After the first month of birth, mothers have to deal with lochia, and some novice mothers will soon have a menstrual resurgence after delivery, which makes mothers confused. Is lochia lasting for a long time, or does poor recovery lead to early menstruation?

Difference between lochia and menstruation

Postpartum lochia: It is a process in which necrotic decidua, blood, cervical secretion and other tissues remain in uterus after delivery, gradually falling off and discharging.

Postpartum lochia is a normal physiological phenomenon, usually with a bloody smell, but not stinky, the amount will not exceed the amount of menstruation.

There are three main stages of lochia: bloody lochia – serous lochia – white lochia.

Within a week after delivery, it is bloody lochia, red or dark red blood clots, slightly bloody, lasting for 3-4 days.

Later, the lochia will gradually fade, only a small amount of blood, there will be more necrotic decidual tissue, cervical mucus, uterine cavity exudate, and bacteria, then serous lochia, lasting for about 10 days;

After lochia, the serum gradually turned white or yellow-white, similar to leucorrhea.

Postpartum lochia usually lasts for half a month to 20 days or so, but there are individual differences. If the duration exceeds 2 months, or blood lochia, long duration, odor, dark brown color, dirty, falling out of membranes or meat samples, most of the abnormal lochia manifestations, timely medical treatment.

Postpartum menstruation: Mothers who usually do not breast-feed resume menstruation at 6-10 weeks postpartum, and resume ovulation at about 10 weeks postpartum on average. If breast-feeding mothers, menstruation is delayed and ovulation resumes on average 4-6 months after delivery.

There are also individual differences in the recovery time of menstruation. Some mothers come to menstruation only one year after delivery, and some come after full moon. This is mainly related to whether or not the mothers breast-feeding, the length of breast-feeding time, the age of the mothers and the recovery ability of ovarian function.

If white lochia disappears for a period of time and bleeds again, the amount is like the amount of menstruation in the past or more than the amount in the past, and there is no other discomfort, then it is likely to be menstruation.

What happens to irregular menstruation after delivery?

Lactation irregular menstruation, mainly just after the birth of a baby, the body’s hormones have great fluctuations, in addition, ovarian recovery also takes time, menstruation becomes irregular is also normal.

After several menstruations or weaning, hormone secretion gradually becomes regular and menstruation gradually becomes regular.

In addition to irregular menstruation, postpartum menstruation may also lead to greater bleeding or less menstruation.

This is normal. As long as it is still in the lactation period, irregular menstruation, more or less, generally belongs to the normal phenomenon.

When menstruation is more or less, some mothers are especially worried about “irregular menstruation” and want to adopt some methods to regulate it. Don’t panic! Only if there are at least three irregularities within six months can it be considered a real menstrual disorder. Most mothers have irregular menstruation after delivery, but this does not mean irregular menstruation.

In short, it is relatively simple to distinguish postpartum lochia from menstruation. New mothers should pay more attention to postpartum lochia, keep clean, change sanitary cotton frequently, and reduce the incidence of infection. For postpartum menstruation recovery, mothers need not worry too much, do not give themselves too much pressure, menstruation recovery early or late are normal.


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