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Delayed Periods After Childbirth: Causes & What to Do


Question
Hi, I'm 20 years old and just had a baby in Nov. of 2007. Since then I have not had any periods but, I get random cramps the last a few hours. I have no job and Medicaid wont help can you????

Answer
Dear Mandy,

If you are still breastfeeding, this can be a reason for your menstrual periods not returning. There are many various causes for amenorrhea (absence of periods) - pregnancy being just one. Others can be:
-Hormonal imbalances, which cause fluctuating levels of the hormones needed to support menstruation
-Emotional or physical stress / Depression
-Rapid weight loss or gain
-Change in diet
-Low body weight
-Obesity
-Frequent or strenuous exercise
-Cysts or tumors in the ovaries
-Thyroid or Pituitary dysfunction
-Certain medications or drug use
-Menopause OR Premature ovarian failure (menopause before age 40)
-Occasionally stopping birth control pills

The general recommendation is that if you miss three consecutive periods and pregnancy is not the reason, you should see your doctor so that a cause can be determined. Medicaid should be allowing you to see your doctor for a physical exam - including a Pap smear- at least once per year, if not for diagnosis of the cause of the amenorrhea itself.

I hope this has helped you and answered your question. I wish you well.

Brenda