Is it true that menstrual cramps improve after pregnancy?
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Is it true that menstrual cramps improve after pregnancy?

If uterine contractions before pregnancy were intense because of diseases, such as endometriosis, the answer may be yes.

Delayed menstruation is one of the main signs that a baby is on the way. If the pharmacy or blood test is positive, she remains in this “see you later!” during the nine months of pregnancy and also when there is exclusive breastfeeding after delivery. When breastfeeding starts to become spaced, the tendency is for the woman to welcome the return of the menstrual period, which can bring the famous cramps.

To understand if this is the moment you are living in, Erika Kawano, a gynecologist and obstetrician, explains that it is necessary to keep in mind that each female organism works in a different way. But that among all the variations that he can have, the most emphatic is linked to breastfeeding.

“When a woman breastfeeds, she produces a hormone called prolactin. In the vast majority of times, especially if the feedings are exclusive, it ends up inhibiting ovulation and, consequently, the woman does not menstruate during this period ”, points out the gynecologist.

Thus, the average is that women who do not breastfeed tend to start menstruating a month or two after delivery. Those who breastfeed tend to have monthly bleeding only when the production of breast milk starts to decrease and, consequently, prolactin levels. This happens, for example, with the arrival of the baby’s food introduction.

But are colic really calmer?

After a pregnancy, it is common to talk about a lighter menstrual period, with less colic. But this is partially true. Erika explains that this change can happen in women who have diseases that change their behavior after hormonal fluctuations in pregnancy.

“If the woman before pregnancy had a lot of colic, mainly due to endometriosis or adenomyosis, the hormonal stimulus, mainly of progesterone in high doses, ends up decreasing the pain after a pregnancy”, details the doctor.

Now, if the contraction of the uterus is not linked to any disease, the tendency is for the woman to return to the same type of pain pattern after pregnancy.

The same goes for the flow

To talk about the full return of menstruation, this is only possible when the woman has stopped breastfeeding completely. “It may be that he is irregular for the first two, three months, even if he does not breastfeed anymore. And the flow can vary a lot: it can be lighter, or it can be a little more intense ”, details the gynecologist.

After this period, the tendency is for the menstrual cycle to return to the way it was before pregnancy, except for the exception of women with diseases, such as endometriosis, in which the hormonal load of pregnancy also favors the reduction of symptoms such as intense flow. Erika advises that if this deregulation goes beyond three months, it is important that the woman looks for a specialist.


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