Is it normal to have fresh bleeding again 39 days after cesarean section?

Generally speaking, whether it is normal to experience fresh red bleeding again 39 days after cesarean section depends on the specific circumstances. The detailed analysis is as follows:

If the amount of bleeding is small, similar to the beginning or end of a menstrual period, and there are no discomforts such as abdominal pain, fever, or foul-smelling discharge, it may be the return of menstruation postpartum. Some women recover quickly after childbirth; ovarian function gradually resumes around 39 days postpartum, leading to the first menstrual period. This is considered a normal physiological phenomenon. Simply monitor the subsequent menstrual cycle and blood volume.

If the bleeding is heavy, exceeding the usual menstrual flow, or accompanied by significant abdominal pain, fever, foul-smelling lochia, or symptoms such as dizziness and fatigue, it could indicate poor uterine involution, retained material in the uterine cavity, or infection. These conditions are not normal. If left untreated, they may impair uterine recovery and even lead to other health risks.

Keep track of the amount and duration of bleeding and any physical symptoms to provide detailed information when seeking medical care. Maintain external genital hygiene, change sanitary products frequently, and avoid tub baths and sexual intercourse to prevent infection. Seek prompt medical evaluation if abnormal symptoms occur or bleeding worsens. Get adequate rest after delivery, avoid overexertion, maintain a balanced diet rich in nutrients, and support overall recovery.