Patient's question:
Postpartum for over 50 days, leukorrhea with blood, unsure if it's incomplete lochia or bleeding caused by cervical inflammation (cervical inflammation bleeding had occurred again in February last year), blood test and leukorrhea test results were normal, vaginal ultrasound results are as follows: uterus is anteriorly positioned, size is normal; heterogeneous echoes in the lower anterior wall muscular layer. No significant abnormal echoes were observed in bilateral adnexal areas. A doctor was seen a few days ago, and bleeding stopped for a few days afterward, but still needs to take Super Power Pills. If bleeding occurs again, how should it be determined whether it's incomplete lochia or bleeding caused by cervical inflammation?Doctor's answer:
Postpartum leukorrhea with blood, first and foremost, it's important to understand the color of the blood. Old blood discharge is usually more common in incomplete lochia, and medication to enhance uterine contraction or promote blood circulation and regeneration should be taken. If your cervix is also irritated, it is generally recommended to undergo a colposcopy to check for contact bleeding. If contact bleeding occurs, the blood color will be fresh, so you can carefully observe it. Pay attention to cervical erosion as well, as it is also harmful to your health. Wishing you a speedy recovery.