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I had my son Sept. 2008. it is not Sept. 2010 and have not had a period. I had the post bleeding after having him via c-section for about 4 weeks, and then in Jan. 2009, had a little spotting for about a day, and now nothing. I breastfed for only a month or so, before my milk dried up.Is this normal?


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replied September 10th, 2010
Postpartum and Postnatal Answer A16055
Hi, and thanks for your medical question on eHealth forum!

No, it is not normal to not have periods for 2 years after child birth. Is there a chance that you could be pregnant, conceived any time in last few months? If this is not the case, then other causes will have to be looked into. Stress and anxiety is a major factor. Thyroid problems and abnormal levels of FSH, LH, prolactin, androgen hormones or male hormones and estrogen hormones too can be the cause. MRI of brain may be required to rule out pituitary tumors secreting prolactin.

Another major contributor is polycystic ovarian syndrome (PCOS). This can be diagnosed by a CT scan or abdominal ultrasound and tests for insulin resistance. Smoking is also often associated with secondary amenorrhea and can be worse in presence of stress. Sometimes tumors of the ovaries and brain may also cause absence of menstruation. Severe anemia and malnutrition, excess weight gain or weight loss, hypothyroidism too can contribute.

Another possibility is Asherman’s Syndrome, where there is dilatation and curettage to control bleeding or infection. If you have a history, then this should be seriously considered. Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your gynecologist and get the necessary investigations done. Hope this helps. Take care!




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