What is the reason for prolonged postpartum lochia?

Patient's question:

My friend gave birth last year and has been experiencing vaginal inflammation and bleeding ever since. She had a normal delivery. What should she do? What tests does she need to undergo at the hospital?

Doctor's answer:

Postpartum bloody lochia generally lasts for 3 to 7 days, then transitions to serous lochia and eventually becomes white, taking about 3 weeks to clear. If the uterus does not recover properly or there is an intrauterine infection, it may lead to excessive lochia and prolonged duration. If there is an intrauterine infection, it may also cause abdominal pain and a foul odor in the lochia.
According to your description of the situation: it is likely that the uterus is not recovering properly. It is recommended that your friend go to the hospital promptly for an ultrasound examination to confirm the cause, so as to avoid missing the opportunity for treatment.

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