Why can't you breastfeed after cohabitation?

Patient's question:

After giving birth naturally for a month, I had sex without breastfeeding. The next day, there was a little bit of blood. Why can't I breastfeed after having sex?

Doctor's answer:

If you had a vaginal delivery and had intercourse only one month later, and are currently experiencing bleeding, it may be due to the uterus not having returned to normal. Currently, it is recommended to wait and see and avoid intercourse for the time being. It is best to have an ultrasound done at the hospital to check if the uterus has returned to normal. If the uterus has returned to normal and the lochia has completely stopped, you can resume intercourse appropriately, but it is important to maintain hygiene and be mindful of frequency. If you experience abdominal pain, it is even more important to go to the hospital for a follow-up ultrasound.

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