Bleeding after intercourse following a normal 42-day postpartum checkup
Jun 01, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Bleeding after intercourse following a normal 42-day postpartum checkup may be related to factors such as retained postpartum tissue, cervicitis, or endometritis, and can be treated through daily care, topical medications, and other methods. In addition to these common causes, it may also be associated with conditions such as vulvovaginal candidiasis or salpingitis. If the patient experiences other accompanying discomforts, they should visit a hospital for examination and receive targeted treatment accordingly.
Postpartum bleeding after intercourse, following a normal 42-day checkup, may be related to factors such as retained postpartum tissue, cervicitis, or endometritis. It can be managed through daily care and local medication. Specific causes are analyzed as follows:
1. Retained Postpartum Tissue
If residual materials from childbirth, such as placental fragments or blood clots, remain in the uterus, they may cause bleeding after intercourse. If the bleeding is minimal, specific treatment may not be immediately necessary. However, maintaining good genital hygiene is important to prevent bacterial infection and subsequent inflammatory reactions.
2. Cervicitis
Inflammation of the cervix may lead to irritation during intercourse, resulting in abnormal vaginal bleeding and lower abdominal pain. Patients may use medications such as Baofukang suppositories or metronidazole suppositories as directed by a physician.
3. Endometritis
Bacterial infection of the endometrial tissue can trigger inflammation, causing symptoms such as lower abdominal pain and increased vaginal discharge. Intercourse may induce abnormal hormonal changes that stimulate the inflamed endometrium, leading to local bleeding. In severe cases, prompt medical attention at a hospital is recommended.
In addition to the common causes listed above, bleeding may also be associated with conditions such as vulvovaginal candidiasis or salpingitis. If patients experience other discomforts, they should seek hospital evaluation and receive appropriate treatment accordingly.
