What is the reason for not having a period after weaning?

Patient's question:

Doctor, my baby is one year old, and I stopped breastfeeding him on October 1st. But now it's November, and my period still hasn't come. What's going on? Am I not pregnant?

Doctor's answer:

After weaning, menstruation usually gradually returns to normal, meaning ovarian function needs to fully recover. Typically, menstruation may return about a month after weaning, though some may wait for a considerably longer period. However, during this time, if there has been sexual intercourse without breastfeeding, pregnancy is possible. It is recommended to test for blood HCG and undergo an ultrasound to examine the condition of the endometrium. If pregnancy is ruled out, progesterone can be injected to induce menstruation.

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