HomeAnswersObstetrics and Gynecologyirregular bleedingIs it normal to have irregular bleeding pattern with cramps and nausea post delivery?

I experience abnormal bleeding episodes in my postpartum period. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 26, 2020
Reviewed AtSeptember 4, 2023

Patient's Query

Hello doctor,

I am currently 11 weeks postpartum and I am still bleeding. The bleeding will completely stop for a few days and then all of a sudden be very heavy. It will come with cramping and nausea. This is my first kid and I am currently exclusively breastfeeding. I would like to know if this is normal or if I need to seek in-person medical care.

Hello,

Welcome to icliniq.com.

Irregular bleeding post delivery can have various reasons. One of the most common ones is retained products of conception. This can also be a focus for infections. The other reasons can be any vascular abnormalities in the uterus or a pregnancy-related cancer problem called gestational trophoblastic tumors. Or sometimes it could be even pre-existing fibroids causing this irregular bleeding, in case, we consider this as resumption of your menstrual cycle. Usually, when breastfeeding, the periods do not resume until six to nine months post-delivery but in some women it does. This will need a thorough evaluation of your bleeding episodes (if you had noted down the dates from when to when you bled, that would be helpful). Also, you need to get an ultrasound to look for the cause for this unusual bleeding. Also, check your urine pregnancy test once, if you have not been using any contraceptive methods.

I hope this helps.

Investigations to be done

Urine pregnancy test. Ultrasound abdomen and pelvis. Serum beta HCG (human chorionic gonadotropin) levels.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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