What is the reason for early menstruation after a cesarean section?

Patient's question:

I had a C-section and started my period about a month later. It lasted for 6 days, and after it ended, I had sex with my husband. A few days later, I started my period again. I don't know why. This time, after it ended, I had sex again for a few days, and then it came back again. Every time it comes back, the blood is black, just like the lochia from the C-section wasn't completely expelled. I don't know what's going on.

Doctor's answer:

Under normal circumstances, sexual intercourse is strictly prohibited within three months after a cesarean section. Based on your description, it is likely that the issue was caused by engaging in sexual activity too soon. The uterus has not fully recovered, which led to the tearing. It is recommended that you avoid sexual intercourse to prevent intrauterine infection. Additionally, you should undergo a thorough examination at a reputable hospital's gynecology department and wait until you are completely healed before resuming sexual activity.
Furthermore, during the treatment for a cesarean section, in addition to medication, the patient's dietary condition and mental state are also particularly important. It is essential to avoid excessive stress and anxiety, as this could negatively impact the full recovery from the cesarean section.

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