What should I do if I'm still bleeding one and a half months after giving birth?

Patient's question:

Postpartum bleeding for one and a half months.

Doctor's answer:

Generally, if a woman breastfeeds after giving birth, menstruation may return 4-6 months postpartum. If she uses formula feeding, menstruation typically returns 6-8 weeks after birth. The specific time of menstruation can be influenced by factors such as mental state, nutrition, environment, medication, and illness. In your case, it is important to determine whether the bleeding is menstrual blood or caused by a problem with the reproductive organs. It is recommended that you visit a hospital for ultrasound, gynecological examination, and other relevant tests to identify the cause and address the issue early.
If bleeding persists one month postpartum, it may be due to partial placental retention affecting uterine contraction and involution, leading to bleeding. Retained placenta can easily cause infection, and when local thrombi dissolve and fall off, blood sinuses may reopen, resulting in severe bleeding. Therefore, it is necessary to control the infection while performing a D&C (dilation and curettage) and sending the removed tissue for pathological examination.

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