Patient's question:
Detailed medical condition and consultation purpose: Doctor, I am currently 28 years old. On November 8, 2005, I gave birth to a baby girl weighing 3700 grams. It has been 63 days since then. Postpartum lochia has not stopped, requiring sanitary pads for the first four weeks. However, in the fifth week, the amount significantly decreased, turning from red to brown, and then to a yellowish discharge similar to leukorrhea, as if it were clearing up, requiring only panty liners. But within a few days (the sixth week), fresh red bloody discharge suddenly appeared, with a thin consistency, requiring sanitary pads. This lasted for several days, after which the color turned yellow again, similar to leukorrhea, and I went back to using panty liners. However, I have notDoctor's answer:
I believe you have experienced multiple episodes of bloody discharge after childbirth. Although the ultrasound shows that your uterus has recovered well, it does not necessarily mean there is no placental residue or no endometritis, as both of these conditions can cause abnormal lochia.The treatment for this condition involves promoting blood circulation to remove blood stasis and warming the meridians to relieve pain. The representative formula is {Shenghua Decoction} from Fu Qingzhu’s Women’s Medicine. This formula is primarily used for:
- Abnormal lochia (failure of lochia to flow)
- Lower abdominal pain
It is commonly used to treat conditions such as placental residue, poor uterine involution, and endometritis. The Chinese patent medicine version of this formula is called {Shenghua Decoction Pills}, which is a must-have for postpartum women.
Since your condition has persisted for a while, I recommend using {Motherwort} (30 grams) to decoct a decoction and take {Shenghua Decoction Pills} in 2–3 divided doses. This may yield better results.
This formula has no significant side effects and is worth trying. I hope it helps you.