Ovulation, Delaying Nursing and Some Other Stuff

This post is going to go into a little more detail than you may be used to about something that we don't often talk about: cervical fluid. But it's also about breastfeeding and how I'm getting on with delaying my daughter's nursing, so it's not all icky. Don't worry.

I'm still period-free after almost 20 months of breastfeeding and whilst I'm not worried about it, I would quite like to get back into the old routine some time before I hit the menopause. According to Sheila Kippley, 8% of ecologically breastfeeding mothers (that is those who feed on demand night and day, co-sleep and do not use any artificial nipples) go for over 2 years postpartum without having a period. So I'm not alone.

But the thing is that if you are one of those people who have a long amenorrhea, your cycles tend to need a bit of a kick to get them started again. Basically your body gets in a really nice groove with the constant flow of ovulation-suppressing prolactin and even if your baby feeds a little less and the prolactin decreases slightly, you don't necessarily ovulate. La Leche League suggest kick-starting ovulation by making an abrupt change such as avoiding breastfeeding for 24 hours. This gives your ovaries a break from the prolactin released during breastfeeding and allows them to raise you oestrogen level high enough to trigger ovulation.

I'm not going to do the 24 hour break thing because it wouldn't be fair on my daughter. But my body has been giving me signs that it is trying to ovulate, so I am hoping that if I help it out a little I will be rewarded with a cycle. Cave Baby's night-time sleep has improved a lot recently and she often wakes just once in the night, so I am already nursing less than I was. A small reduction in daytime nursing might be all I need to get my oestrogen level over that threshold.

So how do I know that my body wants to ovulate? Your cervical fluid (the stuff that your cervix makes and which makes a white patch on your pants) can tell you a lot about what is going on in your body. In a normal cycle you start by having a period then your vagina is fairly dry for a few days. As you approach ovulation your ovaries produce oestrogen in increasing quantities. The oestrogen causes your cervix to produce fluid. Most people will first experience sticky whitish cervical fluid, then a couple of days later it will become more lotiony like hand cream. Finally, a day or two before ovulation, the cervix makes a clear, stretchy fluid that is perfect for sperm to swim through. It's your body's way of making your vagina a welcoming place for sperm so that you are more likely to get pregnant.

If you are experiencing a period of anovulation like me, your cervical fluid does not follow the usual pattern. In fact I currently have sticky or lotiony fluid all the time, and it is this that tells me that my oestrogen levels are quite high. Sometimes it even starts to get a bit stretchy like true fertile fluid, but then I am required to sit through a nursing marathon and the ovaries are squashed back down again. I am obviously making a lot of oestrogen, but just not quite enough to cause an egg to be released. By the way, I know what my cervical fluid is like because most days I wash my hands then use them to feel for my cervix and take a sample of the fluid surrounding it.

So without wishing to do anything drastic like weaning, I'm just seeing if delaying nursing sessions will make a difference to me. I read all the advice on my last post and I think it helped me see that everyone reaches a point where they want to adjust the nursing relationship a little bit to fit around their lives more comfortably. And I am not reducing the amount of nursing we do purely to help me regain my fertility; it is also about my convenience since the frequent feeds were starting to become a nuisance. So at present I am not offering the breast (though I never have done; my little girl has never needed reminding to feed!) and when she asks for it, I am routinely offering food and/or a drink and/or a distraction to see if the breastfeed can wait. It has struck me how ironic it is that in the early days I was concerned that my baby should feed only when she was hungry and not just for comfort, whereas now I am avoiding the hunger feeds and trying to restrict myself just to the comfort ones!

In my head, I am now playing the part of the ewe who starts to kick her lambs away occasionally when they want to feed but she would rather walk to a juicy new bit of grass instead. Placing restrictions on nursing seems to be a perfectly natural thing to do at this stage in the breastfeeding relationship. I will give it a month or two and see how things go. I am not going to be worried if I do not ovulate in the next few weeks because I know it will happen eventually (she says, keeping her fingers crossed).

Have you any experience of altering your nursing patterns so that your body can resume monthly cycles? Or have you used fertility awareness to help you avoid or achieve pregnancy?

PS If you are reading Liz, I have finally read Taking Charge of Your Fertility and I thank you for the recommendation.