What should I do if I still have lochia 43 days after a miscarriage?

Patient's question:

I am 25 years old. I had a miscarriage due to intrauterine infection at 25 weeks of pregnancy, and it has been 43 days now. Besides a little brown discharge, there isn't much. At 30 days, it cleared up for a week, but then it has been brown ever since. What is going on?

Doctor's answer:

Now that it's been so long since the miscarriage, there has been brown discharge. It's best to have a color Doppler ultrasound to thoroughly examine the recovery of the endometrium. Check a gynecological examination and a routine vaginal discharge test to see if there is any inflammation causing abnormal discharge. If there are remnants or endometrial inflammation, we will adjust the treatment based on the specific situation. For now, avoid sexual intercourse, overexertion, overtime work, and strenuous exercise. Do not eat cold or spicy foods. After the examination, send the results to me for specific guidance.

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