Patient's question:
A baby born in January 2018, had her menstruation in July and August, and then didn't have her period for four months. On December 16th, she had her menstruation with large blood clots and expelled two large pieces of something that looked like rotten meat.Doctor's answer:
The situation you mentioned, where postpartum menstruation has returned normally twice, has been sweet for four months, and vaginal bleeding reappeared on December 16th along with discharge resembling rotten meat, could possibly be pregnancy or incomplete miscarriage? Endometrial inflammation? There are many possibilities.Recommendation: Seek medical attention immediately, undergo a gynecological examination, and carefully observe the condition of the vagina and cervix. Conduct a thorough ultrasound to understand the status of the uterine appendages and check for any abnormal echoes in the uterine cavity. Based on the examination results, a definitive diagnosis should be made, and then a solution can be chosen.
If there is something in the uterus, a diagnostic D&C should be performed, and the tissue sent for pathological examination. According to the pathological results, a further definitive diagnosis can be made, guiding the treatment.