Spots Come Out After The Puerperium And Pain During Intercourse?
.. I want to ask.. I just gave birth to my first child after my puerperium. Why are spots still coming out and it’s been 3 weeks.. But sometimes it doesn’t come out sometimes.. Then yesterday my stomach hurt to the point of my back.. It’s been two months I haven’t had intercourse with my husband..how come the relationship hurts so much and it feels weird…why is that??
Hello Rosa, good afternoon.
The postpartum period starts from the time the woman expels the placenta (the placenta) until approximately 6 weeks later (40 days). During the puerperium, the mother will excrete fluid which is the remnants of uterine tissue, blood, and mucus from the birth canal, the color of which will vary depending on how long she has given birth, this fluid is called lochia. On the first day of postpartum until the 3rd to 5th day, lochia will be red. Then it will be brownish until the 10th day. From day 10 to 6 weeks after giving birth lochia will be white.
If after the postpartum period, the mother experiences discharge, this can be caused by several things:
the start of a new menstrual cycle. Menstrual cycles after childbirth can begin to occur after the postpartum period, or for a longer time, especially if the mother is breastfeeding.
pelvic inflammatory disease (PID). In this disease, the sufferer will experience fever, lower abdominal pain, pain during sexual intercourse, or pain when urinating.
inflammation of the lining of the uterus (endometritis). Symptoms include fever, abnormal bleeding from the birth canal, lower abdominal or pelvic pain, or weakness.
Regarding pain during intercourse can be caused by hormonal changes after childbirth which makes the vagina tend to be drier. Another thing that also causes pain during intercourse after childbirth is the presence of certain diseases as mentioned above.
It is recommended that you consult a gynecologist to find out the cause of the complaints you are experiencing. Your doctor may order an ultrasound or blood lab tests if needed. If you have fever, severe abdominal pain, foul-smelling bleeding, then you should immediately consult a doctor for fear of infection. For the time being I suggest that you do not have sex first.
Regarding intercourse after the puerperium, you can read the article here.
I hope this helps.
Regards, dr. Denisa.