Published March 3, 2025
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Written by Stacy Miller
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Pregnancy is a magical experience where women discover how strong and incredible their bodies truly are. While there’s no denying how beautiful the process is, it’s also a hormonal rollercoaster. From conception to postpartum, your body undergoes incredible hormonal fluctuations as you grow a new life. While some women’s hormone levels bounce back quickly after giving birth, for others, it can be a longer process. The tricky part is knowing whether your experience is normal or requires attention. In this article, we’ll discuss how to recognize signs of hormone imbalance after pregnancy and provide helpful tips on rebalancing postpartum hormones.
Key takeaways
- Postpartum hormone changes occur when estrogen and progesterone levels drop after giving birth, while prolactin stays increased up to 6 weeks postpartum.
- The postpartum hormone drop can cause emotional and physical symptoms, including mood swings, low libido, hair loss, vaginal dryness, anxiety, fatigue, and feeling depressed.
- The amount of time it takes for hormonal shifts postpartum to return to pre-pregnancy levels differs and depends on whether you are breastfeeding or not. Typically, for women who are not breastfeeding, it takes between 45 to 94 days for ovulation to resume after giving birth, leading to a return of estrogen and progesterone levels to their pre-pregnancy levels.
- You can help regulate your hormones after pregnancy with healthy lifestyle choices like eating nutrient-dense foods, engaging in light exercise, getting enough sleep, taking vitamins, and staying hydrated.
- It’s important to talk to your doctor if you have mental health concerns like thoughts of suicide, persistent sadness, trouble bonding with your baby, or feelings of hopelessness.
Postpartum hormonal changes: What are they?
Postpartum hormonal changes occur when your body experiences shifting hormone levels after birth. After your baby is born, the doctor removes the afterbirth or placenta, which sends signals to your body that you’re no longer pregnant and triggers hormonal shifts. Immediately, there’s a sharp drop in estrogen and progesterone levels, the primary pregnancy hormones that rise steadily throughout your pregnancy to support fetal growth. In addition, hormone changes after birth include a return of hCG levels to pre-pregnancy baseline levels.
Post pregnancy hormones: Stress and adaptation
It may sound new to you, but giving birth and adjusting to a new life can be a significant source of stress for your body, relationships, and daily routine. Some people adjust well, especially with support from family and friends, while others may find it hard to cope with ongoing stress and new responsibilities. This can be particularly challenging if you are accustomed to being strong and taking on everything yourself. It’s important to recognize when you need help and to ask for it. Persistent stress, especially when you cannot adapt to these changes, can lead to various health issues.
Top 6 signs of hormone imbalance after pregnancy
While every woman responds differently to fluctuating hormones after birth, there are some common signs to look for indicating a postpartum hormonal imbalance.
Sadness, anxiety, and tearfulness
Around 85% of women may experience some type of mood disturbance after giving birth; some of them will have postpartum “baby blues,” while others may have postpartum depression. Hormonal changes postpartum are among the factors that can be responsible for such mood changes. While the baby blues go away, postpartum depression will linger on. If you have a history of mood disorders or anxiety, a family history of depression, or are genetically predisposed to mental health issues, you may be at a higher risk of experiencing this serious condition.
Irregular or heavier periods
When you’ll get your first period after giving birth varies from woman to woman since it takes time for your menstrual cycle to regulate after pregnancy. Additionally, breastfeeding women may not get a period until they are no longer nursing, however, ovulation and period typically return between 6 to 12 months after giving birth. If you’re not breastfeeding, you can generally expect to restart your period within 12 weeks of delivery.
Fatigue, weight gain and mood swings
A hormone imbalance after pregnancy can cause postpartum thyroiditis, a condition where the thyroid can initially release too many hormones and then too little. This hyperthyroidism to hypothyroidism fluctuation usually occurs after the first few months of delivery and can cause fatigue, weight gain, and mood swings.
When do hormones regulate after birth?
You may have heard about postpartum hormone crash or imbalance, you’re probably wondering, “When will my hormones balance after giving birth?” First of all, follow your feelings; you don’t have to focus on hormone levels themselves, as all hormones serve as messengers. In addition, we will share a timeline for a few hormones that change during the postpartum period: estrogen, progesterone, prolactin, and human chorionic gonadotropin (hCG).
1 to 3 months postpartum – Within the first days after giving birth, your estrogen, hCG, and progesterone levels decline. Up to 6 weeks postpartum, prolactin levels are high and then start to decline.
3 to 6 months postpartum – By 6 months postpartum, hormones estrogen and progesterone typically reach their pre-pregnancy levels as you’re starting to ovulate again.
6 to 9 months postpartum – Around 9 months postpartum, hormones have evened out, and prolactin levels return to pre-pregnancy levels.
9 to 12 months postpartum – You are likely ovulating. However, if you occasionally experience an absence of ovulation, this may indicate lower estrogen and progesterone levels during some cycles. This is not a significant concern, as you can expect your cycles to become more regular over time after you stop breastfeeding.
Lastly, there is no specific hormone imbalance 1 year after childbirth. However, if you are experiencing exhaustion, weight gain, or irregular cycles, it may indicate that your prolactin levels are higher than expected, or your thyroid is not functioning properly, or there may be an issue related to your ovaries.
Tips on how to balance hormones postpartum
Your first priority should be to take care of yourself and your child. Typically, your hormone levels will return to what they were before pregnancy on their own without needing any extra measures, but there are simple steps you can take to support your hormonal health. Here are a few tips to help with hormonal changes after pregnancy.
Eat a healthy diet
Eating nutrient-dense foods is an excellent way to combat a hormonal imbalance postpartum. Choose foods like lean protein, whole grain, and vegetables high in fiber, vitamins, and minerals. It’s also important to limit unhealthy processed foods and sugar, which can disrupt your metabolism and hormone balance. This will help you nourish your body properly and support healthy weight loss if you’ve gained a few extra kilos during pregnancy and breastfeeding.
Exercise
Exercise will help you regulate hormone changes after pregnancy. You don’t have to lift heavy weights or run miles on the treadmill; walking outside and even cleaning the house keeps your body moving, which is incredibly beneficial. Be sure to wait until your 6-week checkup and talk to your doctor before starting any postpartum exercise routine.
Get enough sleep
Proper sleep is essential to hormonal health, but admittedly, it can be a challenge to get with a newborn. If possible, try to sleep whenever your baby sleeps and rest as often as possible.
Stay hydrated
Staying hydrated will help your body function properly and help you fight fatigue throughout the day. Proper hydration is a key part of supporting hormonal health.
As you can see, balancing hormones after pregnancy involves being active, being mindful of sleep, nourishing your body properly, and asking for help before feeling completely exhausted.
When to consult a healthcare professional
While hormonal fluctuations after pregnancy are normal, it’s important to know when to consult a healthcare professional. In certain situations, treatment with medications may be required. You should call your doctor if you experience the following symptoms:
- Persistent feelings of anxiety, depression, or sadness.
- Intense mood swings, difficulty sleeping, and irritability.
- Difficulty bonding with your baby, low appetite, or extreme fatigue.
- Increased heart rate, hot or cold sensitivity, and dry skin.
Your doctor will perform a blood or urine test to check your hormone levels and could prescribe medicine. Postpartum hormonal imbalance treatment will depend on the affected gland that produces specific hormones. While hormonal fluctuations are normal, you don’t have to suffer through painful symptoms.
Knowing how to recognize signs of hormonal imbalance after pregnancy can help you take the necessary steps to support hormone health. Hormona is the award-winning hormone tracker revolutionizing women’s hormone health. It gives you the tools and insights you need to understand your body and feel your best.
FAQ
Why is my belly so big 4 months postpartum?
A bulging belly 4 months postpartum could be due to diastasis recti, where the abdominal muscles separate from pregnancy. The condition is common and generally corrects itself in a few months.
How long does it take for the pregnancy hormone to leave your body?
The time it takes for the pregnancy hormone hCG to leave your body can range from 7 to 60 days.
How can I check my hormone levels myself?
Before you begin searching for at-home testing kits, take a moment to assess how you feel. This is particularly important because if you’re feeling well, you may not need any specific tests. Testing your hCG levels after pregnancy can be beneficial if you suspect you might be pregnant again, while checking your progesterone levels can help determine if you have started ovulating.
If you suspect another pregnancy, the simplest option is to purchase an hCG urine test. However, remember to wait until at least three months after giving birth before taking this test. To identify when you start ovulating, monitor your cervical mucus; when it reaches an egg-white consistency, you can then purchase a urinary progesterone kit to confirm whether ovulation has occurred.
For additional specific tests, such as checking prolactin or thyroid hormone levels, you can buy at-home kits designed for those purposes.
When is the best time to have a second baby?
The short answer is between 18 months and 5 years after giving birth. However, there are a few factors that determine the best time to have a second baby. They include:
- Maternal health – The recommended timespan between pregnancies is 18+ months for optimal maternal health. This time could be longer if there are complications like preeclampsia or preterm labor in the pregnancy.
- The child’s development – It’s a good idea to consider the age and development of your first child since managing a second baby is often easier with an older child.
- Your lifestyle – Consider factors like childcare, work schedules, and your financial situation.
Disclaimer: This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new healthcare regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Written by
Stacy Miller
Reviewed by
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Reviewed by
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Dr Singh is the Medical Director of the Indiana Sleep Center. His research and clinical practice focuses on the myriad of sleep.
- Dukic, J., Johann, A., Henninger, M., & Ehlert, U. (2024). Estradiol and progesterone from pregnancy to postpartum: a longitudinal latent class analysis. Frontiers in global women’s health, 5, 1428494. https://doi.org/10.3389/fgwh.2024.1428494
- Tinius, R. A., Yoho, K., Blankenship, M. M., & Maples, J. M. (2021). Postpartum Metabolism: How Does It Change from Pregnancy and What are the Potential Implications?. International journal of women’s health, 13, 591–599. https://doi.org/10.2147/IJWH.S314469
- Postpartum Depression. (2023). Medscape. Available online: https://emedicine.medscape.com/article/271662-overview#a4
- Jackson, E., & Glasier, A. (2011). Return of ovulation and menses in postpartum nonlactating women: a systematic review. Obstetrics and gynecology, 117(3), 657–662. https://doi.org/10.1097/AOG.0b013e31820ce18c
- Gray, R. H., Campbell, O. M., Apelo, R., Eslami, S. S., Zacur, H., Ramos, R. M., Gehret, J. C., & Labbok, M. H. (1990). Risk of ovulation during lactation. Lancet (London, England), 335(8680), 25–29. https://doi.org/10.1016/0140-6736(90)90147-w
- Kennedy, K. I., & Visness, C. M. (1992). Contraceptive efficacy of lactational amenorrhoea. Lancet (London, England), 339(8787), 227–230. https://doi.org/10.1016/0140-6736(92)90018-x
- Noel, G. L., Suh, H. K., & Frantz, A. G. (1974). Prolactin release during nursing and breast stimulation in postpartum and nonpostpartum subjects. The Journal of clinical endocrinology and metabolism, 38(3), 413–423. https://doi.org/10.1210/jcem-38-3-413
- Human Chorionic Gonadotropin (hCG). (2019). Medscape. Available online: https://emedicine.medscape.com/article/2089158-overview#showall
- Reyes, F. I., Winter, J. S., & Faiman, C. (1985). Postpartum disappearance of chorionic gonadotropin from the maternal and neonatal circulations. American journal of obstetrics and gynecology, 153(5), 486–489. https://doi.org/10.1016/0002-9378(85)90458-2
- American College of Obstetricians and Gynecologists, & Society for Maternal-Fetal Medicine (2019). Obstetric Care Consensus No. 8: Interpregnancy Care. Obstetrics and gynecology, 133(1), e51–e72. https://doi.org/10.1097/AOG.0000000000003025
- Dukic, J., Johann, A., Henninger, M., & Ehlert, U. (2024). Estradiol and progesterone from pregnancy to postpartum: a longitudinal latent class analysis. Frontiers in global women’s health, 5, 1428494. https://doi.org/10.3389/fgwh.2024.1428494
- Tinius, R. A., Yoho, K., Blankenship, M. M., & Maples, J. M. (2021). Postpartum Metabolism: How Does It Change from Pregnancy and What are the Potential Implications?. International journal of women’s health, 13, 591–599. https://doi.org/10.2147/IJWH.S314469
- Postpartum Depression. (2023). Medscape. Available online: https://emedicine.medscape.com/article/271662-overview#a4
- Jackson, E., & Glasier, A. (2011). Return of ovulation and menses in postpartum nonlactating women: a systematic review. Obstetrics and gynecology, 117(3), 657–662. https://doi.org/10.1097/AOG.0b013e31820ce18c
- Gray, R. H., Campbell, O. M., Apelo, R., Eslami, S. S., Zacur, H., Ramos, R. M., Gehret, J. C., & Labbok, M. H. (1990). Risk of ovulation during lactation. Lancet (London, England), 335(8680), 25–29. https://doi.org/10.1016/0140-6736(90)90147-w
- Kennedy, K. I., & Visness, C. M. (1992). Contraceptive efficacy of lactational amenorrhoea. Lancet (London, England), 339(8787), 227–230. https://doi.org/10.1016/0140-6736(92)90018-x
- Noel, G. L., Suh, H. K., & Frantz, A. G. (1974). Prolactin release during nursing and breast stimulation in postpartum and nonpostpartum subjects. The Journal of clinical endocrinology and metabolism, 38(3), 413–423. https://doi.org/10.1210/jcem-38-3-413
- Human Chorionic Gonadotropin (hCG). (2019). Medscape. Available online: https://emedicine.medscape.com/article/2089158-overview#showall
- Reyes, F. I., Winter, J. S., & Faiman, C. (1985). Postpartum disappearance of chorionic gonadotropin from the maternal and neonatal circulations. American journal of obstetrics and gynecology, 153(5), 486–489. https://doi.org/10.1016/0002-9378(85)90458-2
- American College of Obstetricians and Gynecologists, & Society for Maternal-Fetal Medicine (2019). Obstetric Care Consensus No. 8: Interpregnancy Care. Obstetrics and gynecology, 133(1), e51–e72. https://doi.org/10.1097/AOG.0000000000003025