Postpartum menstrual lower abdominal pain - what are the reasons?

Patient's question:

My wife's menstrual period came 30 days after giving birth, and it lasted for about ten days. During those ten days, it came on and off. Basically, it would stop after 3-4 days and then return after another day. Each time, it wasn't very heavy.
What could be the reason for this?
Follow-up question: She has been experiencing lower abdominal pain, and it feels like there's a hard lump near her navel. What could be causing this?

Doctor's answer:

After childbirth, menstrual cramps and discomfort may be symptoms of dysmenorrhea. This is often caused by gynecological inflammation, commonly including pelvic inflammatory disease, endometritis, and adenomyosis. Proper diagnosis is necessary for targeted treatment.
During menstruation, avoid sexual intercourse and bathing. Avoid contact with cold water and raw/cold foods. Drink some brown sugar water in moderation, as it has a warming effect, helps to unblock meridians, and aids in menstrual flow. In severe cases, you can take Yuanhu Granules.

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