When do they return? I'm 11 mos pp and it's not here yet, not that I miss it or anything. We're still bf'ing, but I have an irrational fear I'm in early menopause.
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Re: periods?
Sun, April 13, 2008 - 12:26 PMmine didn't return until >13 months!
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Re: periods?
Sun, April 13, 2008 - 1:18 PMBREASTFEEDING AND FERTILITY
"I've heard that breastfeeding can keep me from getting pregnant. Is this true?"
Yes, as long as you nurse according to the rules of natural child spacing. The same hormones that make milk suppress the release of reproductive hormones. While breastfeeding full-time most mothers do not ovulate and do not have menstrual periods. This means that you can't get pregnant, at least for a while. It's as if your body is telling you, "Nourishing one baby is all you can handle at the moment. It's too soon for a sibling."
"How reliable is breastfeeding as a natural contraceptive?"
You have to follow the rules of the game to get the full benefit of breastfeeding's effect on fertility. In the last ten years, lactation researchers have developed the lactational amenorrhea method of family planning, called LAM. Research shows that LAM's effectiveness in preventing pregnancy is better than 98 percent, a figure that compares well with artificial methods of birth control. According to LAM, a mother can rely on breastfeeding for protection from pregnancy if she can answer "no" to the following questions:
Have your menstral cycles returned?
Are you supplementing regularly or allowing long periods without breastfeeding, either during the day (more than three hours) or at night (more than six hours)?
Is your baby more than six months old?
Studies have shown that most mothers who are breastfeeding exclusively remain infertile for more than the six-month period covered by LAM. Ovulation and menstruation return only when the baby starts to nurse less often and prolactin levels fall.
4 TIPS FOR USING BREASTFEEDING TO DELAY OVULATION
Practice unrestricted breastfeeding without regard to schedules. Usually six to eight breastfeedings a day will suppress ovulation.
Don't train your baby to sleep through the night. (The milk-making hormones that suppress ovulation are highest between 1 a.m. and 6 a.m.) Nighttime nursing is important to the suppression of fertility. Sleeping with your baby facilitates unrestricted feeding at night.
All of baby's sucking should be at the breast, for comfort as well as food. Avoid the use of supplemental bottles and pacifiers.
Delay the introduction of solid foods until age six months or later. Solids should provide additional nutrition, not substitute for breastfeedings.
The key to using breastfeeding to delay the return of fertility is frequency of breastfeedings. Because prolactin clears so rapidly from the blood, frequent feedings are necessary to keep it high enough to suppress ovulation. As baby nurses less frequently, prolactin levels fall, reproductive hormones rise, and fertility returns.
If you follow these rules, you may enjoy a period of lactation amenorrhea (no menstrual periods) that lasts thirteen to sixteen months. In fact, research has shown that women who practice natural mothering according to the above rules will average 14.5 months without a period following childbirth. Remember, this is only an average. A few mothers will experience a return of menstrual periods by six months, others not until two or three years.
When menstrual periods return, the first one is often anovulatory, meaning that it is not preceded by ovulation (the release of an egg), and thus you could not have gotten pregnant before this first period. However, about 5 percent of women do ovulate before having their first period, and the longer you have gone without having periods, the more likely this is to happen. Thus it's possible to become pregnant while breastfeeding, even if you are not menstruating. Once your periods resume, you should assume that it is possible for you to get pregnant, and you should take precautions if you don't want to add another child to your family in the near future. This might be a good time to learn about natural family planning methods, which enable you to determine exactly when you are ovulating and could become pregnant. Or you may decide to use another method of birth control as breastfeeding's effect on your fertility fades. See Couple to Couple League International at www.CCLI.org.
Sometimes women who are nursing older babies or toddlers want to get pregnant and find this difficult while they are breastfeeding. The baby's nursing may continue to affect a woman's fertility even after her periods have returned. This can be very frustrating. Sometimes getting the toddler to cut back a bit on breastfeeding, especially at night, can make it possible for mother to conceive.
from Dr. Sears website -
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Re: periods?
Sun, April 13, 2008 - 4:27 PMwhile i am a definite fan of dr. sears, i take issue with the first answer. it is absolutely possible to get pregnant while BFing full-time. the common assumption is that ovulation, fertility & periods return once BFing is less frequent (the introduction of solids, for example) but i haven't BFed exclusively since 4 months PP & it took another 9 for my period to appear. -
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Re: periods?
Sun, April 13, 2008 - 5:19 PMMine came baack two weeks ago at 5 mos. pp. I am BFing about three times a day. Wonder if it's here to stay?
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Re: periods?
Mon, April 14, 2008 - 1:10 PMSOOOOO NOT TRUE!!!!!!!!!!!!!!!!
I exclusivley breastfed my lil one till 6 mo, my moon cycle returned 3 mo. PP
Maybe this "breastfeeding birth control" method works for some, you still have no idea when that first egg rolls down, awaiting fertilization.
Also, my Grandmother had 6 children, back to back to back, so I find this "breastfeeding birth control" method false!
Lets hope that women who wish to "plan" their next pregnancy use a more dependable method of birth control.
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Re: periods?
Sun, April 13, 2008 - 1:55 PM13 months pp for me, too ... it was loverly while it lasted.
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Re: periods?
Sun, April 13, 2008 - 4:08 PMwe're 15 months pp and i still have not got mine back yet either... -
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Re: periods?
Sun, April 13, 2008 - 4:25 PM"I've heard that breastfeeding can keep me from getting pregnant. Is this true?"
Yes, as long as you nurse according to the rules of natural child spacing"
I don't know about that. My daughter is now 22 months and I'm still breastfeeding her on demand. I never supplemented and didn't start solid before she was 10 months old. I got my first period at 6 weeks p.p., the second one at 6 months p.p. and every month after that.
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Re: periods?
Mon, April 14, 2008 - 1:32 PMoooh someone should be talking to women like my grandmother (mother of eight) who exclusively brestfed her kids and was constantly pregnant --her kids are all born about a year apart... they didn't have or use contraception and she just kept getting pregnant while breastfeeding
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Re: periods?
Mon, April 14, 2008 - 4:56 PMyep -- i call shenanigans on breastfeeding as a contraceptive as well!
SHENANIGANS!! -
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Re: periods?
Mon, April 14, 2008 - 8:03 PMyep too...my mom warned me specifically that breastfeeding didn't do ANYTHING to stop pregnancy in the women on her side of the family. My foolish aunt kept insisting that it would work and she had four daughters, two of them 11 months apart. Mom said that it may work for some people, but that I had for my own good better not bet on being one of the lucky ones. She said that she got her period 5 weeks to the day after having me (and she breastfed me constantly) and I then wasn't happy, but wasn't surprised to get my period 5 weeks to the day after having my baby. I was nursing and pumping, pumping and nursing round the clock too.
I think that some people are just wired to be really damn fertile. sigh. -
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Re: periods?
Tue, April 15, 2008 - 5:53 AMyup, totally agree. I think it's fair to say that it *reduces* your fertility, and honestly- for most women who cosleep and nurse on demand it works very well for the first 4-5 months. But i sure as hell wouldn't rely on it. I think when they actually crunched the numbers it was around 90% effective for 4 months..... which leaves one out of ten women knocked up. But on the other hand, condom us is only around 85%, and spermicides/foam/diaphragms are even lower.
I think you have to go more on your family's history. I know so many women who've had a return of their period before 3 mo pp, while others go 15-18 months (me!). -
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Re: periods?
Tue, April 15, 2008 - 6:18 AM"for most women who cosleep and nurse on demand it works very well for the first 4-5 months. ... I think when they actually crunched the numbers it was around 90% effective for 4 months ... "
i'd say tack on another 1-2% effectiveness to that 90 for co-sleeping & nursing on demand for the exhaustion factor alone. ;)
but seriously .. do not rely on it as effective birth control. -
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Re: periods?
Tue, April 15, 2008 - 9:14 AMexhaustion and having an extra bedfellow.... nothing kills the mood like sharing the bed with the baby! -
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Re: periods?
Thu, April 17, 2008 - 3:58 PMI'd also honestly rather use condoms than wake the kid up to nurse if she's sleeping through the night on her own. Not that I have any libido anyhow. Is this also a breastfeeding prophylactic side effect? -
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Re: periods?
Thu, April 17, 2008 - 5:35 PMha ha!
Seriously, i don't think i regained a *serious* interest in sex for forever afterwards. AND then we were also dealing with "don't wake the baby!"
Almost 24 mo's postpartum and i still come home at 9pm and go straight to bed from exhaustion at least twice a week.
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