What should I do if I have heavy bleeding after having sex 44 days after giving birth?

Patient's question:

The lochia has almost disappeared. After coitus on the 33rd day, there was a small amount of lochia, which cleared up again within two or three days. After coitus on the 44th day, the amount of lochia was very high.
Onset time and cause: On the evening of August 11, after coitus, lochia appeared and was abundant.
Treatment status: No treatment has been done.
Help needed: Should I go to the hospital for an examination? Can it be cured without medication? What is the cause, and what harm does it pose to the uterus? Does drinking brown sugar help?

Doctor's answer:

Hello, I'm not sure if you went to the hospital for a postpartum check-up 42 days after giving birth. It is necessary to have a gynecological ultrasound examination to check the condition of uterine involution. If there is vaginal bleeding after intercourse, a gynecological internal examination is also required to check for cervical erosion, and a cervical liquid-based cytology test is needed to rule out cervical lesions. If the amount of vaginal bleeding is relatively large, it could also be possible that your period has arrived.
It is recommended to stop sexual activity and wait for a while to see how things develop. If the bleeding is more than usual compared to your regular menstrual flow, or if the bleeding duration exceeds one week, then additional support with ultrasound and gynecological examinations may be necessary. Based on the situation, anti-inflammatory and hemostatic medications can be prescribed.

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