It can take months to feel like yourself again.

It’s important to check in with yourself and how you feel and know that help is available.

When Do Postpartum Hormones Regulate?

Black mother holding sleeping baby son

LWA/Dann Tardif / Getty Images

During the first 48 hours after delivery, hCG, estrogen, and progesterone levels drop.

However, estrogen levels may take up to a year to normalize, especially if you are breastfeeding.

Thyroid Hormones

Thyroid hormones stabilize within a few weeks after childbirth.

Cordelia Nwankwo, MD headshot

However, 10% of parents experiencethyroiditis(thyroid swelling).

Your libido will gradually return, though it can take up to a year.

In the meantime, maintain open communication with your healthcare provider and sexual partner.

Consider alternate forms of physical intimacy and use water-basedvaginal lubricantsduring sexual intercourse.

But this typically resolves within a week or two.

Postpartum depression(PPD) occurs in one out of four people.

It is when baby blue symptoms are intense and last longer.

The exact cause is uncertain, but postpartum drops in estrogen or high cortisol levels might contribute.

If you or a loved one is in immediate danger, call911.

Postpartum Hormones Around Menopause

Perimenopauseis the time leading to menopause (when you stop having periods).

Postpartum hormone shifts could also temporarily worsen perimenopause symptoms.

Progestin-only options are safe while breastfeeding, but estrogen is not.

Your hormones will eventually stabilize within a few weeks to months, and your body will adjust.

Prioritize self-care and seek support from your healthcare provider, partner, family, friends, or support groups.

A prospective pilot study.Ginekol Pol.

2018;21(2):149-161. doi: 10.1007/s00737-017-0787-9.

MedlinePlus.TSH (thyroid hormone stimulating) test.

American College of Obstetricians and Gynecologists.Optimizing postpartum care.

2018;(118):32-35.

Friedman SH, Reed E, Ross NE.Postpartum psychosis.Current Psychiatry Reports.

Mechsner S.Endometriosis, an ongoing pain-step-by-step treatment.J Clin Med.

2022;11(2):467. doi: 10.3390/jcm11020467