What are the reasons for excessive menstrual flow after a normal delivery?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What are the reasons for heavy menstrual flow after a normal delivery for the second time?

Doctor's answer:

Hello! Excessive menstrual bleeding can be caused by systemic and local factors. It is mainly caused by local factors—factors inherent to itself. Common causes include uterine fibroids, especially submucosal uterine fibroids. Even small-sized fibroids can lead to excessive menstrual bleeding. The next common causes are adenomyosis and pelvic endometriosis. Due to the growth of the endometrium into the uterine muscle wall and other factors, menstrual volume is often increased. Whenever menstrual bleeding is excessive, it is important to identify the cause to avoid chronic blood loss anemia, which can harm health. Wishing you good health!

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