Patient's question:
Today is postpartum day 28. Around day 20 postpartum, the lochia was almost clean, but there is still a little pale yellow serous lochia. However, since yesterday, fresh red blood has suddenly appeared, and the amount is more today, similar to a normal menstrual period. I feel a bit of lower back pain, just like during a menstrual period. I don't know if it's menstruation or lochia? At postpartum day 28, the baby is still under a month old. How can menstruation come so soon? Is it poor uterine recovery bleeding or menstruation?Doctor's answer:
Hello, the situation you mentioned could be related to menstruation, but it's difficult to determine. You need to go to the hospital's obstetrics department for examination and confirmation.Suggestions:
Generally speaking, it is unlikely that the cause is poor uterine recovery.
From a medical perspective, based on the histological characteristics of the endometrium, it is possible for the ovaries to ovulate as early as 33-42 days postpartum. Since your situation is even earlier, you need to go to the hospital for examination to reach a definitive diagnosis.