journey. Also keep in mind, that genetics do play role. Getting your period back postpartum isn’t an input/output equation and every woman’s situation is different. I’m sharing some of my own story to give you some practical application – not to say this is how it goes if you do xyz.

I have a 10 year history of HA, so knowing only 20% of women with HA regain their periods while still breastfeeding, my hopes weren’t high. After compiling all the information I’d learned, I made the following changes:

  • stopped pumping at night before bed – this was just an “extra” session I’d been doing for a while for various reasons and I stopped that – looking back I’m not sure if this was that influential or not
  • dialed back structured exercise – at the time, I was maybe doing a couple 30 minute barre3 at-home videos a week and a light jog or longer bike road with Nick on the weekends ….we lived in Boston so life involved a good bit of walking which I wasn’t worried about, but I dialed back where I could and didn’t do any exercise that was intentional
  • focused on responding to hunger cues immediately – with a baby to care for, it’s easy to push aside your own needs and before you know it you’ve skipped a snack you should have eaten because you were caring for baby or you were rushed getting out the door and forgot to take food (prior to having a baby, it was hard for me to understand how one could forget to eat)
  • stayed very mindful of not going too long without eating and making sure I was eating enough in the beginning of the day

Overall, I really tried to just eat what sounded good and add in extra food where I could without feeling overly full since I don’t prefer that sensation. I was shocked when my period returned a month later at the end of September 2019. I can remember the moment I realized it had returned and I was freaking elated. I know for some women, there would not be much emotion wrapped up in their period returning or it might be a burden, that’s okay too. For me, the return of my period while still breastfeeding was another layer of restored trust with my body.

Conceiving while Breastfeeding 

Every woman’s journey to having a baby is different. The topic of conceiving is so fragile. I hesitated to even write this section because I can physically feel the weightiness of this topic as I type. If you’ve had a more challenging road conceiving than expected know that I see you and that you are very much not alone. I hope the information I share in this space is helpful, but if you find it triggering or unhelpful, please do what you need to do to care for yourself. 

Monitoring your cervical fluid as you are supporting your body in getting your period back and while you are trying to conceive is a great way to get a gauge on when you might be ovulating. I saw some WILD cervical fluid patterns prior to my first period at 9 1/2 months postpartum. It was copious for 7-10 days a couple weeks before I bled. And I mean copious. Thick. And almost a neon yellow color. TMI? Maybe. But I’ll risk being too descriptive if it helps other women. I remember being completely fascinated with what was happening – I knew hormones had to be shifting. Not all women will experience what I did, but regardless of the characteristics, increases in CF are indicative of estrogen rising and you getting closer to ovulation. Read this post on monitoring your cervical fluid if you’re interested in knowing when you ovulated. Keep in mind that while your body is trying to ovulate again postpartum, you can experience many different waves of increased CF for weeks or months before you actually ovulate.

Some women do conceive before they actually get their period back. So they never get a period at all postpartum. They conceive the first time they ovulate postpartum and therefore don’t get a period and instead get a positive pregnancy test. This isn’t the norm, but it can happen. Once I had my first postpartum period, I really started monitoring my CF. I can never remember to take my temperature and Cal’s sleep was so whacky during that time that I didn’t worry about it. To read more about fertility awareness methods, check out this post. After my period came back at the end of September. I monitored my CF in October and around day 17 I started seeing the classic egg white CF and that lasted for about 6 days. I didn’t take my temperature to confirm ovulation, but I likely ovulated on day 23. That’s later than your textbook, “day 14” which is why I encourage women to use the fertility awareness methods since every body is different. It was only my second postpartum cycle so it makes sense I had a long follicular phase as my body was figuring things out after 19+ months of no period. But even prior to getting pregnant with Cal my cycles were on the longer side at 31-34 days with ovulation around day 18-21. All that to say, there is a wide range of normal.

A couple weeks later I had a positive pregnancy test. I was shocked it had already happened. I have a 10 year history of HA. My mom was taking Clomid when she had me and my brothers and I have many friends, family and clients where that is not their story. I have a lot of feelings surrounding the ease of our baby making journey knowing that isn’t the case for so many people I love. Gratitude, guilt, sadness, foreboding joy (as explained by Brené Brown) and a mix of others. I’m not sure what our future fertility journey holds, but I am thankful. Thankful thankful thankful.

How your period affects milk supply

I’ll touch on how your period affects milk supply briefly before wrapping up this post. I noticed a drop in my supply during that first postpartum period in September, which isn’t uncommon if you find that’s the case for you too. From mid-cycle (aka around ovulation) to the few days leading up to or at the time of your period, you might notice a dip in milk supply. You might also notice your nipples are more sensitive so nursing might be more uncomfortable. This is all due to the hormonal shifts of estrogen and progesterone. If you’re nursing on demand, your baby will typically compensate during this time with an increased frequency of nursing. I remember pumping during a wedding we went to and only pumping about half of what I normally would.

In LLL’s book, The Womanly Art of Breastfeeding, they state “a daily dose of 500 to 1,000 mg of a calcium and magnesium supplement from the middle of your cycle through the first three days of your period may help minimize any drop in supply.” I highly recommend LLL as a great breastfeeding resource, but please talk to your healthcare provider before starting any supplementation. 

As women, I find our bodies to be pretty incredible. Our pastor in Boston once said, “a man’s contribution to reproduction is embarrassing” and I laughed with a strong head nod. Men’s bodies make their very necessary contribution, but I hope you remember how amazing your body truly is – no matter what your story surrounding fertility has held or will hold.

References 

Bever, Jennie. “When Will I Get My Period Back If I’m Breastfeeding:?” Arizona Breastfeeding Center, Arizona Breastfeeding Center, 10 Mar. 2015, azbreastfeedingcenter.com/new-blog-1/2015/2/9/the-science-of-lactation-and-fertility-when-will-i-get-my-period-back-if-im-breastfeeding.

Valeggia, C., & Ellison, P. T. (2009). Interactions between metabolic and reproductive functions in the resumption of postpartum fecundity. American journal of human biology : the official journal of the Human Biology Council, 21(4), 559–566. https://doi.org/10.1002/ajhb.20907

Valeggia, C., & Ellison, P. T. (2004). Lactational amenorrhoea in well-nourished Toba women of Formosa, Argentina. Journal of biosocial science, 36(5), 573–595. https://doi.org/10.1017/s0021932003006382

Van der Wijden  C, Manion  C. Lactational amenorrhoea method for family planning. Cochrane Database of Systematic Reviews 2015, Issue 10. Art. No.: CD001329. DOI: 10.1002/14651858.CD001329.pub2

Wiessinger, Diane, et al. The Womanly Art of Breastfeeding. Pinter & Martin, 2011.


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Filed Under: Breastfeeding, Hormones, Motherhood, Pregnancy

« Establishing & Maintaining an Adequate Breast Milk Supply
5 Thoughts »

Comments

  1. Carley says

    May 27, 2020 at 12:09 pm

    Thank you for this! I wish I had this resource when I opted to discontinue breastfeeding at 19 months postpartum in an effort to increase my luteal phase. (Although come to find out breastfeeding was causing major physiological PPanxiety for me – come to find out this is more common than most know). My first PP was about a year ago and I wish I could say that my luteal phase did in fact increase substantially by stopping breastfeeding but it did not. Only since this pandemic and the shutting down of the gyms have I had a luteal phase over ten days (12 days actually the past few months) so the steps you mentioned above I believe apply to TTC and lengthening luteal phase as well! When you’re dealing with struggling to get pregnant, it can feel powerless at times but there really are some objectives measures as the ones you’ve outlines that do help! Thank you for sharing this empowering information!

    Reply
    • Robyn says

      May 28, 2020 at 5:28 pm

      Thanks for sharing your experience and I so agree, Carley, that the similar lifestyle changes for getting a period can apply to TTC. I’m so glad to hear your LP is lengthening!

      Reply
  2. Erin says

    May 27, 2020 at 12:38 pm

    THANK YOU SO MUCH for sharing your research and experience related to postpartum periods and breastfeeding. My daughter is 14 months old and still breastfeeding 3-4 times per day and I haven’t had a period yet. I have a long history of HA prior to recovering and conceiving my daughter and have been super anxious that it won’t come back once my daughter is weaned. That makes a whole lot of sense about increasing energy availability in order to see a faster return of your cycle which is the same premise to recover from HA. Thank you for reiterating this concept and again for sharing your experience!

    Reply
    • Robyn says

      May 28, 2020 at 5:29 pm

      Awesome to hear she is still nursing at 14 months! I hope this post is helpful as you await your period Erin – I am so hopeful for you!

      Reply
  3. Micole says

    May 27, 2020 at 4:13 pm

    11 months postpartum I was aware I was ovulating. It seemed so clear to me. Checking my CM and even confirmed it with temp. and ovulation stick. Two weeks later I get a positive pregnancy test! We were wanting our two kids to be close so we were excited. But I was surprised it happened on first ovulation. Currently 14 weeks ☺️ have to say though your articles on FAM were helpful in understanding my body. Been practicing for almost three years and it’s been so neat to observe how the body works.

    Reply
    • Robyn says

      May 28, 2020 at 5:29 pm

      Congrats! I’m so glad the content has been helpful for you Micole 🙂

      Reply
  4. Genevieve says

    May 28, 2020 at 2:58 pm

    As a new mama with a 7-month-old baby girl, these breastfeeding posts have been SO helpful both for encouragement/insight and research-based information. Thank you!!

    Two quick questions:
    1) Do you have any insight or have you come across any information about how to maintain your supply once your baby starts eating solids? I’ve been wondering about how this may or may not impact my supply and also how to balance the two as she eats more solid foods over time.
    2) Have you read anything about whether breastfeeding on one side per nursing session impacts your supply? I found a little bit of information from kellymom.com about this which was helpful and this has been a successful strategy for me so far, but I am wondering if I should try to encourage feeding on both sides to help with supply as she starts eating more solid foods and also sleeping almost or all the way through the night.

    Reply
    • Robyn says

      May 28, 2020 at 5:32 pm

      1) if you are nursing on demand your supply will meet baby’s needs – as baby takes more solids your supply will go down if he is eating more solids and nursing less – that’s normal! Kellymom.com has some great articles on making sure you’re not ramping up solids too fast that is leads to early weaning – I found Cal LOVED solids so much that around 7-8 months I cut back to 1 meal/day vs 2 because I wanted him to be getting primary breastmilk per kellymom’s articles (which you can fact check with the articles she sites at the end of each article too!)

      2) kellymom and LLLs womanly art of BFing address this in length I think!

      Reply
      • Katie says

        June 3, 2020 at 2:13 pm

        Robyn, do you mind sharing the link to the Kelly Mom articles you mentioned on starting solids?

        Also, just wanted to share a bit of my experience- I also have a history of HA and got my first postpartum period at 5 months, despite exclusively breastfeeding. Sounds like that is pretty rare!

        Reply
  5. cosmin2001 says

    May 30, 2020 at 8:03 am

    THE REAL LIFE RD is the best blog to LOSE WEIGHT .I read it every day. I am also happy because I found this link https://bit.ly/2XeuT8E that helped me get rid of the extra weight. I hope it will help you too.

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  6. Jess says

    May 31, 2020 at 9:43 pm

    Congrats on getting getting pregnant again! Thank you so much for this post! I’m 6 months postpartum and want to get pregnant again in late summer/early fall and have yet to get my period back so that being a possibility has def. been weighing on me! After reading what you did, It sounds like I’m doing all the things you’re not supposed to- structured workouts, probably not eating enough (not intentionally). Going to try out some of your suggestions!

    On another note, do you have any info on how you felt before getting your period for the first time? I know it can be different than before having a baby, but I’ve Suddenly been having cramping and kind of just a sore/ tightness in my lower abdomen/ pelvic area which is never had before. My doctor said I could just be getting ready to be getting my period, but For some reason I don’t feel like it’s that. If you have any posts or suggestions that could relate to this I’d love to hear! 🙂

    Reply
  7. Jess says

    May 31, 2020 at 9:43 pm

    Congrats on getting getting pregnant again! Thank you so much for this post! I’m 6 months postpartum and want to get pregnant again in late summer/early fall and have yet to get my period back so that being a possibility has def. been weighing on me! After reading what you did, It sounds like I’m doing all the things you’re not supposed to- structured workouts, probably not eating enough (not intentionally). Going to try out some of your suggestions!

    On another note, do you have any info on how you felt before getting your period for the first time? I know it can be different than before having a baby, but I’ve Suddenly been having cramping and kind of just a sore/ tightness in my lower abdomen/ pelvic area which is never had before. My doctor said I could just be getting ready to be getting my period, but For some reason I don’t feel like it’s that. If you have any posts or suggestions that could relate to this I’d love to hear! 🙂

    Reply
  8. abraham says

    June 1, 2020 at 9:47 pm

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    June 1, 2020 at 9:47 pm

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  10. Heather says

    June 2, 2020 at 2:43 pm

    Thank you so much for sharing this! I had hypothalamic amenorrhea for 10 years as well; in fact, my 6 year old was conceived with the help of fertility treatments. I didn’t even get my period back until my daughter was 3. I was finally able to conceive our second daughter last year without medical assistance. Now I’m 3 months postpartum and would like to add one more child to our family, but I’m almost 38 and definitely feel like I’m running out of time.
    This post is so helpful! Thank you again!

    Reply
  11. Emily Munday says

    June 30, 2020 at 9:37 am

    I think reading from you about pregnancy has been such a privilege. It’s put so much more of a wonder and joy and thankfulness in my heart when I do see a woman get pregnant. I’ve realized through following you and your love and sensitivity to all the women who come here, those who are trying to conceive, those who have babies, those who are pregnant, that it’s such a wonderful, delicate, amazing journey, and there’s nothing super easy about it. But I’m thankful for your LOVE for the ladies you help here and in your practice, Robyn. It really shows.

    Reply
  12. Adri says

    July 25, 2020 at 12:50 pm

    Just wondering if you are anything specific to help the returning your period? I’m in the EXACT same boat, my baby is 7 months now and we are wanting to try again but I’m exclusively nursing with some solids and water throughout the day but no sign of my cycle returning. I previously had HA as well. So any advice would help when it comes to specifics on your diet! Thanks!

    Reply
    • Adri says

      July 25, 2020 at 12:51 pm

      Ate**

      Reply
    • Robyn says

      July 26, 2020 at 10:30 am

      That’s something I’d work 1:1 on with a client to do that individual work. Happy to work with you if you’d like – email me!

      Reply
  13. Mekensie says

    July 26, 2020 at 11:14 pm

    Cannot tell you how much relief this post gave me. I am still nursing my 16 months old baby girl and not return of a period. I have a history of HA and it was near impossible to find information on that in the first place to recover and conceive. This makes so much sense and honestly brought tears to my eyes. It’s such an emotional thing and this gives me so much hope. Thank you

    Reply
    • Lindsay says

      August 6, 2020 at 6:08 pm

      Hi Mekensie (and Robyn), I just wanted to say that I am having the same experience. I just stopped nursing my son a month ago, when he was 16 months old, and I haven’t had my period come back. My OB told me that this is “abnormal,” but something about this feels wrong. I breastfed my son through the night until he was over a year old, and I have a stressful high-responsibility job that I work at irregular hours because of the pandemic. My OB didn’t even ask me about these factors, other than when I stopped breastfeeding. I’ve been trying to conceive with no luck, but this post gives me a lot of hope. I am going to start trying to get more rest, eat more (I do eat healthy food, regularly), and probably quit worrying so much about exercise. We’ll see what happens. I’d love to get in touch though if you want, to support each other. I can be found on my blog at doublefourteen.com. I would love, love, love to talk to another mama during this process. <3 <3

      Reply
      • Rachel says

        April 5, 2021 at 5:58 am

        Hey Lindsay, have you had any luck since your post ?

        Reply
        • Lindsay says

          December 27, 2022 at 8:15 am

          I have, but the only thing that worked was doing a progesterone withdrawal, prescribed by my doctor, and completely weaning our first. I gave birth in Aug 2021. But now I am back in the same boat because we’d like to have one more and the old period is still completely absent. Our second isn’t completely weaned, and I’d prefer not to wean him…what about you?

          Reply
  14. alexandra says

    September 3, 2020 at 12:52 am

    Thank you! very well written.

    My husband and i have been trying a ton of different diets , but for years we were not successful. we literally tried almost every thing. Untill we tried PROVEN . It saved us . I lost 45 pounds in 7 months! Even though i cheated here and there, ( dont tell him that lol). Check it out its really worth it . Im going to put the link here ,so you dont have to waste 2 hours looking for it like I did https://bit.ly/3btmlAn Thank me later!

    Reply
  15. Corinna says

    October 30, 2020 at 9:41 pm

    Reading more about the Relative Metabolic Load Hypothesis, there isn’t information out there about how long you would need to increase your caloric intake to help jumpstart ovulation. Do you have any info on this? Also, reading about it, it seems like insulin production is the main thing that may help with triggering ovulation, so it seems like eating a carb heavy diet would be more effective than just increasing caloric intake in general- do you agree?

    Reply
    • Robyn says

      January 15, 2021 at 9:42 am

      It’s not black or white unfortunately – because every person’s body will have a different timeline based on a variety of factors when it comes to your body getting back to a positive energy balance. I’m not sure I’d draw a conclusion about a “carb heavy” diet being the best – rather I’d encourage you to eat foods that feel satisfying and good to your body, which I realize is far more nuanced than most of us prefer 🙂

      Reply
  16. CT says

    January 5, 2021 at 7:33 am

    Hi – Great little article and very helpful to read through! I am nearly 16 months pp and no period so far… My LO is definitely a boob monster so still nurses pretty frequently, including at least 3 times over night. I like the idea of the energy balance actually having greater impact than the nursing as i am not overly keen to force my LO to wean quicker than he is ready. Did you find that the quality of the calories was important? I would always try to eat healthy fats etc normally but over the last couple months with Christmas etc, I have definitely been eating (what I would think anyway) is a lot of calories! and have seen no return of cycle so far…. I have now been trying to dial that back to get back to a healthy routine but wondering whether I should keep the calorie intake up but replace it with healthy calories?

    Reply
    • Robyn says

      January 15, 2021 at 9:38 am

      there was no literature on “quality” of calories – I’d simply encourage you to meet your energy demands!

      Reply
    • Brenna says

      July 19, 2021 at 3:05 pm

      Hey!! I’d love to know how things turned out for you —- did you make some changes and have your period return? I’ve got a 13 month old boob monster here and am interested to see if you were able to get your period back without weaning!

      Reply
      • Lindsay says

        December 27, 2022 at 8:16 am

        Any luck, Brenna?

        Reply
  17. sadie says

    January 5, 2021 at 4:54 pm

    AMAZING! Needed this information last time, i ended up just waiting until my boy was done feeding and didn’t get my cycle back until after 2 years postpartum, while my friend was exclusively feeding twins and got hers at 3 months. i was very discouraged for a while, but this information you have given just clicks! are bodies are smart, then mind just seems to take a little while to catch up….

    Reply
  18. Vanessa says

    March 6, 2021 at 2:49 am

    Can you share what you might have eaten during the day while you were trying to increase energy input?

    Reply
  19. Aubrey says

    March 10, 2021 at 4:40 pm

    Thank you so much for sharing this! 15 months postpartum and no period I started looking for other options than weaning cause my son just loves nursing and I’m so thankful I found this. Started being more conscious of eating whenever hungry about 3 weeks ago, 1.5 weeks ago I had a lot of cramping and odd pelvic pressure and then yesterday I got my period! Perhaps it was just time, but I do think this helped, my son still nurses about 6x a day and usually 1-2x a night.

    Reply
    • AH says

      March 25, 2021 at 6:53 pm

      I came here to say this too. I found this article on February 21. Exclusively breastfeeding my 15mo and was stressed over forced weaning to get period back. Followed this post (I.e. stopped working out, tried to reduce stress as much as possible, and ate (I was actually trying to lose weight, intermittent fasting, and eating plant based and low sugar) then for my period back last week. This article helped me so much. I hope I can keep my cycle

      Reply
  20. KC says

    April 19, 2021 at 3:14 pm

    Wondering if your research has turned up any “cons” to getting pregnant before having a postpartum period? Is it better to first menstruate and shed the lining/anything else from the previous pregnancy before conception?

    Reply
  21. Ash says

    April 19, 2021 at 6:13 pm

    I am so happy to have found this article. Thank you SO MUCH! I am going to start trying these suggestions immediately. I never thought I could miss or want my period to return but here I am! My beautiful son will be 3 years old at the end of this month (in less than a week) and AF still hasn’t returned! I’m not nursing nearly as much as the first year and really thought it would’ve returned by now. I’m going to try these suggestions and if no luck, I’ll be talking to a professional. I’m hoping for another baby soon if it’s meant to be! Fingers crossed! I wish everyone else coming here for the same reasons the very best of luck!

    Thank you so much for your help and writing this and congrats on the baby! ❤️

    Reply
    • Amber says

      July 9, 2021 at 11:05 am

      I’m a similar position…who would have thought that we would miss having periods! Wishing you lots of luck!

      Thank you so much Robyn for this amazing and supportive article. I recently tried taking the steps that you outlined and am hoping my period will return soon..!

      Reply
    • Sarah Reynolds says

      October 21, 2021 at 3:10 pm

      Very similar situation here! Curious to hear if you’ve had any luck.

      Reply
  22. Mariela says

    May 14, 2021 at 11:40 pm

    Thank you for the article! A little over a month ago (currently 8 months pp) I felt I was eating too much so I cut back on the amount of food and how often I was eating. I wasnt gaining weight but I wasn’t losing it either so I also started to exercise as well. So from your experience, if I stopped exercising and started eating more again, I could possibly get my period back sooner rather than later? I nurse on demand day/night (she’s a terrible sleeper) and she just started having an interest in solids very recently.

    Reply
    • Brenna says

      July 19, 2021 at 3:02 pm

      Hey Mariela! How are things going for you? Have you tried exercising less/eating more with any return of your period yet? Our girl is almost 13 months now and I’ve increased my food A LOT for about 6 weeks, but could tone down the exercise a bit more …

      Reply
  23. Shonah says

    June 7, 2021 at 2:52 am

    This is exactly what I wanted to hear! Thank you so much for sharing. My son will turn one later this week and still no sign of my period returning. My cycle was very irregular before conceiving my son, so will give this method a try to see what will come of it.

    Reply
    • Brenna says

      July 19, 2021 at 3:01 pm

      Hey Shonah! Would love to know how you’re coming along. Have you tried eating more and exercising less with any success? We are almost 13 months postpartum here and my baby is still breastfeeding all day all night. Are you still BF quite frequently as well? Just hoping to
      Connect with someone in a similar situation!

      Reply
  24. Diane says

    July 26, 2021 at 1:48 am

    Thanks for this article. I’ve honestly read this article multiple times. I’m 6 month postpartum and breastfeeding w/ supplementing. No cycle yet. I would like to ttc again in the fall/winter. I don’t want stop or decrease breastfeeding so this gives me hope. I’m 38, turning 39 January and would like to have a sibling for my little babe.
    I’ve been eating 2 weeks now excess and mindful to make sure to eat plentiful and not skip meals/snacks. I’m finding it quite challenging to eat in excess. I hope it’s putting my body in a positive energy balance. I’ll will update if I get my AF. Hope this works!

    Reply
    • Laurie says

      February 20, 2022 at 10:35 pm

      Hi Diane,
      Did you have any luck with this? I’m in the same boat and wanted to see if it worked for you!

      Reply
  25. MacKenzie says

    January 15, 2022 at 3:45 pm

    Thank you for this! I was struggling to find research on how to get my period to come back or how to conceive while exclusively BF. While I’m bummed to slow my workouts down, we want a second baby so bad!

    Reply
  26. Heather says

    February 15, 2022 at 9:52 am

    This is the same place I am in right now! Breastfeeding my 7 month old but want to conceive baby #2 so badly. Thank you so much for this! My question for you is do I need to be at the same weight I was at when I conceived my first baby? Right now I’m sitting about 7 lbs under. I am doing almost everything you recommend: consuming 3,000+ calories a day (no restrictions and adding calories where I can) and very minimal exercise (light yoga a few times a week for 30 min). I feel my body is trying to ovulate (changes in CM, breast tenderness and cramps) but haven’t started my period yet. Thank you, Robyn!!

    Reply
  27. Freya says

    February 16, 2022 at 4:31 pm

    Hi, thanks so much for this article! There is surprisingly little about this online, and many women I’ve come across seem to have got their periods back quite soon post partum, so they can’t really give me any advice and just say I’m “lucky” to be period-free. After my first baby was born, I didn’t get a period until about 8 months post-partum (he was breastfed exclusively until 6 months and then BF in addition to solids). With my current baby, I am now 10 months post partum and still haven’t had a period. We are quite keen to conceive again as I am now almost 42 so I have weaned the baby off night feeds completely within the last few weeks and since doing this, my cervical fluid has increased LOADS (it was non-existent until then). It also looked VERY like fertile CF a few weeks ago, but has since turned thick and white. I also have increased sex drive and other little signs that my body is trying to get back its fertility. But no bleeding yet. Baby still has three brief breastfeeds a day in addition to a very healthy diet of solids (she’s a great eater!) and my supply has gone way down. I have never had any form of amenorrhoea prior to the lactational kind but I will definitely be mindful of getting enough calories and rest over the coming weeks though, as I am on the “fast metabolism” end of the scale in temes of physique/body fat etc .

    Reply
  28. thomas says

    February 17, 2022 at 5:50 am

    Our families benefit from many aspects of breastfeeding.
    Self-discipline in life
    Better eating and health care for the whole family
    The practice of restraint in bad actions.
    Makes everyone in the family receive the benefit of all, especially my wife and children. The results of this matter are the most obvious.
    Our family also relies on breastfeeding as a natural contraception.
    This makes our family’s 4 pregnancy periods about 3 years apart.
    which my wife and I did not interfere in that natural process
    We currently have 8 daughters in our family.
    out of 4 pregnancies
    (female twins 2 all 4 times)
    Sofia and Jojo
    10 years 1 month
    Anna and Elsa
    Age 7 years 2 months
    Daisy and Minnie
    4 years 1 month
    Callie and Olife
    Age 1 year 4 months
    in the 2nd/3/4th pregnancy
    My wife hasn’t seen a return of her postpartum periods even once.
    But my wife and I noticed that every time we were about to conceive a new
    Signs of ovarian mucus are always detected 2-3 times.
    Shortly after my ovulation was detected, my wife became pregnant again.
    Our family will continue to do this for as long as possible for the wellbeing of all family members and the effect of natural contraception that my wife and I have agreed and intend to always be.

    Reply
  29. Maggie says

    March 23, 2022 at 10:03 pm

    Hi Robyn,
    Thank you so much for this! Do you think the exercise or nutrition played a bigger role? I am in this same boat and have done most all of this, but doing yoga 4x a week. Eating in excess. Should I cut out the yoga in order to jumpstart everything? Really want another baby but love feeling somewhat active. Thanks!!

    Reply
  30. Natasha says

    April 7, 2022 at 10:46 pm

    Hello, I just wanted to let you know that I found your blog in about February 2022. I was about 20 months postpartum, still breastfeeding and no period. I started implementing your tips about mid February – I stopped doing crossfit, had my husband take a more active role with settling our toddler at night instead of always relying on the boob (but still fed on demand during the day), tried to eat more food or at the very least was just mindful of eating more food! rubbed magnesium into my stomach every night before bed and I started getting regular massages to relax my body and help with stress levels. I’m happy to say that on about 19 March I ovulated then on 1 April had my first period in over 944 days! I was so happy I was dancing around the house haha. I’d sort of given up all hope of getting my period back whilst still breastfeeding but by taking a really approach I feel like it definitely helped. Thank you for your blog!

    Reply
  31. Bee says

    June 10, 2022 at 5:59 am

    I’m another success story after reading this article and the work you linked from “no period now what? “

    I geared up at 6 months to do everything at once to try and shock my system – introduce solids, snack during night feeds, eat a big breakfast, drop all strenuous exercise (sticking to walking and 1 evening Pilates/week) to try to gain a couple of kilos. 58 days later I got my period!
    Would I have got it at 8months pp anyway? maybe, but was worth trying because it was important to me to continue adding to my family and keep breastfeeding … so THANK YOU for this article, you are making dreams come true 🤰

    Reply
  32. Ashley says

    August 25, 2022 at 7:32 am

    Wow I am crying tears of relief as I read this! I began the weaning process with my 11 month old 2 weeks ago (reluctantly!) because I want to TTC #2 and allll the info says to wean. My mama instincts have been raging and I just don’t feel peace about weaning, so I’ve been praying about it and then came across this post! SO incredibly thankful for this post and you!

    Reply
  33. Willow says

    December 6, 2022 at 10:46 pm

    My son is 20 months old, still nurses a few times a day and a few times a night. I don’t want to wean him right now, but I do want him to have a baby sibling sooner than later. I don’t know what advice I can take from your article because I really don’t exercise much and I don’t think I’m that stressed out, and rarely if ever miss meals. I have hashimoto’s disease and wonder if that has something to do with my prolonged amenorrhea
    . Anyway, thank you Robyn for sharing your research with us.

    Reply
  34. Mary says

    March 19, 2023 at 2:43 pm

    Thanks for this article! I too have a history of HA, and getting your period back while breastfeeding sounds a lot like recovery! Increase calories and listen to hunger cues… got it! I definitely know I don’t eat enough while breastfeeding. Will try this out. Thanks!

    Reply
    • Mary says

      March 29, 2023 at 12:39 pm

      Update! I started the day I made this comment, and today, March 29, I got my period!
      I’m 5 months pp and what I did was eat when I was hungry immediately, and then added in extra snacks. I was definitely eating in excess, I gained probably a pound. SO EXCITED!

      Reply

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A non-diet dietitian and nurse practitioner helping women find peace with food, accept their natural body size and heal from hormonal issues and period problems.

More On Lady Hormones

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I have yet to experience postpartum myself, but I've had many clients and readers that have been through that season of life. Or perhaps you are currently living through the postpartum period. Every woman's body is different, therefore every woman's experience after giving birth will be different. What works for one woman, might not work for the next. While one woman might go through postpartum and adjust to newborn life quiet seamlessly, another woman might find it much more difficult. She might need the support of medication, therapy, extra help and many other things. One way is not better than the other - they are simply two different ways of navigating the postpartum period. I hope this post helps you better care for yourself, whatever that means for you. There's no right or wrong way to care for yourself as a mom or your new baby.

Postpartum Hormones: what’s happening in your body and how to care for yourself

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A little way I’m learning to enjoy these years o A little way I’m learning to enjoy these years of getting to spend so much time with my kids: aka another way I’m discovering some pockets of peace so my heart & mind & soul don’t crumble under the reality of dependent & emotionally dysregulated tiny humans.  About once a week we go somewhere for baked goods. We drive or walk, buy something buttery & then find a beautiful, relatively quiet outdoor spot where the boys can romp and I can sit and think my thoughts while I watch them play. This past week we were found ourselves at the Wool Factory where the boys threw rocks & whatever else off the bridge while I ate 90% of this almond 🥐 from @coucourachou that will blow your mind. Boys ate the other 10% bc they were busy playing and didn’t ask for more quickly enough 😜  I’m finding *for me* playgrounds have a time & place but they aren’t where I enjoy motherhood & my two toddlers the most. Baked goods & a pretty outdoor spot without high drops my 15 month old could launch himself off of…I’m here for it.
I brought this bag of snacks along when I took the I brought this bag of snacks along when I took the boys to hike out at one of our favorite spots last week and when I ripped it open I was regretting my choice to share them with my kids. @baresnacks randomly sent me a box of snacks and I usually eat free food we receive or give it to a friend/neighbor and move on. But I felt it my duty to tell you about these bc they are THAT GOOD. I’m not getting paid and this isn’t sponsored - I was just shocked at how tasty these were and felt you needed to know. We ate them with some buttery roasted nuts and the combo was 👌🏻 but they are good just on their own.  The boys climbed rocks and swam in the reservoir - leave it to my almost 3 year old to want to strip down naked and fully submerge himself in chilly water on a sixty degree morning. “Mama can I get super nakey?” Sure baby. Sure. This is your childhood.
It’s a hard sell to get me to accept an offer of It’s a hard sell to get me to accept an offer of extended alone time away from the babies to just be. And that isn’t something that’s best for me, it’s an area I gotta grow in. So this afternoon when Nick pushed me out the door and was like - get out of here plzzzz - I walked to my favorite cafe and ordered a thick pastrami sandwich and sat there for a good LONG while before taking a long, peaceful walk in the rain to wrap up the afternoon. Note to self: stop being such a control freak and go be by yourself sometimes.
a girlfriend brought me a 🍪 the size of my face a girlfriend brought me a 🍪 the size of my face from @mariebettecafe this morning when she came to get her toddler who played with us all morning and it is v good. even better when paired with an iced latte 😍
#AlignPartner I left off a few weeks ago sharing a #AlignPartner I left off a few weeks ago sharing about how taking @alignprobiotic regularly has improved my digestive regularity.  And I’m still taking them! I’ve permanently added Align 24/7 Digestive Support* into the roundup of supplements I take before bed (prenatal, vitamin D, choline & DHA - all which help keep me healthy while breastfeeding) so I can keep seeing the benefits.  Just because you see benefits, doesn’t mean you should stop taking your probiotic. Keep taking Align daily (under the supervision and recommendation of your health care provider of course) to keep seeing the benefits!  I’ve said it before and I’ll say it again - one of my favorite parts of Align probiotics is that they don’t need refrigeration AND they come in a convenient little blister pack that has the days labeled. It’s the little things people! #MyAlignGuutJourney #guthealth  *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
I realized it was going to be a long, hot afternoo I realized it was going to be a long, hot afternoon (91 and muggy in MAY 🤯) when a toddler nap was refused and a baby nap was cut wildly short ....so my tired mom brain pulled out two plastic storage bins, filled them up with soap & hose water and striped ‘em down naked in the yard. Two hours later, it was almost time for an early dinner and I had magically been able to sit for most of that time and we already had baths checked off the list. 👍🏻 I’m archiving this idea for my future self, hope it helps another tired mama out.
#AlignPartner I left off a month ago sharing about #AlignPartner I left off a month ago sharing about getting better at doing the basics to care for myself which included taking my supplements and @alignprobiotic regularly.  Probiotics take time to work so I wanted to give it a full month to see the full effects of @alignprobiotic. So here are my honest thoughts: it took a few weeks to notice any differences, but near the end of the month I did notice some changes in my digestive balance - even while traveling! I’m not someone who experiences occasional gas, bloating or abdominal discomfort frequently enough to notice a difference, so I don’t feel like I can comment on how well Align works for those benefits.  All in all though, taking @alignprobiotic was a positive experience and I really appreciated how the capsules don’t need to be stored in the fridge, making it convenient to take them with me anywhere #MyAlignGuutJourney #guthealth  *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Where we will spend a good majority of our summer. Where we will spend a good majority of our summer. Because the swampy VA summer has already begun (it’s in the low 90s today 🥵 lord help) and creeks are our retreat - not only from the heat but also from the noisy world. I need this just (if not more) than they do! We’ll be at the splash pads and pools too, but the quietness of the creek...my mental health is so about it. And it’s hours of play for them! Win win.  A couple things to note: this scene also included a few toddler reminders on finding another direction to throw rocks instead of at his brother - so not all is serene 🤪 and also, yes I am now that mom who buys the same clothing for both kids bc it keeps things simple & i think i kinda like it too 🤷🏻‍♀️
Things I love about midwifery among many: the appo Things I love about midwifery among many: the appointments, no matter how long, feel so unhurried. 
Just walked in from an appointment with my midwife because I was due for a Pap test + an overall wellness visit. My last pap was during my first trimester with Cal which feels like a jillion years ago, but it’s only actually been three years. Life changes so fast! Pre-baby life feels like a whole other life.  I’m wayyyy overdue for a visit to my PCP bc I’ve been under OBGYN or midwifery care for the majority of the past three years while having babies, but I am pretty good with keeping up with my paps. It seems women often think they need pap and/or HPV testing way more frequently than they do (and providers sometimes perform these tests more frequently than necessary - remember more testing doesn’t always mean better outcomes!)  So if you need it, here’s a quick little reminder on this chilly spring Friday afternoon on how often you need this testing (these are the recommendations from ACOG)  Women aged 21–29 years should have a Pap test alone every 3 years. HPV testing is not recommended.  Women aged 30–65 years should have a Pap test and an HPV test (aka co-testing) every 5 years (preferred). It also is acceptable to have a Pap test alone every 3 years.  If you get abnormal results, this testing frequency could change - but for healthy women with normal results, you actually don’t need testing as frequently as you might think. Which is great news for those of you who hate the speculum.  Ok, off to finish up some things on the to-do list (including cleaning this kitchen) during nap time and then come 5 o’clock, crack an IPA with our neighbors 🍻
#AlignPartner Over the past seven months since bec #AlignPartner Over the past seven months since becoming a mom of two, caring for myself has gotten shoved to the back burner. And it's been a challenge to make it a priority. My routine-resistant personality has upsides and downsides when it comes to motherhood. So I'm starting small this year with a consistent bedtime routine that includes taking my supplements and @alignprobiotic and hoping as that becomes consistent, my mornings will naturally shift too.  In short my bedtime currently goes like this….jammies & face care when putting the babies to bed. Before I go to bed (anytime between 9pm and 12am...) I’ll pump, take my supplements and fill my water. Then I go upstairs and brush my teeth. And then get in bed. The kicker: 70% of the time I find myself finishing up tasks on my phone IN BED. I hate this habit.  Back to supplements. This is something I have been able to stick with. On top of fish oil, my prenatal, choline and vitamin D, I recently added @AlignProbiotic 24/7 Digestive Support*§ to see if it helps with abdominal discomfort and regularity because when I don’t drink coffee or am traveling that can get thrown off.  I’ll be taking it every day for the next 28 days since it takes TIME for our bodies to adjust to probiotics - and I'll be taking you guys along with me as I share my honest thoughts. Many people think if they don’t see changes within the first 7-10 days then the probiotic isn’t working, but that’s not the case. I’m giving myself more than just a week or two and instead a full month to see the full benefits. I’ll keep you posted over the next month. Check out my stories to learn more! #MyAlignGutJourney #guthealth
 
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
We had an AFTERNOON today. Toddler didn’t care f We had an AFTERNOON today. Toddler didn’t care for a nap. Putting baby down was harder than I wanted it to be. Miraculously, I had a moment of clarity as I was covered in tiny humans and decided I wasn’t doing the nap battle thing a on 60 degree, gorgeous, sunny spring day 🙅🏻‍♀️ so I piled both babies into the car half naked, opened the sun roof, put on white noise for them and an audio book for me and drank a kombucha as I drove a meal to a postpartum mama. Thirty five minutes later we had a sleeping baby and a toddler who at least had a rest. Baby transferred without waking HALLELUJAH and although my toddler didn’t nap today (lord help) at least we got soaked in breezy sunshine 😎🤘🏻💆🏻‍♀️
We veered from our usual Friday night homemade piz We veered from our usual Friday night homemade pizza (minus the dough, we leave that to @albemarlebakingco) because we are eating pizza tomorrow with some friends - instead I called my mom and asked her how she makes her chicken fingers and we fried up a big ole batch of chicken nugs 🙌🏻🤤 along with a sheet pan full of sweet potato fries and a simple arugula salad dressed with parmesean, olive oil and s&p. Oh and my moms honey mustard recipe for dipping. It’s SO DANG GOOD.  Over the past 6ish months we’ve been practicing (and practicing and practicing bc it doesn’t come naturally) unplugging from technology and slowing down and resting and just being for one day a week. Some call it Shabbat. Some call it Sabbath. Maybe you call it something different. All I know is IT IS SO GOOD FOR MY WEARY SOUL and the day I look forward to ALL WEEK. Sundown on Friday to sundown Saturday. Nothing but rest. For us that means hiking (or something outside) and napping and reading and being with friends and eating really good food. And drinking some really good wine or craft beer. Sometimes whiskey. 😛  And because I know I’ll get asked about the chicken finger recipe and also because it’s too good not to share and Momma Coale said I could, here ya go:  Cut chicken breast into thin strips or small pieces (I prefer nug size bc the breading to chicken ratio is perfection). Salt and pepper those babies really well. Then dredge them in all purpose flour, then egg, then panko - just like you would bread anything else. Then fry them up in a light oil - I use avocado oil because that’s our everyday oil. You could also use canola or peanut oil. Just fill a pan with an inch or so of oil on medium high heat. They only take 2-3 minutes per side. You can always temp them to make sure they are at least 165 degrees F to really make sure they are done. Dunk in all the sauces and enjoy!  Happy weekend!

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