Postpartum in the fifth month, it came next month, there was nothing, don't know what the reason is

Patient's question:

I gave birth to my child on November 26, 2014 (vaginally), and I got my period on April 21 of this year. By May, it hadn't come, and the test strips were negative, indicating that it should have arrived but didn't.

Doctor's answer:

Hello, there are some disruptions in the postpartum endocrine system, and estrogen levels in the body are relatively low, which can cause irregular menstruation. Menstruation is the manifestation of the cyclical shedding and bleeding of the endometrium. The cyclical changes in the endometrium are caused by the cyclical changes in the ovaries, which can affect menstrual irregularities. First, maintain a calm mindset and have a healthy lifestyle. Postpartum contraception should be practiced.

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