Regarding the issue of postpartum vaginal bleeding

Patient's question:

Postpartum for 60 days, the vagina has been discharging red blood, and recently it has been increasing slightly. An ultrasound has shown that the uterus has fully recovered well, but the endometrium is slightly thickened, about 12mm. There is no inflammation in the vagina, and the hospital hasn't found the cause of the skin breakdown yet. Please help speculate on the reason, and is it necessary to have a hysteroscopy?

Doctor's answer:

Is your condition due to uterine atony, leading to skin breakdown? Additionally, coagulation dysfunction can also cause recurrent skin breakdown.
Recommendation: You can use uterine contraction tablets. If there is also abnormal coagulation function, it may result in abnormal conditions. In fact, having gynecological diseases is not something to be afraid of. Patients should believe that they can overcome the illness. As long as treatment is timely in the early stages, the chances of controlling the condition and recovery are very high.

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