What are the reasons for irregular menstruation and increased melanin during lactation?

Patient's question:

After giving birth over a year ago, my menstrual cycle returned to normal, but after a month, it became irregular again. It came out like water and had a fishy odor. My lower abdomen noticeably swelled, and the melanin also increased continuously. I am still breastfeeding. What should I do?

Doctor's answer:

During breastfeeding, if hormone levels have not returned to normal, menstrual irregularities may occur. It is recommended that you pay attention to rest, relax your mind, maintain a regular diet and lifestyle, avoid overwork, eat more fresh vegetables and fruits, and prevent catching a cold. Pay attention to personal hygiene and wash with warm water daily. For gynecological patients, in addition to timely treatment, it is also necessary to pay attention to self-care training, such as maintaining hygiene during treatment and keeping the private area clean. Finally, it is advised that female patients undergo regular follow-up examinations.

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