How long does it usually take to recover after childbirth?

Patient's question:

I had a cesarean section on August 4th, and my period came on October 10th. It's been until this month, and it hasn't arrived yet. Could I be pregnant? I had intercourse on the 18th and 25th of this month, wearing a condom, but I don't know if it leaked. The baby is drinking formula and not breastfeeding, so could I really be pregnant? I'm very worried. Lately, I've been experiencing some vaginal pain, and a little pain above the pelvic bone. This morning, after a good night's sleep, I felt a burning sensation in my vagina, and my breasts are also swollen.

Doctor's answer:

Hypothesis of the issue: The complete restoration of menstruation after childbirth generally takes 6-10 weeks, while the complete recovery of ovarian function requires 6-10 months. Breastfeeding will delay this process significantly, and irregular menstruation may occur during breastfeeding. Since you experienced menstruation ten months postpartum and have not had a period for 40 days, this is also a normal phenomenon. As long as the possibility of pregnancy is ruled out, there is no need to worry.
It is recommended that you take effective contraceptive measures. As long as the possibility of pregnancy is ruled out, there is no need to adjust the menstrual cycle temporarily. Once the ovarian function fully recovers, it will naturally return to normal.

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