​Twenty days after giving birth, there is still blood

It usually lasts for 3-7 days; after 3-5 days, the amount of blood in the blood decreases and the lochia becomes reddish, which is called loose lochia. 10-14 days after birth, the lochia is white or yellowish and is called white lochia. Normal lochia has a bloody smell, but it is not foul. Mothers who deliver by cesarean section are exposed to the sun longer than those who deliver vaginally. By observing the lochia, noting changes in quality and amount, color and odor, and uterine involution, you can learn whether the uterus is recovering normally. If the uterus is incomplete and bloody lochia persists for a long time, you need to go to the hospital's gynecology department and receive symptomatic treatment under the guidance of a doctor.

①Clinical manifestations

Cervical columnar epithelium ectopic

Cervical columnar epithelium ectopia is a normal physiological phenomenon and has no special clinical manifestations. Some people may experience contact bleeding, but this is just an individual difference in the cervix, just like some people will bleed from their teeth or mouth when they chew something hard.

If the amount of vaginal discharge increases, becomes yellow, and has an odor, it is a sign of cervical inflammation. The cyst and hypertrophy of the cervix are also the result of chronic cervical inflammation.

② Treatment

Cervical columnar epithelium ectopia does not require any treatment, and many current methods of treating cervical erosion are wrong. But for symptomatic cervicitis, treatment is needed. Acute inflammation is treated with suppositories, while chronic inflammation can be treated with physical therapy such as laser or freezing.

③ Prevention

Cervical columnar epithelium ectopia

Regular examination of the cervix is ​​necessary, not to prevent cervical erosion, but to prevent cervical cancer. The occurrence of cervical cancer is related to infection with human papillomavirus (HPV). Some patients infected with high-risk HPV are prone to precancerous lesions and cervical cancer when they are persistently infected in the squamous-columnar junction of the cervix. Since the advent of cervical smear testing, the mortality rate of cervical cancer has dropped significantly. The key is early prevention and treatment. It is currently recommended that women over the age of 21 should undergo a cervical smear test once a year. After the age of 30, an HPV test can be combined. If three consecutive HPV and cervical smear tests are negative, the interval can be extended to once every three years. Screening can be stopped after the age of 65.