Patient's question:
Doctor, I did a prenatal check-up in early to mid-August when the baby was about one and a half to two months old. I had my period on the 20th or so of July, and the doctor said it was an early pregnancy period. The baby was miscarried with medication in early October, and I finished my postpartum period in November. I had my period on the 5th of December and had intercourse afterward but didn't breastfeed. Sometimes I would use withdrawal. I didn't have any intercourse in December, but I started feeling discomfort in my body. It was a sharp pain in my lower abdomen, with breast tenderness, increased discharge, and lower back pain similar to pregnancy. After the period on the 5th, the amount of flow was more than usual, but the duration was shorter, and the symptoms persisted. Around the 10th, I went to the hospital for an hCG test, which was 1.2, but it wasn't a pregnancy. I didn't pay attention, but the symptoms still remained. Occasionally, if I walked too much, I would have lower back pain and sharp pain in my lower abdomen. Once I cried a lot, and it started to peel down there, but there wasn't much. On the 20th, I went to the hospital for an ultrasound, and the endometrial thickness was 7mm. The discharge test was normal, but the doctor said it might be a pregnancy. So, I did another hCG test, which was 1.3, and the doctor was also confused about what was happening. Yesterday, I might have walked too much again, and it started to peel a bit down there.Doctor's answer:
According to your description, the downward transmission caused by sexual activity, lower back pain, and lower abdominal pain should be endometritis. Hcg 1.3 indicates you are not pregnant. The vaginal bleeding may be due to inflammation-induced skin breakdown. You should drink more water, apply cold compresses to the lower abdomen, and take Gynecological Qianjin Tablets and Metronidazole Tablets. After taking the medication, carefully observe how the lower abdominal pain and vaginal bleeding are relieved. Pay attention to maintaining cleanliness of the external genitalia, and be mindful of sexual hygiene to prevent downward transmission.