Postpartum Irregularities: Your Menstrual Cycle Changes

Irregular menstruation after childbirth?

I gave birth on October 24, 2000, and it has been over three months since then.
The lochia lasted for more than 40 days and turned light yellow.
After that, I experienced what seemed like a menstrual period, but the flow was lighter than a normal period.
I previously consulted a doctor and thought it was due to taking traditional Chinese medicine and fully breastfeeding, so I didn't pay much attention to it.
However, I have completely stopped taking the herbal supplements.
This light bleeding continued for about 10 days before stopping, and after being clean for 3-4 days, the same situation recurred.
For over three months, I have been experiencing this pattern, feeling uncomfortable with almost daily spotting.
I would like to ask the doctor: 1.
Is there a problem with my body? 2.
How should I proceed with traditional Chinese medicine supplementation? 3.
What are the options for contraception? Thank you! P.S.
I discovered postpartum uterine prolapse, but it is not externally visible, and uterine contractions have returned to normal.

Magei, 30~39 year old female. Ask Date: 2001/02/02

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
Taking too much traditional Chinese medicine (such as Shenghua Decoction) postpartum can lead to abnormal bleeding.

2.
Breastfeeding can result in missed periods or only spotting when menstruation is due.

3.
It is difficult to determine if there are any issues with your body without a thorough examination.

4.
It has been over three months postpartum; focus on nutrition without being overly superstitious about "replenishing" the body.

5.
If you are still breastfeeding, it is advisable to use contraceptive devices or condoms.

Reply Date: 2001/02/02

More Info

Postpartum irregularities in menstrual cycles can be a common concern for many women after childbirth. Based on your description, it seems you are experiencing prolonged and irregular bleeding, which can be distressing. Let's address your questions and provide some insights into the situation.

1. Is there a problem with my body?
After giving birth, it is normal for women to experience changes in their menstrual cycles. The body undergoes significant hormonal shifts, and it can take time for the menstrual cycle to regulate itself. The presence of lochia (postpartum vaginal discharge) can last for several weeks, transitioning from bright red to a yellowish color as the body heals. However, if you are experiencing what seems like a prolonged menstrual period with light bleeding that lasts for 10 days and recurs frequently, it may indicate an underlying issue. Possible causes could include hormonal imbalances, retained placental tissue, or other conditions affecting the uterus. Given that you have also noted a uterine prolapse, this could contribute to your symptoms as well. It is advisable to consult with a healthcare provider for a thorough evaluation, which may include a pelvic exam and possibly an ultrasound to assess the uterus and ovaries.

2. How should I approach traditional Chinese medicine (TCM) supplementation?
If you are considering TCM for postpartum recovery, it is essential to consult with a qualified practitioner who specializes in postpartum care. TCM can offer various herbal remedies and dietary recommendations aimed at restoring balance and promoting healing. However, it is crucial to ensure that any herbs or supplements you take are safe for breastfeeding, as some may affect milk supply or be contraindicated during lactation. A TCM practitioner can tailor a plan based on your specific symptoms and overall health, focusing on nourishing your body and supporting recovery.

3. How can I practice contraception?
Postpartum contraception is an important consideration, especially if you are not ready for another pregnancy. If you are breastfeeding exclusively, you may experience a natural form of contraception known as lactational amenorrhea, which can suppress ovulation. However, this is not a foolproof method, and ovulation can return before your first postpartum period. Therefore, it is advisable to discuss contraceptive options with your healthcare provider. Options may include hormonal methods (like the pill, patch, or IUD), barrier methods (like condoms), or natural family planning techniques. Your choice should consider your health, breastfeeding status, and personal preferences.

In summary, while some irregularities in your menstrual cycle can be normal postpartum, the persistence and nature of your symptoms warrant further investigation. Consulting with a healthcare provider will help ensure that any potential issues are addressed and that you receive appropriate care and guidance for your postpartum recovery and family planning. Remember, your health and comfort are paramount, and seeking professional advice is always a wise step.

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