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What causes irregular menstruation after delivery while lactating?

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Posted on Tue, 1 Dec 2015
Question: hi,

my wife has a sugerian delivery on 1 july 2015. after that she had her period at 15 days or 20 days interval time . her period was on 3 sep. 2015. we had unsafe sex on 20 and 25 sep 2015 but i did not injected my sperm into her . till then she has not got period. we have tested prega news 5 times with the first morning sample. last test was done on 1 nov . 2015. but all time result came negative. so why she is not getting period from 3 sep. 2015.
doctor
Answered by Dr. Manisha Jain (11 minutes later)
Brief Answer:
Withdrawal hormones needed

Detailed Answer:
Hello mam, thanks for trusting health care magic.
It is common to have irregular periods in lactational period and at timed there is some hormonal imbalance.
Give her tablet norethisterone 5 mg three times a day for 3 days and on leaving the drug she will get periods in 3-5 days.
But it is a prescription drug so you will need to consult your gynecologist for that.
But in case this is repeated in next few cycles too then get her thyroid hormone levels and prolactin levels checked.
All the best.
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (3 minutes later)
but if i don't give medicine then what will happen. when she will have her period
doctor
Answered by Dr. Manisha Jain (3 minutes later)
Brief Answer:
can wait and watch

Detailed Answer:
She can wait for her periods if not anxious. But it might take a couple of weeks and till then take good diet and night time sleep.
But in the meanwhile take care of the contraception part as there can be erratic ovulation and thus can result in pregnancy.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (10 minutes later)
if at the time sperm coming out and we pull out our penis to prevent pregnancy. is there any chance to get pregnant then. i have never injected my sperm . and i have tested through test kit. can we believe on test kit as we have tested 5 times and all time test came negative.
doctor
Answered by Dr. Manisha Jain (4 minutes later)
Brief Answer:
Chances of pregnancy due to pre cum are still there

Detailed Answer:
Yes it's good that you haven't ejaculated inside her but that is also not completely protective and just decreases the chances of pregnancy and doesn't eliminate it completely as there can be sperms in pre cum thus can result in pregnancy so use of condoms is a better option.
Right now just practice safe sex and can wait for spontaneous periods for this month at least but in case she still doesn't get them then take hormone withdrawal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (7 minutes later)
what about test kit ques. or there is any other symptom to detect pregnancy
doctor
Answered by Dr. Manisha Jain (4 minutes later)
Brief Answer:
No chance of pregnancy

Detailed Answer:
It is quite likely that she is not pregnant by the coital activity in September and thus till now she is not carrying any pregnancy and the pregnancy tests are very reliable especially when you guys had it 5 times already.
I was advising you about future risk of pregnancy as she can have erratic ovulation owing to the lactational period and thus can get pregnant.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (1 minute later)
what about test kit ques. or there is any other symptom to detect pregnancy
doctor
Answered by Dr. Manisha Jain (25 hours later)
Brief Answer:
Nil chances of pregnancy

Detailed Answer:
Symptoms are very vague and resemble the symptoms of delayed periods due to hormone imbalance.
So ever since you have already tested several times the chances of pregnancy are nil.
Just take care of protection next time you indulge in intercourse.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Manisha Jain

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What causes irregular menstruation after delivery while lactating?

Brief Answer: Withdrawal hormones needed Detailed Answer: Hello mam, thanks for trusting health care magic. It is common to have irregular periods in lactational period and at timed there is some hormonal imbalance. Give her tablet norethisterone 5 mg three times a day for 3 days and on leaving the drug she will get periods in 3-5 days. But it is a prescription drug so you will need to consult your gynecologist for that. But in case this is repeated in next few cycles too then get her thyroid hormone levels and prolactin levels checked. All the best. Regards Dr Manisha