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Are abnormal bleeding episodes after postpartum normal?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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 whether this is normal or if I should seek in-person medical care.

Kindly help.

Thank you.

Answered by Dr. Sravanthi Nuthalapati

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

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 of this unusual bleeding. Also, check your urine pregnancy test once if you have not been using any contraceptive methods.

I hope this helps.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At July 26, 2020
Reviewed At April 24, 2026

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

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