What should I do if lochia is not clean after 50 days postpartum?

Patient's question:

Postpartum at 50 days, lochia is not clean.

Doctor's answer:

Hello, 50 days postpartum, lochia has not yet completely stopped. There is a little bit every day, sometimes during the day, and sometimes at night. This is not normal. For your condition, it is generally considered that it may be due to poor uterine involution or retained fetal membrane.
Guidance:
It is recommended that you go to the hospital for an ultrasound examination. If uterine involution is poor, it is suggested that you receive intramuscular or intravenous oxytocin. Due to prolonged bleeding, there may be an inflammatory infection, so it is advisable to add some anti-inflammatory medication. If there is retained fetal membrane, it is recommended to undergo a uterine curettage. If the ultrasound results are normal, it may be due to taking blood-boosting or blood-vitalizing medications or foods, which could lead to prolonged menstruation. In this case, it is suggested that you stop taking them and wait for a period of observation.

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