Postpartum in the fifth month, it came, next month it didn't, don't know what the reason is

Patient's question:

I gave birth to my child on November 26, 2014 (vaginally), and I had my period on April 21 of this year. It hasn't come since May. The test strips are negative, which means it should have come but didn't.

Doctor's answer:

Hello, there is some disruption in the endocrine system after childbirth. The estrogen level in the body is relatively low, so the menstrual cycle may be irregular. The menstrual cycle is a manifestation of the periodic shedding and bleeding of the endometrium. The periodic changes in the endometrium are caused by the periodic changes in the ovaries, which can affect menstrual irregularity. First, maintain a calm mindset and have a healthy lifestyle. Practice contraception after childbirth.

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