Patient's question:
What is the reason for spotting again two and a half months after giving birth? When I just gave birth, the doctor said that the uterus wasn't completely cleaned out and recommended a D&C procedure. Later, I was told to stay in the hospital for half a month for a follow-up check. The ultrasound results showed everything was fine, and the uterus was completely cleaned. However, after the lochia stopped, spotting returned. It lasted for about a week, and then I went to the hospital for a 43-day follow-up check. The doctor suggested an ultrasound, and the results were still fine. He said everything was okay and prescribed several boxes of Motherwort capsules. The spotting stopped after a few days. Now, it has started again. I am exclusively breastfeeding.Doctor's answer:
Generally, lochia should be completely gone within 20 days to be considered normal. If it doesn't stop for an extended period, it is usually caused by one of the following conditions: 1. Retention of placenta and fetal membrane 2. Poor uterine involution after childbirth 3. Postpartum infection leading to endometrial inflammation. It is recommended that you seek medical attention promptly for examination and treatment.