Hormones Post Birth: Understanding Postpartum Hormonal Changes

Apr 4, 2025 | Postpartum, Pregnancy | 0 comments

Bringing a baby into the world is a life-changing experience, but let’s be real—what happens inside our bodies post-birth can feel like a wild ride. If you’re feeling weepy, exhausted, or just off, you’re not imagining it. Postpartum hormonal shifts are real, and they impact everything from mood to energy levels to sleep. Hormones post birth play a crucial role in these transitions.

Understanding what’s happening and why can make this transition feel a little less overwhelming. Here, we’ll break down four major hormones—progesterone, estrogen, oxytocin, cortisol, and melatonin—how they function, how they change after birth, and when you can expect some hormonal normalcy. Learning about hormones post birth can help you navigate this phase with confidence.

We all know that pregnancy and postpartum come with hormonal changes, but did you ever really think about why? It’s because of the placenta. During pregnancy your body has actually made another hormone producing organ (Source 1). So pregnancy brain – the forgetfulness and difficulty concentrating, then postpartum – the fatigue and physical exhaustion- actually make perfect sense when you think that you have just created another organ. An organ that produces its own hormones to support the development of the fetus and the maintenance of the pregnancy. Hormones post birth are no joke – they sustain the life of your baby but they can also have very real impacts on your body and wellbeing.

postpartum hormonal changes

Progesterone

Function in the Body

Progesterone is a powerhouse hormone that supports pregnancy by thickening the uterine lining, preventing contractions too early, and helping the body sustain a growing baby. It also plays a role in preparing the breasts for milk production.

Are you breastfeeding? Check out our other articles: Breastfeeding advantages, Breastfeeding FAQ, and Breastfeedings tricks for a perfect latch

During Pregnancy

During pregnancy, progesterone levels skyrocket by the third trimester. This hormone works alongside estrogen to maintain a stable environment for the baby. Progesterone is critical for maintaining the pregnancy by preventing uterus contractions and premature labor. Progesterone also prepares the breast tissue for lactation and even suppresses the maternal immune system so that the foreign tissue of the fetus is not rejected (Source 1).

Postpartum Changes

Once the placenta is delivered, progesterone plummets almost immediately, which can contribute to postpartum mood swings and the infamous “baby blues”. This sudden drop is why many new moms feel like their emotions are all over the place. Hormones post birth shift rapidly during the first days, making this period feel unpredictable, yet by day 4 or 5 progesterone and estrogen start to rise again on their way back to normal levels and work to support breastfeeding and uterine recovery via postpartum cramping.

When does it return to normal?

For non-breastfeeding moms, progesterone levels stabilize within a few weeks postpartum. If you’re breastfeeding, they remain lower due to prolactin (the milk-making hormone) until you wean.

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Estrogen

Function in the Body

Estrogen isn’t just about periods—it supports fertility, pregnancy, and overall well-being. It helps regulate mood, maintains bone health, and keeps skin and hair looking vibrant. EStrogen  has been thought to contribute to postpartum depression, yet research shows that it is not so straightforward. There are many other factors too such as circadian biology, inflammation, psychosocial challenges and corticosteroids (Source 2).  

During Pregnancy

Estrogen levels triple or even quadruple during pregnancy, helping the uterus grow, increasing blood flow, and preparing the mammary glands for lactation (Source 1).

Postpartum Changes

After birth, estrogen takes a steep nosedive, sometimes to levels even lower than before pregnancy. This is one reason why many women experience night sweats, vaginal dryness, lower sex drive, and postpartum hair loss.  Hormones post birth can impact how you feel both physically and emotionally.

Experiencing postpartum hair loss? We can help, Julie, a pharmacist and trichologist and one of our teacher has some products for you, here.

When does it return to normal?

For non-breastfeeding moms, estrogen begins rising again after 6–12 weeks and should be back to normal around six months. If you’re breastfeeding, estrogen stays low (which can impact libido) until you reduce or stop nursing.

Oxytocin

Function in the Body

Oxytocin is known as the “love hormone” because it fosters emotional bonding and feelings of connection. What does oxytocin do? It also triggers uterine contractions during labor and helps with milk letdown during breastfeeding.

During Pregnancy

Oxytocin levels gradually rise throughout pregnancy, peaking during labor to stimulate contractions. It also helps form the deep emotional connection between mom and baby.

Postpartum Changes

Oxytocin remains elevated postpartum, especially in breastfeeding moms, as it is released during skin-to-skin contact and nursing. This hormone reduces stress, promotes healing, and strengthens maternal instincts, contributing to some of the breastfeeding advantages for baby and for mom. Our hormones post birth are all working together, and oxytocin rises in part to compensate for the huge drop in progesterone and estrogen. Yet mothers, especially those who are not breastfeeding, may still feel some “baby blues” due to the oxytocin decrease after birth.

When does it return to normal?

Oxytocin levels remain high for as long as breastfeeding continues. In non-breastfeeding moms, levels start to decline within a few weeks postpartum but remain responsive to social bonding and affectionate touch.

Cortisol

Function in the Body

Cortisol is often called the “stress hormone” because it regulates energy, metabolism, and the body’s response to stress. It naturally rises in the morning to help us wake up and falls at night to promote rest. Working in the same way also for our babies, many parents aim to follow the famous wake windows.

During Pregnancy

Pregnancy is a natural state of high cortisol. This increase helps regulate baby’s development and prepares mom’s body for the stress of labor (Source 3).

Postpartum Changes

Many new moms feel overwhelmed due to the way hormones post birth influence stress and mood. After birth, cortisol levels don’t immediately drop—in fact, they may stay high due to sleep deprivation, the demands of newborn care, and postpartum anxiety (Source 4). Indeed research has shown a positive correlation between high cortisol levels and depressive symptoms postpartum. While there are many factors that contribute to risk of postpartum depression, our natural levels of hormones post birth do play a role.

When does it return to normal?

Cortisol gradually balances out over several months, though prolonged stress (hello, motherhood!) can keep it elevated. Self-care, nutrition with a solid postpartum diet, and support are key in managing cortisol post-birth.

From the Start

From the Start

From birth to back to exercise, this course has everything you need with over 6 hours of learning and 9 postpartum specialists. You will learn about timelines for recovery, foods to help healing, remedies for your body and hair and more. You will enjoy sophrology and yoga nidra to improve your sleep and calm your nerves and you will have access to yoga and exercise classess to get you reconnected to your body and moving again.

Melatonin

Function in the Body

Melatonin is the hormone that tells your body when it’s time to sleep. It rises at night to promote rest and falls in the morning when it’s time to wake up. Hormones post birth affect one another, for example melatonin also impacts serotonin levels and can contribute to a negative mood.

During Pregnancy

Melatonin increases significantly after 24 weeks and peaks in the third trimester to help regulate the baby’s circadian rhythm. It also supports fetal brain development, and your baby receives maternal melatonin via the placenta which lasts until about week 1 of life. But once again the hormones post birth are not stable, and your baby does not produce their own melatonin until around 6 weeks of age. Learning about these fluctuations can help immensely to establish an effective newborn sleep schedule.

Postpartum Changes

After delivery, melatonin levels can be disrupted, especially if sleep patterns are erratic (which, let’s be honest, they usually are with a newborn). New moms often experience lighter sleep, more awakenings, and overall sleep deprivation. Hormones post birth play a huge role in postpartum sleep struggles.

When does it return to normal?

Once you start getting consolidated sleep (which depends on your baby’s sleep habits), melatonin production improves. Prioritizing dark, quiet environments, consistent sleep routines and morning natural light can help reset or regulate your body’s clock.

When Do Hormones Post Birth Return to Normal?

There’s no one-size-fits-all answer, but here’s a general timeline:

  • Progesterone & Estrogen – Rise after birth and normally go back to pre-pregnancy levels by 6 months, yet remain lower longer if nursing.
  • Oxytocin – Surge with birth, but normalize within weeks or months depending on breastfeeding.
  • Cortisol – Gradually normalizes within 3–6 months, but stress can prolong elevation.
  • Melatonin – Improves as sleep stabilizes, typically by 6–12 months postpartum.

Postpartum hormonal changes are intense, but they are temporary. Pay special attention to your habits and also what goes into your body – paying attention to postpartum food and taking your prenatal vitamins can have a huge impact. 

If you’re struggling with extreme mood swings, anxiety, or fatigue, reach out for support—you don’t have to navigate this alone. Whether it’s a doctor, therapist, or fellow moms, having a support system can make all the difference.

Hormones post birth can feel like a rollercoaster, but knowledge is power. The more we understand about our bodies, the better we can care for ourselves through this transformative time.

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