Postpartum Pain and Infections: Women's Health Issues

Postpartum and infection issues?

Hello doctor, I am 7 months postpartum, but I still experience significant pain during intercourse, and there is slight bleeding (pinkish in color, but very minimal).
I have also been experiencing recurrent infections, and even when I feel better, it doesn't seem to fully resolve; it feels like I'm on the verge of recovery but then get infected again.
The discharge has an unusual odor and is slightly greenish.
The smell during menstruation is not metallic but rather unpleasant.
Sometimes I experience itching at the vaginal opening and inside the vagina.
I previously visited a gynecologist and used a suppository for a week, but my symptoms did not improve.
Additionally, during menstruation, I experience severe pain in my lower abdomen when I have a bowel movement (though this happens less frequently at other times).
Before giving birth, I had vaginitis, which resolved after my period, but postpartum, the vaginitis has persisted even after my menstruation ends.
Thank you for taking the time to respond.

Tuan Tuan Mami, 20~29 year old female. Ask Date: 2020/05/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is possible that you have pelvic or vaginal inflammation.
I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant examinations (such as ultrasound, bacterial culture of secretions, microscopic examination, urinalysis, X-rays, blood tests, etc.) to address your pain.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2020/05/10

More Info

Postpartum pain and infections are significant concerns for many women, especially after childbirth. Your symptoms, including pain during intercourse, slight bleeding, recurrent infections, and unusual discharge, suggest that you may be experiencing a combination of postpartum complications that warrant further evaluation and treatment.

Firstly, it is essential to understand that the postpartum period can be associated with various physical changes and challenges. After giving birth, the body undergoes significant hormonal shifts, and the vaginal and pelvic floor tissues may take time to heal. Pain during intercourse, known as dyspareunia, can be attributed to several factors, including vaginal dryness, scarring from childbirth, or pelvic floor dysfunction. The presence of pinkish discharge and recurrent infections may indicate an underlying issue, such as a vaginal infection or pelvic inflammatory disease.

The unusual discharge you described—greenish with an unpleasant odor—could be a sign of bacterial vaginosis or a sexually transmitted infection (STI). Bacterial vaginosis is a common condition that occurs when there is an imbalance in the normal bacteria of the vagina. It can lead to symptoms such as abnormal discharge, odor, and irritation. STIs, such as chlamydia or gonorrhea, can also present with similar symptoms and require prompt treatment.

Given that you have experienced recurrent infections and that previous treatments, including the use of vaginal suppositories, have not resolved your symptoms, it is crucial to seek further medical evaluation. A healthcare provider can perform a thorough examination, including a pelvic exam and laboratory tests, to identify the specific cause of your symptoms. This may involve testing for infections, assessing for any structural issues, and evaluating the overall health of your vaginal flora.

In terms of treatment, it is essential to address both the infection and any underlying causes of pain. If a bacterial infection is confirmed, antibiotics may be prescribed. Additionally, if vaginal dryness is contributing to pain during intercourse, your healthcare provider may recommend lubricants or vaginal moisturizers to alleviate discomfort. In some cases, pelvic floor physical therapy may be beneficial to strengthen the pelvic muscles and improve function.

It is also important to consider lifestyle factors that may contribute to your symptoms. Maintaining good hygiene, wearing breathable cotton underwear, and avoiding irritants such as scented soaps or douches can help support vaginal health. Staying hydrated and consuming a balanced diet can also promote overall well-being.

Lastly, if you are planning to conceive again, it is advisable to discuss your concerns with your healthcare provider. They can provide guidance on timing and any necessary precautions to ensure a healthy pregnancy.

In summary, your symptoms indicate that you may be dealing with a combination of postpartum complications, including potential infections and pelvic floor issues. Seeking a comprehensive evaluation from a healthcare provider is essential to determine the underlying causes and develop an appropriate treatment plan. Remember, you are not alone in this journey, and there are effective solutions available to help you regain your health and comfort.

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