What to do about prolonged lochia
My postpartum lochia has not completely cleared; it has been more than a month and there is still blood-tinged discharge, occasionally accompanied by mild lower abdominal pain. I heard this might be due to incomplete discharge of lochia. What should I do?
Doctor's answer (1)
The causes of prolonged lochia include uterine atony, retained placental tissue, and endometritis. It is recommended to undergo a detailed gynecological examination first, and if necessary, perform a B-ultrasound to determine whether there is any retained material in the uterus. For prolonged lochia caused by uterine atony, medications that promote uterine contractions, such as oxytocin, can be used to enhance uterine contraction and facilitate the discharge of lochia. If infection is present, antibiotics may be used under a doctor's guidance. If placental remnants are present, a dilation and curettage (D&C) procedure may be required to remove the residual tissue from the uterus.
Diet should be light and include nutrient-rich and high-fiber foods, such as eggs, milk, and celery. Additionally, drinking plenty of water is encouraged to promote metabolism. Under medical guidance, physical therapies such as abdominal massage and infrared irradiation may be performed to enhance uterine contraction and improve blood circulation.
The specific treatment plan should be determined based on the individual patient's condition and a doctor's advice. It is recommended to seek timely medical attention and identify the exact cause through routine examinations such as B-ultrasound.
