Why am I bleeding even after seven weeks of delivery?

Question

Hello doctor,

My wife gave birth to twins two months back through cesarean section. She bled for about two and a half weeks, stopped for one week and has been bleeding continuously again (after it had stopped for one week). She is now in her seventh week after giving birth and still bleeding (it started off dark, but now it is somewhat medium light). We visited the hospital when the babies were six weeks, and she was prescribed Tranexamic acid (500 mg), which she was to take for three days. An ultrasound scan was done, and it mentioned possible hematoma or endometritis.

Answer 1

Hello,

Welcome to icliniq.com.

The bleeding after seven weeks of delivery is not good. The ultrasound scan is suggesting blood collection and infection in the uterus (attachment removed to protect patient identity), and it may have the right diagnosis because bleeding is unusual. I hope she is not a patient of any thyroid disorder. If not, then give her:

Combination of Tranexamic acid and Mefenamic acid, that is Tranexa MF tablet three times a day for five days.
An antibiotic like Cefixime tablet 200 mg 2 times a day for five days.
Tablet Pantoprazole 40 mg once in a day early morning empty stomach for seven days.

Consult your specialist doctor, discuss with him or her and take medications with their consent. Watch for signs of improvement. If still no improvement, then you will have to go for hormone profile testing and if needed, surgical evacuation of the uterus.