How to manage heavy bleeding in the postpartum period?

Question

Hi doctor,

I am currently (almost) 6 weeks postpartum. I had sex at 4 weeks of postpartum and I got the Nexplanon inserted a couple of days before that. My doctor checked to see whether my uterus was still up high and it was not. Also, I did not have any tearing during birth. My bleeding stopped at 2 weeks of postpartum. But, after I had sex, I started bleeding heavy with bright red blood. I am still bleeding. I am breastfeeding, so I was not expecting a period for a while. Yesterday, I started getting terrible cramps and my stomach looks the same as it did at 20 weeks pregnant. I feel bloated and the left side is really hard. I am having terrible cramps on the left side. Everything that I have been eating in the last two days, have made me so terribly nauseous. Also, I am having pulsating pains in my rectum and my vagina.

Answer 1

Hi,

Welcome to icliniq.com.

Please get yourself checked by a gynecologist internally and get a pelvic scan done to rule out the exact cause. Post delivery your body is tender and in a state of recovery. It is not yet ready to take so much stress and strain. Usually, this could be due to the Nexplanon (Etonogestrel contraceptive implant) or due to hormonal changes, stress and strain. Avoid having sex till then. Avoid stress and strain and take rest. Take plenty of fluids, vegetables and fruits, iron-rich diet and iron supplements.