What are the reasons why menstruation has not returned after childbirth?

Patient's question:

I've had my baby for almost three months now. My first period came on day 34, but the second one is almost 60 days late. What's going on? (The baby is breastfeeding, but there's very little milk, so they are mainly formula-fed.)

Doctor's answer:

Hello, irregular menstruation after childbirth is very common, but for women with special conditions, such as being overweight, excessive mental stress, or ovarian dysfunction, it can also cause postpartum menstrual disorders. It is recommended to wait for a period of observation or have an ultrasound check at the hospital under the guidance of a doctor. Generally, doctors will advise patients with postpartum consultation risks to maintain personal hygiene and avoid sexual activity. Additionally, patients should create an environment that promotes emotional stability and stress relief. Wishing the patient a healthy delivery.

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