What exactly is the problem with irregular menstruation?

Patient's question:

The second month after giving birth, I had my period, but it was not normal. It was delayed by a week compared to before, and the color was dark red with a small amount of flow. I also had some lower back pain and a bloated abdomen. What are these symptoms after giving birth and having my period? What causes irregular periods (low menstrual flow)?

Doctor's answer:

If you experience menstrual volume reduction again after a normal period and recurring lower back pain or a bloated feeling in the abdomen, these are not normal. First, it cannot be ruled out that there is a relationship with poor recovery of the uterus after surgery. Additionally, menstrual volume reduction could also be caused by uterine adhesions. Therefore, I recommend you first visit a doctor for a color Doppler ultrasound examination. If there are no issues, a hysteroscopy should be performed.
Gynecological diseases are a common condition that can easily occur. During treatment, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients avoid sexual activity during treatment and pay close attention to cleanliness. Finally, I wish female patients a speedy recovery!

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