Will my cycles and periods be the same after delivery?


Your cycles may be somewhat different for the first few months after delivery as your hormones re-acclimate. Ovulation may not be regular in the beginning and they may not be very effective, especially if you are breasfeeding. (Remember not to use that as birth control except in the first 3 months if you are exclusively breastfeeding).

If you use a progesterone IUD you may get spotting and irregular bleeding for the first 3-6 months, and then patients often don't get periods with the Mirena or Skyla or they are very light. On the contrary, use of the Paragard IUD often leads to much heavier periods that can be associated with cramps and the periods may last much longer (up to 8 days). This can be ameliorated by taking NSAIDS during the period.

Wendy Fried, M.D., FACOG, FACS, is an OB/Gyn with Northern Obstetrics and Gynecology, PC in North Hills, New York

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