Is heavy bleeding common after a C-section?

Hello,

Welcome to icliniq.com.

Thank you for posting your query.

I am deeply concerned about your worries and would like to explain the FIGO (International Federation of Gynecology and Obstetrics) classification of the menstrual cycle.

Frequency:

1. A cycle between 24 and 38 days is considered frequent.

2. A cycle of less than 24 days is considered frequent.

3. A cycle longer than 38 days is called infrequent.

4. Absence of menses is referred to as amenorrhea.

Duration:

1. A normal duration of menstruation is up to 8 days.

2. A prolonged duration is more than 8 days.

Regularity:

1. A regular cycle is when the longest and shortest cycles differ by less than 9 days.

2. An irregular cycle is when the longest and shortest cycles differ by more than 8 days.

Flow:

1. Normal.

2. Heavy.

3. Light.

Using five pads per day is not normal and suggests heavy menstrual bleeding. Ideally, you should use two pads per day.

Causes of Heavy Menstrual Bleeding:

1. Uterine fibroids.

2. Endometrial polyps.

3. Cervical fibroids.

4. Cervical polyps.

5. Pelvic inflammatory disease.

6. Hypothyroidism.

7. Hyperprolactinemia (high levels of prolactin).

8. Benign or malignant ovarian tumors.

I would advise you to undergo the following investigations:

1. Serum follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels

2. Serum Prolactin

3. Serum-free thyroxine (FT4) and thyroid-stimulating hormone (TSH)

Management:

1. Tablet Norethisterone 5 mg: Take three times a day continuously for three months.

2. Tablet Mefenamic acid 500 mg: Take twice a day for five days.

3. Tablet Calpro-D: Take one tablet a day for one month.

I hope this clarifies your query. If you have any further questions, please don’t hesitate to contact me.

I would appreciate your feedback.

Thank you.