What is the reason for spotting 45 days after delivery?

We all know that women will have lochia after giving birth. Normal lochia will stop in about seven days, and the women's menstruation will slowly return. Many women will return to their previous menstrual periods after giving birth, but some women will change. Some women will have spotting 45 days after giving birth. This is mostly because menstruation is about to come. So why is there spotting 45 days after giving birth?

Light menstrual bleeding is usually caused by low estrogen levels. Estrogen stimulates the thickening of the endometrium in preparation for conception. If conception does not occur, the proliferating endometrium will shed and bleed to form menstruation. Low estrogen levels in the body can cause the endometrium to not grow thick enough and result in less menstrual bleeding. In your case, I recommend that you have an endocrine test to see if the hormone levels in your body are normal.

If you still have spotting 45 days after a normal birth , you can do an ultrasound check and take amoxicillin and motherwort.

Did you breastfeed after giving birth? If you do not breastfeed after delivery, ovulation and menstruation will resume soon. It is recommended to observe for the time being. If the vaginal bleeding is similar to previous menstruation, it is likely that menstruation has resumed.

If the amount of blood is consistent with the normal menstrual volume, it is considered that the menstruation has resumed after childbirth. If the amount of blood is small, consider the possibility of poor postpartum uterine recovery. Backache should be caused by pelvic congestion and slight contraction of the uterus during uterine bleeding. You can observe the bleeding situation. If the bleeding can stop at the usual menstrual time, it means that menstruation has come, and you need to do it after menstruation.

Contraception, do not conceive within a short period of time after delivery. If the amount of bleeding is small, but it lasts for more than a week and cannot stop on its own, go to the hospital for a B-ultrasound examination to check the condition of the uterus, and take hemostatic drugs and uterine repair drugs if necessary.

Postpartum lochia is usually discharged within three weeks . Your situation is called retained lochia, which is caused by poor uterine recovery. It is recommended to inject oxytocin to strengthen uterine contraction and hemostasis treatment, and take antibiotics to prevent infection.