Postpartum Period Irregularities: What to Expect & When to Worry

Question
I had my baby early January.....i didn't have my first period until mid march...it was a full week. Then i was off for about another week...then had another period that lasted another week. I haven't had a period since. I haven't had sex with my husband, so pregnancy isn't a possibility....how long should i wait before i get worried? Is this normal?

Answer
Dear Lisa

No it is not normal to have this pattern of irregular bleeding in March and amenorrhea since then. An important question here is: are you breast feeding or are under any form of medical treatment?..if you are breast feeding, then it is quite normal to have no period and the irregular bleeding you had may point out to the presence of some remnants of conception inside your uterus that have to be removed. On the other side it can be due to delayed ovulation which is not uncommon after delivery and the bleeding you had was due to a single sporadic ovulation that was not repeated since then.

I advise a transvaginal ultrasound to exclude the presence of any remnants so that proper treatment can be prescribed.

Good Luck