How long does it take for menstruation to return after a caesarean section?

Patient's question:

I had a cesarean section on October 10th. At 36 days postpartum, there has been a significant amount of lochia discharge for several days in a row, with a considerable amount each day. Is this normal?

Doctor's answer:

At 36 days postpartum, having lochia is normal. It usually lasts for 4 to 6 weeks. The specific diagnosis can be determined by observing the color, amount, and uterine involution. I don't know if the lochia has stopped, what the current color is, and whether it has reappeared recently with red coloration, which would indicate a full recovery of menstruation. There is no need to worry, and you should continue to pay attention to breastfeeding.
If this is not the case, you can visit the hospital for an MRI examination of the pelvic organs to assess the condition of uterine involution. If it is not progressing well, medication can be used to address the issue.
Postpartum care at 36 days:
You are still in the postpartum period, so it is important to maintain good personal hygiene and strictly avoid sexual activity. Postpartum cesarean section conditions are not easily resolved.

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