Patient's question:
Medical Description: I had a cesarean section on July 3rd, and it has been 42 days now, but I still have bloody lochia. The amount is not significant. The day before yesterday, I had an ultrasound done at the hospital, and it showed no abnormalities in the uterus, but there was a 2624 dark area in the left adnexa. What should I do? I'm very anxious and can't sleep every day due to the constant worry.History of Treatment and Effect: I took traditional Chinese medicine for five days here and also took Gonghuan Yangxue Granules as a supplement.
Help Needed: Should I continue taking traditional Chinese medicine and Gonghuan Yangxue Granules? What should I do? Do I need to get an uterine contraction injection?
Doctor's answer:
Generally speaking, postpartum lochia usually completely discharges within twenty days under normal circumstances. Postpartum lochia after cesarean section tends to last a bit longer than that after vaginal delivery, but it is generally around three weeks. Some postpartum women may have lochia lasting beyond this period, with prolonged, intermittent discharge, which is referred to as lochia profunda.For qi deficiency-type lochia profunda, traditional Chinese medicine primarily uses the formula Bu Zhong Yi Qi Tang to achieve the effect of replenishing qi and controlling blood. For blood heat-type lochia profunda, TCM mainly employs the herbal formula Bao Yin Jian to achieve the purposes of clearing heat, stopping bleeding, and nourishing yin. For external cold-type lochia profunda, TCM uses the formula Sheng Hua Tang to promote blood circulation and resolve blood stasis, thereby effectively treating postpartum lochia profunda.