How to manage PMS symptoms while breastfeeding?

Question

Hello doctor,

I am gradually weaning my eighteen-month-old child and currently breastfeeding twice a day. I stopped the progestin-only pill two months ago. I have been experiencing premenstrual syndrome symptoms, including abdominal cramps, mood changes, and acne, for the past two months but have not had a menstrual period. Is this normal?

Kindly help.

Answer 1

Hello,

Welcome to iCliniq.com.

I understand your concern.

Yes, it is normal to experience premenstrual syndrome (PMS) symptoms without a period, especially while breastfeeding and after stopping the progestin-only pill. Your body is still adjusting, and it may take time for your menstrual cycle to return. Breastfeeding can delay ovulation. Even with two feeds per day, prolactin levels may still be high enough to prevent your period from returning. Some women do not get their period until they completely stop breastfeeding.

Stopping the progestin-only pill can also delay ovulation. It can take a few months for your body to regulate hormone levels and restart your cycle.

PMS (Premenstrual syndrome) symptoms like cramps, mood swings, and acne suggest that your body is trying to ovulate, but your cycle may still be irregular. This is a sign that your hormones are adjusting.

To support your body, you can monitor your symptoms and wait for a few more months. If your period does not return within three to four months, consider seeing a doctor. If pregnancy is a possibility, take a test to rule it out. You can also track ovulation using test strips to check if your body is preparing to ovulate. Reducing stress, eating a balanced diet with healthy fats, and taking iron or vitamin B supplements if you feel fatigued can also help support hormonal balance.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.