When does a woman ovulate after giving birth

There are no rules about when to start having sex again after you have given birth.

You'll probably feel sore as well as tired after your baby is born, so don't rush into it.

If sex hurts, it won't be pleasurable. You may want to use a personal lubricant, available from pharmacies, to begin with.

Hormonal changes after birth can make your vagina feel drier than usual.

You may be worried about changes to your body or getting pregnant again. Men may worry about hurting their partner.

It might be some time before you want to have sex. Until then, both of you can carry on being loving and close in other ways.

If you or your partner have any worries, talk about them together. You can talk with your health visitor or GP if you need some more help.

Tips for starting sex again after birth

  • If penetration hurts, say so. If you pretend that everything's all right when it isn't, you may start to see sex as a nuisance or unpleasant, rather than a pleasure. You can still give each other pleasure without penetration – for example, by mutual masturbation.
  • Take it gently. Perhaps explore with your own fingers first to reassure yourself that sex won't hurt. You may want to use some personal lubricant. Hormonal changes after childbirth may mean you aren't as lubricated as usual.
  • Make time to relax together. You're more likely to make love when your minds are on each other rather than other things.
  • Get help if you need it. If you're still experiencing pain when you have your postnatal check, talk to your GP.

Contraception after having a baby

You can get pregnant as little as 3 weeks after the birth of a baby, even if you're breastfeeding and your periods haven't started again.

Unless you want to get pregnant again, it's important to use some kind of contraception every time you have sex after giving birth, including the first time.

You'll usually have a chance to discuss contraception before you leave hospital after your baby is born, and again at your postnatal check.

You can also talk to your GP or health visitor, or go to a family planning clinic, at any time.

Read more about contraception after having a baby.

Sexual health charities Brook and FPA have interactive tools that can help you decide which method of contraception is best for you:

  • Brook: my contraception tool
  • FPA: my contraception tool

You can also search for your local NHS contraception service.

Contraception and breastfeeding

You're unlikely to have any periods if you breastfeed exclusively (give your baby breast milk only) and your baby is under 6 months old.

Because of this, some women use breastfeeding as a form of natural contraception. This is known as the lactational amenorrhoea method, or LAM.

It's important to start using another form of contraception if:

  • your baby is more than 6 months old
  • you give them anything else apart from breast milk, such as a dummy, formula or solid foods
  • your periods start again (even light spotting counts)
  • you stop night feeding
  • you start to breastfeed less often
  • there are longer intervals between feeds, both during the day and at night

The effect of expressing breast milk on LAM isn't known, but it may make it less effective.

Video: when can we have sex again after birth?

This video explains when you can start to have sex after birth.

Media last reviewed: 23 March 2020
Media review due: 23 March 2023

Pregnancy is a special situation in a woman's body in which all her ovarian activity stops. This means that the ovaries remain at rest and, therefore, there is no ovulation or menstruation.

After giving birth, the menstrual cycles do not start up again immediately, but the woman has to undergo a return to fertility.

Furthermore, breastfeeding is another special condition that delays the activation of ovaries and ovulation. With ovulation comes the restoration of fertility.

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What is the puerperium?

The time from the day after delivery until the woman's first menstrual period is known as the puerperium.

Firstly, the woman goes through the well-known 6 weeks recovery period, characterized by lochia. This the vaginal discharge caused by the wound left by the placenta in the uterus.

Once this time is over, the length of the postpartum period depends on many things, such as if the mother is breastfeeding or bottlefeeding. The length of time the woman breastfeeds her baby is also plays a role.

Breastfeeding

Women who choose to breastfeed their babies will have high prolactin levels. This means it will be longer before they ovulate after birth and the periods return.

Prolactin, produced by the pituitary gland (hypophysis), is the hormone that stimulates breast milk production.

As well as stimulating milk prodiction, prolactin is responsible for blocking FSH and LH hormones. These two hormones stimulate the ovaries and trigger ovulation.

In an interview with as Dr. Nadia Caroppo she tells us that is why, in most cases, postpartum infertility is maintained for the duration of full breastfeeding.

Women whose babies usually breasfeed every two hours do not usually ovulate. That is to say no ovulation and therefore no menstruation. As the feeds become further apart the prolactin levels decrease and the female hormonal cycle can start up, leading to ovulation.

The duration of the postpartum period in breastfeeding women is difficult to determine, as it can range from 12 weeks after delivery to 2 years.

Some factors that influence the return of fertility are the following:

  • Exclusive breastfeeding or mixed feeding (in combination with bottle feeding)
  • The number of daily feeds
  • If there are night feeds
  • Sucking intensity

In general, It takes about 6-8 months after birth for a lactating women to ovulate again and have menstrual cycles.

Bottle feeding

Conversely, women who choose not to breastfeed their baby return to their typical hormonal control. Hences they will ovulate again earlier, between 4 and 8 weeks.

It is very important to keep in mind that a woman could become pregnant again during this period of time, since ovulation can occur before menstruation.

Therefore, it is advisable to use protection in sexual relations during the puerperium, whether the woman breastfeeds or not. The lack of fertility in the breastfeeding period is not total and women do fall pregnant unexpectedly.

Ovulation symptoms after birth

During the puerperium it is common to present a basic pattern of infertility characterized by vulvar dryness and/or unchanged vaginal discharge. This is due to the low estrogen level in the woman's body.

As estrogen increases in the days leading up to ovulation, it will be possible to notice how the cervix produces a more mucous discharge. It is common for the basic pattern of infertility to be interrupted by intermittent days of lubricating mucous discharge for several weeks.

In addition, the woman may also notice how the cervix acquires a softer consistency and a higher position.

These signs can allow the woman to anticipate ovulation and, therefore, it is important to observe them correctly during the postpartum period.

FAQs from users

Can I get pregnant after childbirth if I am not menstruating?

By Andrea Rodrigo B.Sc., M.Sc. (embryologist).

It is true that breastfeeding is considered the best supression of ovulation due to the increase in prolactin level. However, as lactation is reduced, the prolactin level returns to its normal state. This is not immediate and, therefore, if pregnancy is not desired, contraceptive protection is recommended.

In addition, we should not forget that, although it is rare, there may be female periods in which there is ovulation but no menstruation.

Therefore, even without menstruation, there is a possibility of pregnancy after childbirth, although it is low.

Is it normal for postpartum periods to be irregular?

By Andrea Rodrigo B.Sc., M.Sc. (embryologist).

Yes, after childbirth, hormone levels gradually adjust and return to normal, i.e., to the pre-pregnancy state.

Therefore, since the menstrual cycle is regulated by hormones, it is common to have irregular periods after childbirth.

What is the lactational amenorrhea method (LAM) form of contraception?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

LAM is a contraceptive method that takes advantage of the absence of ovulation and menstruation during lactation to prevent a new pregnancy.

However, to ensure that this method is effective, the following requirements must be met:

  • The newborn is not more than 84 days old
  • The baby is exclusively breastfeeding. Not even water should be taken from a bottle.
  • The baby is attached to the breast for at least 100 minutes every day.
  • The babys feeds at least five times a day.
  • There is no more than 6 hours between feeds, be it day or night.

Can I do an ovulation test while breastfeeding?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Yes, but most likely it will be negative, since the ovulation test detects the LH hormone and this is inhibited as a result of prolactin production.

If you need more information about this, you can continue reading here: Ovulation tests.

If you want to continue reading about the puerperium and what the first menstruation is like after giving birth, we recommend reading the following article: Menstrual periods after childbirth.

Alternatively, if you would like information about the breast and bottlefeeding, take a look at this article: Feeding your baby.

How do you know when your ovulating after giving birth?

Every woman is different, meaning that when and what signs of ovulation after giving birth will show depend on the individual..
You Got Your Period. Getting your period is a clear sign of returning fertility while breastfeeding. ... .
Cervical Mucus Gets Lighter. ... .
Slight Temperature Rise. ... .
Cramping. ... .
A Libido Boost. ... .
Tender Breasts..

How quickly can a woman get pregnant after giving birth?

You can get pregnant as little as 3 weeks after the birth of a baby, even if you're breastfeeding and your periods haven't started again. Unless you want to get pregnant again, it's important to use some kind of contraception every time you have sex after giving birth, including the first time.

What's the soonest you can ovulate after birth?

While this is different for everyone, women can start ovulating again as soon as three weeks after having a baby. It's even possible to get pregnant before you get your first menstrual cycle during the postpartum period.

Is it true that you are more fertile after giving birth?

Does giving birth “reset” a woman's biological clock? Perhaps. Women who have given birth before do have a better chance of getting pregnant in their mid to late 30s.