
Navigating Fertility and Menstruation Postpartum

Bringing a baby into the world is a transformative experience, and the changes don’t stop at delivery. Many women wonder when their period will return and what it means for their fertility.
The answer isn’t one-size-fits-all, but gaining some insight into what to expect can provide some agency as your body recovers.
The experienced women’s health team at the office of Alan B. Patterson, MD, in Coral Springs, Florida, provides compassionate care to help you navigate the postpartum period with clarity.
With decades of experience as a board-certified OB/GYN, Dr. Patterson offers full postpartum support, from healing after birth to making informed decisions about birth control and future family planning.
When your period returns (and why it varies)
Your first postpartum period depends largely on whether or not you’re breastfeeding. Women who exclusively breastfeed may not see the return of menstruation for several months, sometimes up to a year. This is because nursing suppresses ovulation by keeping prolactin levels high.
If you’re formula feeding or mixing breast and bottle feeding, your period could return within 12 weeks following childbirth. Your first few cycles may be irregular, and bleeding may be heavier or lighter than you're used to. Over time, your menstrual periods should settle into a more predictable rhythm.
Can you get pregnant before your period returns?
Ovulation occurs before your first postpartum period, and this means you can become pregnant without having had a period yet. That’s why postpartum contraception is an important part of early recovery conversations — even if you're not seeing signs of fertility.
Dr. Patterson discusses birth control options with each patient, taking into account whether you’re breastfeeding, your personal preferences, and your future family planning goals. Options include progestin-only pills and barrier methods, as well as long-acting options like IUDs and implants.
In any event, you’ll receive clear guidance on what’s safe, effective, and appropriate for your current phase of life.
What’s typical — and when to check in
Postpartum bleeding is not the same as a period. It typically tapers off four to six weeks after birth. If you notice a return of bright red bleeding after it stopped, a sudden increase in flow, or bleeding that’s accompanied by fever or pain, you should contact Dr. Patterson.
Once your period does return, some changes are normal. You may experience more intense cramping, small clots, or fluctuating cycle lengths. However, if you have heavy periods, periods that last more than a week, or periods that cause significant pain, it’s worth checking in with our team to rule out underlying issues like fibroids or hormonal imbalances.
The role of postpartum check-ups in fertility planning
Postpartum visits are an essential touchpoint for assessing your reproductive health, emotional well-being, and plans moving forward.
During your follow-up care appointments, Dr. Patterson evaluates your recovery, talks through any concerns you have about menstruation or ovulation, and helps you make informed choices about contraception and future pregnancies.
If you're trying to conceive again or want to prevent pregnancy for now, timing and education are everything. Postpartum appointments are also a good time to review any new symptoms that might indicate hormonal shifts, thyroid issues, or menstrual irregularities.
With Dr. Patterson’s personalized approach, you’ll leave feeling informed, supported, and in control of your next chapter.
Personalized support for your postpartum journey
No two postpartum recoveries are the same — and that’s why having a caring provider like Dr. Patterson matters. Contact us to schedule a postpartum visit to get answers, plan ahead, and feel supported throughout your journey. Providing top quality care is our priority!
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