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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delivered Twins, Bled After It. Still Have Brown Discharge. Reason?

Delivered my twin girls 5 weeks ago at 18 weeks. Postpartum bleeding progressively got lighter and went from bright red, to pink to brown. Around 4 weeks postpartum my bleeding turned bright red again and was just slightly heavier than my normal periods. Bleeding lasted about 10 days while gradually lessening. However I am still having brown discharge . It is not constant and seems to stop and start. Is this normal or something to be concerned about?
Tue, 31 Dec 2013
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OBGYN 's  Response
Hello,
Persistence of lochial discharge four weeks after delivery is not normal and you need to see a gynecologist for further evaluation. Possibilities are- the uterus being larger than in a singleton pregnancy takes longer time to involute in a twin pregnancy; some retained products of conception like placental bits; onset of menstruation with erratic cycles or hormonal imbalance. Please maintain a healthy diet, genital hygiene and get appropriate treatment. You may also need styptics, pelvic antibiotic and hormones. Hope this helps.
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Delivered Twins, Bled After It. Still Have Brown Discharge. Reason?

Hello, Persistence of lochial discharge four weeks after delivery is not normal and you need to see a gynecologist for further evaluation. Possibilities are- the uterus being larger than in a singleton pregnancy takes longer time to involute in a twin pregnancy; some retained products of conception like placental bits; onset of menstruation with erratic cycles or hormonal imbalance. Please maintain a healthy diet, genital hygiene and get appropriate treatment. You may also need styptics, pelvic antibiotic and hormones. Hope this helps.