Period While Breastfeeding: Missed or Irregular Periods

With my first two children, despite breastfeeding exclusively and co-sleeping, my menstrual cycle returned about a month after delivery and remained on a normal cycle thereafter. So, when after my third child my period resumed and then suddenly stopped, I was admittedly a bit scared I was pregnant again despite always using protection. Upon attempting to research why exactly this would happen, all that could be found were forums, lots and lots of forums, that required a lot of reading to find even half answers. I decided to combine this info with some information from my mid-wife to provide answers for others who experience an irregular period while breastfeeding.

When should your period while breastfeeding resume, if at all?

When your period returns while still breastfeeding depends largely on how often you breastfeed and your personal hormone balance. According to the lactation experts at the La Leche League, on average those who exclusively breastfeed don’t have a period while breastfeeding for 14.6 months.breastfeeding period, period while breastfeeding

-About 7 percent of women experience a period within the first six months postpartum
-37 percent within seven months to a year
-48 percent during the second year
-Only 8 percent exceed year two, likely from the introduction of solid foods

These percentages are not accurate for those who supplement with formula or introduce solid foods within the first year. The general rule is: the more a baby nurses, the higher the chance there will be no period while breastfeeding.

What might cause a period to resume faster while breastfeeding?

Your period is more likely to return sooner after birth while breastfeeding if:

-You aren’t exclusively breastfeeding
-You’re bottle feeding at times (even if breast milk)
-Your baby sleeps for long periods at night
-There are complications that make breastfeeding more difficult
-You’re a first-time mom
-You have a higher BMI
-You’ve opted for hormonal birth control such as the “mini pill”

Are irregular periods normal while breastfeeding? Can menstruation stop and then start again as a result of breastfeeding?

Yes. You may experience irregular periods or spotting as a result of variances in the hormones released while breastfeeding. This could be a result of a decrease in nursing from, say, a sickness in your baby, teething, getting a sitter, or just changes in appetite. This is why some women may have a first period after delivery, and may even start having a normal period while breastfeeding, and then stop. Your own hormonal balance prior to breastfeeding may also affect how your cycle functions while nursing. This explains why in two previous pregnancies I had experienced a period while breastfeeding, but not with the third, my third baby was a piglet–always nursing.

Unfortunately, thanks to the volatile nature of hormones while nursing, there is no “normal” menstrual cycle while breastfeeding, but that also means there is no abnormal.

Why wouldn’t my period return if I stopped breastfeeding already?

If it’s been more than 8 weeks since you stopped breastfeeding and your period still hasn’t returned, there’s likely an underlying hormonal imbalance. This may be a result of a medical condition such as postpartum thyroiditis or PCOS. Lifestyle factors such as high or low BMI, excessive exercise, high stress, or low caloric intake can also be to blame, as well as age-related changes in those over 35. Given this, it’s worth discussing with your health care provider, especially if you have other symptoms.

Can you get pregnant while breasting?

Finally, with all those missed or irregular periods, how are you supposed to know if you’re pregnant? Can you get pregnant at all? Yep. It’s a pretty huge misconception that you can’t get pregnant while breastfeeding. Even if you aren’t getting a period, you can still ovulate. In most women fertility is decreased while breastfeeding, but not non-existent.  You can be on the look-out for other pregnancy symptoms if you experience no periods at all, especially when protective measures may have failed, or if you want to be extra cautious take a pregnancy test every month.

You may also enjoy:

Menstrual Blood Colors and Textures: What Do They Mean

3 Ways You Can Be Pregnant and Still Have a Period

How Common Are False Pregnancy Tests?

Causes of Anovulatory Cycles

Exclusive breastfeeding: Is supplementing formula really all that bad?

I couldn’t really say why, but breastfeeding is one parenting topic that is hotly debated with parents on both sides of the fence with powerful opinions that they are not afraid to share. Many of those black or white positions make very little sense to me, exclusive breastfeeding for example. I breastfed both of my children, but when they became older I supplemented with formula.
formula feeding
Sure, I could have pumped bottles, and there were times when I did, but realistically there was no reason that formula use was “bad.” Frankly, I’m rather tired of hearing people spout these opinions at moms as if they are fact in some odd attempt to make everyone in the world raise their children the way they do. So, factually, is exclusive breastfeeding best?

The benefits of breastfeeding are obtained with any level of feeding.

The first inaccurate debate tactic I often see is the old, “breastfeeding has *these* benefits.” Yes, study after study after study has supported that breastfeeding has a wide range of benefits. However, those benefits are obtained whether you feed exclusively or supplement with other foods. On the same thought train just because breastfeeding has a benefit and formula doesn’t, that doesn’t make the reverse of the benefit a risk of formula feeding. It simply means if you didn’t breastfeed at all, you would miss out on that benefit.

Studies only support exclusive breastfeeding as better in the first four months of life.

I’m not saying that exclusive breastfeeding has no benefits. There is indeed research that suggests exclusive breastfeeding-this means no solid food even-may reduce your baby’s risk of gastrointestinal and respiratory infection as well as help you return to your pre-pregnancy weight sooner. In some countries, the current recommendation is six months, but some research has suggested that those two extra months can lead to iron deficiency, a higher risk of developing allergies and celiac disease, and the possibility of limited food preferences which could hinder a healthy diet and lead to obesity later in life. Basically, current research supports exclusive breastfeeding until around 4 months, and then there is no harm in feeding formula or solid food as well if your baby is developmentally ready.

There are no risks to formula feeding.

You can read a full overview here, but the stones often thrown at formula as far as risks are unfounded. While there are factors that can create a risk to formula feeding such as bottle propping, contaminated water supplies, and overfeeding, formula feeding itself poses no unavoidable health risks. Much like pretty much any aspect of parenting, there are mistakes that can be made which can lead to risks, but that doesn’t make supplementing bad.

When all is said and done, a baby that is not breastfed at all can turn out just as healthy as one who has been fed nothing but breast milk. Yes, breast feeding presents benefits to both mom and child, but not doing so or mixed-feeding isn’t dangerous, and that’s a fact.

Is Formula Feeding Safe? Health Risks of Baby Formula Facts

I don’t know anyone that would argue that breast feeding hasn’t been proven the healthiest feeding option for infants, but I was surprised when someone suggested that formula feeding actually had health risks. Even being a mother who breastfeeds, I found this implication rude as many mothers are left without the option to breastfeed for one reason or another. It didn’t seem right to me that advocates of breastfeeding are guilting those that bottle feed into feeling they are sub-par mothers. In reaction, I set out, much like in my recent article on the health risks of diapers to find unbiased, fact supported details on the subject. A full list of any studies, verifiable sources, or other information used in this article can be found in source.formula feeding

This article will not include the benefits of breastfeeding. The logic that breast feeding has a certain benefit, for example, that breast feeding increases a child’s IQ, and formula feeding does not, does not equate to formula feeding lowering IQ. It simply does not offer that benefit. You will find many unsupported websites online that use such logic. Only actual health risk claims against untainted formula feeding will be covered. Note, that the water used to mix formula can pose health risks, and its always important to be sure the seal on your formula is not broken when purchased.

Formula health risk claim: Formula feeding increases the risk of type 1 diabetes.

There have been a wealth of studies done on this subject some of which show an increased chance of diabetes in milk-based formula fed babies and babies that were introduced to cow’s milk at an early age. Others found no relation or even found that milk-based formula not only didn’t increase the risk of diabetes, but reduced it at a later age. Some studies also found only children pre-disposed to diabetes or becoming pre-diabetic already were affected. Based on current studies and facts as of March, 2018 I must then leave this health claim in inconclusive or unknown status.

Studies that did find an increased chance for type 1 diabetes in formula fed infants suggest the reason behind the increase is that cow’s milk contains bovine insulin, which can cause an immunity to insulin in turn causing diabetes. This could be avoided by using non-cow’s milk based formulas.

Formula health risk claim: Formula feeding increases the rate of ear and respiratory infections.

This formula health risk claim is one of the many that have been misinterpreted. Studies have shown that breast feeding significantly reduces the occurrence of ear and respiratory infections, however no studies have shown formula actually causes either. Its suggested breast milk reduces the risk due to its immune-boasting properties. Positioning of the baby while bottle feeding may increase the risk of ear infections. You should never prop a baby with a formula bottle for this reason. As a result of this information, this health claim is found to be false.

Formula health risk: Formula feeding causes cancer.

This health claim is counted among the “breast feeding reduces the risk so formula must increase it” logic claims. It is included here simply because this claim is so often made. There are no studies that support formula increases the risk of cancer. This health claim is found to be false.

Formula health risk claim: Formula feeding increases the risk of SIDS. (Sudden infant death syndrome.)

Studies done on this subject are conflicting, but suggest that breastfeeding reduces the risk of SIDS. However, they have also found that bottle or formula feeding itself does not increase the risk of SIDS. Rather parents that formula feed are more likely to present other SIDS risks such as smoking and allowing tummy sleeping than breast feeding mothers. Many formula-fed infants also have pre-existing health issues which may have even been the reason for being formula fed in the first place. When all other factors are considered subtracted this health claim is found to be false.

Formula health risk claim: Formula feeding negatively affects social development.

This health risk is based on the assumption that formula fed babies have less skin-to-skin contact, interaction, and bonding time with their parents than breast fed babies. While all of the above have been proven to improve social skills and overall psychological health, this claim is based on a usually false assumption. No studies have been done to support this claim. As long as a formula fed baby is held while being fed this health claim is found to be false.

Formula health risk claim: Formula feeding increases the risk of gastrointestinal disease and upset.

Studies have shown that breast feeding decreases the occurrence of gastrointestinal disease and upset including diarrhea, constipation, and even diaper rash. Formula is more prone to cause allergic reactions which can cause digestional upset. This chance is also present, though lower, in breast feeding infants due to the mother’s diet. Choosing the proper formula for your infant can reduce this risk. This health claim is found to be true but avoidable.

Formula health risk claim: Formula feeding causes obesity later in life.

Studies have found that formula fed babies are at a higher risk for obesity later in life. It’s suggested this may be simply a result of over feeding on the parents part as bottle fed babies have less control over the feeding. Other studies suggest the way the body develops to use energy from breast feeding differs than that of formula fed babies causing the increased chance of obesity. It’s recommended any bottle-feeding parents learn the cues of hunger and satisfaction (fullness) that infants exhibit. This health claim is found to be true, but dependent on other variables as well.

Citation and study links:

Overall Summary of studies done on type 1 diabetes and formula fed infants or cow’s milk

http://www.todaysdietitian.com/newarchives/072710p36.shtml

Study: Early exposure to cow’s milk not a risk for diabetes but may reduce risk at later date

http://www.ncbi.nlm.nih.gov/pubmed/19263185

Study: Early exposure to cow’s milk is a risk factor for diabetes

http://diabetes.diabetesjournals.org/content/48/7/1389.short

Study list: Breastfeeding reduces the risk of ear and respiratory infections

http://courses.washington.edu/nutr526/news/biospec.htm#_Toc516479362

Google book result on breast and formula feeding and ear infections: Pediatric Otolaryngology: Volume 2 By Charles D. Bluestone, Sylvan E. Stool, Cuneyt M. Alper, Ellis M. Arjmand, Margaretha L. Casselbrant, Joseph E. Dohar, Robert F. Yellon pg. 495-496

http://books.google.com/books?id=Qcxg1OCHg3oC&lpg=PP1&dq=Pediatric%20Otolaryngology%3A%202-Volume%20Set%2C%20Volume%202&pg=PP1#v=onepage&q&f=false

Study: Formula feeding does not increase the risk of SIDS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2548486/

Benefits of skin to skin contact for infants

http://www.scientificamerican.com/article.cfm?id=infant-touch

Google book result: Breast feeding reduces rate of gastrointestinal disease and upset

Pediatric gastrointestinal disease Volume 1: pg 876

http://books.google.com/books?id=MjF7ZbmpHx4C&lpg=PP1&dq=Pediatric%20gastrointestinal%20disease%3A%20pathophysiology%2C%20diagnosis&pg=PP1#v=onepage&q&f=false

AAF on choosing the right formula for your baby:

http://www.aafp.org/afp/2009/0401/p565.html

Studies: Formula feeding and obesity

http://www.bmj.com/content/319/7203/147.full

http://www.nature.com/ijo/journal/v31/n7/full/0803622a.html

Suggestions of the reason behind the obesity-formula link

http://www.telegraph.co.uk/health/healthnews/5818854/Bottle-feeding-with-formula-milk-may-risk-babys-health.html