Originally Posted by gozal
From all my reading while waiting for my own ppaf, it's very likely that yours is right around the corner. That said - It's a really personal decision, but I had to wean (did it gradually and bf until 37 months) to begin to sort out my fertility. It turned out I had a problem masked by bf (very rare, not likely that you have it). Maybe I just run in very pro-bf circles, and believe me, I am happy to be there, but I do wish someone had told me that it is unusual not to have ppaf at 24 months (you're not there yet, I know; and yes, I know it can be normal for some). Information I would have liked to have; I feel like I lost a lot of time. I don't know if it will help, but I found the book (ignore the title, it's not really about weaning) Nursing Mother's Guide to Weaning very helpful - despite the title, it's primarily about breastfeeding a toddler. There is so much information out there for moms of infants but so little "what to expect" when nursing older babies and toddlers. She doesn't have a whole lot about fertility issues in the book, but a lot about toddler nursing patterns, developmental stages in relation to bf, etc.
I think it's a good sign that you're feeling like af is coming. I don't have a lot of experience with vitex, but I did try a vitex tea while waiting for ppaf and it gave me some false fertility signs, basically. My prolactin was too high for me to cycle, but I had fertile cm. Just something to be aware of. Hoping for you that ppaf is around the corner - it's quite likely, I think!
I know it's very personal, but if you don't mind, I'd like to hear more about what was going on with your health that was masked by nursing. Do you feel that continuing to nurse was making it worse? I also run in very pro-breastfeeding circles and have known several women who have had amenorrhea that lasted over two years postpartum, and 3 year spacing of children or more was common in pre-industrial cultures. It is unusual in the United States to have amenorrhea that lasts more than 2 years postpartum, and in most cases that it does, it is connected to low body fat percentage, that is, the woman has a body fat percentage that would be marginally fertile if she were not breastfeeding, and because she is breastfeeding, it is low enough to keep her in amenorrhea. However, just because it is unusual does not mean that there is something wrong. In most cases of amenorrhea that goes beyond 24 months, everything is still fine. The woman's cycle eventually returns and functions properly. However, if a healthy woman experiencing extended amenorrhea went to her physician complaining about it, (s)he would likely give the woman synthetic hormones to jump start her system, something that a woman without any health problems does not need, and it wouldn't likely help a woman with underlying health problems either.
I guess what I'm getting at here is that I talk to a lot of people who are trying to understand the return of their fertility postpartum, and I'd like to know enough about what you're talking about to know it's out there so that I can give mothers better advice. I'm all for getting help when needed, but I don't want to cause unnecessary worry, either. Feel free to PM me if you don't want to share with the whole board, or let me know if I am intruding too far into your personal life, in which case, I apologize.