Bad smelling discharge from a woman. Lochia after caesarean section

Vaginal discharge in women, the so-called leucorrhoea, is a physiological phenomenon and, in most cases, not associated with pathological processes. Leucorrhoea is produced by the body in the same way as saliva, tears, gastric secretions, etc. Such secretions are usually scanty, white or slightly transparent, without any unpleasant odor.

However, if they acquire a certain color and an unpleasant odor, this is a cause for serious concern, as it indicates an imbalance in the vaginal microflora due to the development of the disease. Most often, such discharge is accompanied by other unpleasant sensations: redness, itching, pulling pain in the lower abdomen, etc.

What causes discharge in women with an unpleasant odor, treatment, causes, how is it carried out? What diseases can they indicate? Is it possible to get rid of this unpleasant phenomenon with the help of folk remedies? Let's talk about all this today:

Why does discharge with an unpleasant odor occur, what are the reasons for this?

As we have already mentioned, ordinary physiological secretions have a slight vaginal odor, which is completely invisible after hygiene procedures. If an infection enters the body, their color changes, they acquire an unpleasant odor - sour or rotten.

It can be barely noticeable, or it can be obvious, strong, sometimes noticeable to others. After a shower, washing, it weakens, but after a short time it appears again.

Color and unpleasant odor are almost always signs of gynecological diseases that are bacterial or viral in nature. Let's briefly consider what pathologies are accompanied by this symptomatology:

Brown discharge with an unpleasant odor

Very often, the discharge becomes light brown when a woman pays insufficient attention to personal hygiene. Due to rarely carried out water procedures, the acidic environment of the vagina changes dramatically, which causes the shade of the discharge to change, they acquire an unpleasant odor.

Sometimes such a shade appears before the next menstruation or, immediately after it. Another reason is hormonal changes, for example, while taking hormonal contraceptives.

If there is a dark brown tint, an unpleasant odor and severe pain in the lower abdomen, hurry up to see a gynecologist, as these phenomena usually indicate an ectopic pregnancy. This must also be done when brown discharge appears with obvious inclusions of blood or pus, as they often accompany serious inflammatory diseases: endometritis, endometriosis, endometrial hyperplasia, etc.

Pink discharge with an unpleasant odor

A pale pink shade of whiter may indicate the presence of endometrial pathology, an inflammatory process, or trauma to the vaginal mucosa or cervix.

A common cause of this phenomenon is inflammatory diseases:, and, as well as, cervicitis, bacterial or vaginal candidiasis. The vast majority of these pathologies are transmitted through unprotected sexual intercourse.

In the case of a pink discharge instead of the next menstruation, it can be assumed that there is a threat of miscarriage in the early lines (do a pregnancy test). They can also indicate a frozen or ectopic pregnancy.

Green discharge with an unpleasant odor

This phenomenon most often indicates a certain inflammatory disease of the genitourinary system, accompanied by increased production of leukocytes (from this green tint).

It may also indicate the presence of cervical erosion. A specific unpleasant "fishy" smell usually accompanies vaginal dysbacteriosis, and may also indicate the presence of gonorrhea or trichomoniasis - sexually transmitted diseases.

Abundant, thick, mucous discharge of a greenish tint, the volume of which increases significantly after defecation, may indicate the progression of purulent cervicitis.

Depending on the severity of the inflammatory process, other signs of the existing pathology are also noted: pulling, aching pains in the lower abdomen, weakness, reduced performance, fatigue. Sometimes the body temperature rises.

Yellowish discharge with an unpleasant odor in women

They also appear in the case of the development of pathological processes: inflammation or infections.

In the presence of leucorrhea with a yellowish tint, an unpleasant odor, one can suspect the presence of inflammatory diseases: adnexitis, colpitis, salpingitis or bacterial vaginitis.

With the progression of the disease, additional characteristic symptoms appear: irritation, itching of the external genital organs, pain during intercourse and during menstruation. A woman may feel pain in the lower abdomen, radiating to the back. There may be frequent urge to urinate.

In addition, yellowish or greenish discharge with an unpleasant rotten odor is a symptom of trichomoniasis. This disease is usually accompanied by redness, itching, pain during sexual intercourse.

Yellow, interspersed with purulent contents, indicate the development of chlamydia. Accompanied by itching of the vaginal area, pain during intercourse and a burning sensation during urination.

If there is yellow discharge with a greenish tint and a strong odor, you may have contracted gonorrhea. Additional signs are burning of the vaginal area, itching when urinating.

Gray discharge with an unpleasant odor

White, with a grayish tint - most often appear due to the penetration of an infection or a developing inflammatory process. Very often, thick white or slightly grayish discharge with a sour smell indicates the presence of vaginal candidiasis (thrush). This common disease is often accompanied by burning, itching, discomfort in the intimate area.

Discharge from the vagina with an unpleasant smell of rotten

Vaginal discharge that is yellowish, brownish, greenish, or gray in color, accompanied by a strong smell of rotten fish or eggs, is often seen with gardnerellosis (bacterial vaginosis). This disease is very serious, giving severe complications: endometriosis, abscess, and sepsis.

Treatment of discharge with an unpleasant odor in women

In general, many gynecological infectious diseases, accompanied by the above symptoms, are dangerous for their complications. If measures are not taken for adequate treatment, inflammation of the cervix and appendages may develop. In the future, infertility may develop.

Therefore, if unpleasant signs appear, you should hurry up with a visit to a gynecologist. After an external examination, obtaining the results of laboratory tests, the doctor will establish an accurate diagnosis and prescribe the appropriate treatment.

It should be understood that an unpleasant vaginal odor can accompany a large group of various infectious, inflammatory diseases, therefore, only a gynecologist can prescribe an effective treatment for a specific pathology, based on the results of the patient's examination.

Self-treatment can drive the problem inside and after a while it will reappear, but with more severe manifestations.

After the therapy with drugs, the patient will be sent for re-tests. The results of laboratory studies will give a complete picture of the effectiveness of treatment. If necessary, you will need to take another course. Although usually after a high-quality therapy, a complete recovery occurs.

Folk remedies

When unpleasant discharges appear, traditional healers recommend using the good old remedies, which can also help, but they do not completely exclude taking medications and following the recommendations prescribed by the attending physician. Here are some popular recipes:

For oral administration:

If the leucorrhoea has a watery, slimy consistency, caused by anemia, prepare an infusion of periwinkle herb. Pour 2-3 pinches of the crushed plant with a glass of boiling water, cover with a saucer, warm with a towel. After 15 minutes, you can drink the strained infusion, sip, throughout the day.

With abundant secretions, fresh nettle juice will help. It should be taken in 1 tsp. several times a day. The same remedy will be useful in painful menstruation.

Pour into a small saucepan with boiling water (200 ml total) 1 tbsp. l. dry finely broken inflorescences. After the next boil, reduce the heat, simmer for 10 minutes. Remove from the stove, let stand under the lid for another half hour. Then pour into a mug through cheesecloth. Take a sip throughout the day, preferably before meals.

Baths, irrigation, lotions:

You can make baths from clean cool (not cold!) Water. After carrying out the basic hygiene procedures, pour the right amount of water into the basin, sit in it for 15 minutes.

Warm baths with the addition of decoction from will be useful - you only need a glass. Pour fresh needles, along with finely broken thin twigs and top shoots, into a pot of boiling water. It will take 3 liters. water. Cook at a low boil for 40 minutes. Remove from fire, let cool. Then, through gauze, pour the decoction into a sitz bath or basin filled with warm water. Sit in this bath for 20 minutes.

You can try a popular remedy that is used in the treatment of certain diseases of the genitourinary system: pour 50 g of dried (fresh), finely chopped grass, its shoots into a jar. Add half a liter of good vodka there. Clean for 2 weeks in the cellar or pantry, where it is cool and dark. Strain the finished tincture, use for lotions. Dilute with boiled water before use.

Healers recommend making lotions from the infusion of roots. They need to be dried, chopped as finely as possible, to the state of dust. For 200 ml of boiling water, 2 tsp is taken. raw materials. Cooking is better with a thermos. After half an hour, you need to strain, cool. Make lotions at least 2 times a day.

In addition to baths and lotions, it is useful to irrigate the genitals with garlic broth. Grind the peeled head of garlic, pour 200 ml of boiling water, bring to a boil again, boil over low heat for 5 minutes. When cool, pour through a cheesecloth into another bowl. Immediately before use, add 1 tbsp. l. natural 6% vinegar. Mix the broth with the same amount of warm water, pour into a spray bottle (sprayer).

Perform the procedure over the bath, spraying the treatment solution on the genitals from a distance of 0.5 meters. Irrigate gradually, slowly, but carefully treating the surface. Be sure to use a warm solution. You need to complete a course of 10 daily procedures. These procedures are contraindicated during pregnancy.

Douching:

You can supplement the main treatment with douching. These procedures can be very useful in some gynecological inflammatory diseases. Of course, you must first obtain permission to conduct procedures from the attending physician. Here are some recipes you can use:

Boil a pot with 2 l. pure water. Pour in 3 tbsp. dried hypericum. Reduce the heat to the minimum value, simmer for half an hour. Remove from stove, wait until cool. Pour the broth through cheesecloth into another bowl. Spend daily morning and evening douching with warm decoction.

It is a very good tool. It is necessary to cook on low heat 1 tbsp. dried, crushed bark in a liter of soft, clean water. You need to cook at a slow boil for 20 minutes. Then insist for another half an hour. Pour the warm broth into a jar through gauze. Spend douching in the morning, in the evening.

In the old days, the appearance of pathological leucorrhoea was treated with douching with a solution of alum. They were dissolved in the proportion: 1 tsp. for 200 ml of warm water. For the same purpose, a solution of tannin was used.

For the treatment of gynecological bacterial diseases that cause vaginal discharge, prepare a decoction: 1 tsp. dried meadowsweet grass or calendula flowers in a glass of soft, clean water. You need to cook on a light fire for 20 minutes. When cool, pour into a jar through cheesecloth. Spend douching several times a day, be sure - in the morning, in the evening.

During the treatment, women are advised to drink freshly prepared mixtures of vegetable juices from celery, carrots, garden greens, spinach, in various variations. It is not recommended to use spicy seasonings and sunflower seeds, as these products can increase leucorrhoea.

Remember that with discharge with a sharp unpleasant odor, a visit to a doctor is a must. Folk remedies will help reduce their intensity, but they will not solve the problem on their own.

The lack of adequate professional treatment can provoke the development of a chronic form, fraught with serious complications, in particular, reproductive dysfunction. Take care of yourself, start treatment and be healthy!

Svetlana, www.site
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How many women are troubled by the smell in the intimate area, the feeling of moisture. There are problems in sex, it becomes impossible to visit the pool and the gym. Women have complexes and restrictions. They cease to enjoy the holidays, do not go to theaters and parties. There is a threat to relations with a beloved man. Meanwhile, discharge from women with an unpleasant odor is a symptom of a disease that can be treated. It is necessary to see a gynecologist in time, undergo an examination, find out the causes and solve these problems.

Causes of bad breath from the vagina

The female vagina has its own microflora that does not have a strong odor. You should sound the alarm if he suddenly changed. An unpleasant smell in an intimate place appears for various reasons. It could be:

  • bacterial vaginosis: appears due to the sharp growth of its own microorganisms;
  • thrush: caused by the rapid reproduction of fungi;
  • : an infection that is transmitted through sexual intercourse;
  • inflammation of the vaginal mucosa;
  • hormonal disorders;
  • cancer of the vagina, cervix;
  • use of contraceptives;
  • poor daily hygiene.

What vaginal discharge is considered normal

The female body is individual, specific and vaginal discharge. Many factors affect their number, color: age, medication, health problems, pregnancy. A healthy discharge is considered:

  • cream, white: after sex with a condom;
  • copious, liquid: in the morning, if unprotected intercourse is performed at night;
  • transparent, white: immediately after sex without protection;
  • light, milky in color, viscous: during pregnancy;
  • pink ichor: after childbirth, caesarean section;
  • brown: in the first months after the start of contraceptives.

Normal discharges associated with menstruation include:

  • transparent, mucous - in the middle of the menstrual cycle, before ovulation.
  • insignificant, jelly-like - in the second part of the cycle.
  • creamy, plentiful - at the end of menstruation.
  • scarlet color, with blood - during menstruation.
  • dark or brown - within two days after menstruation.

Do not worry if you have vaginal discharge when it:

  • in the form of clear mucus;
  • do not have a strong pronounced odor;
  • thick consistency;
  • in a small amount;
  • not accompanied by pain in the lower abdomen;
  • do not irritate the mucous membrane;
  • do not lead to itching of the genitals;
  • do not cause an increase in temperature.

What diseases are evidenced by discharge with an unpleasant odor

If unpleasant odors appear in the intimate area, an urgent visit to the doctor is necessary, as these are symptoms of diseases that have serious consequences. If the diagnosis is made on time, the doctor will prescribe the correct treatment leading to recovery. What diseases are we talking about? Among them:

  • delay, violation of the menstrual cycle;
  • ectopic pregnancy;
  • obstruction of the pipes;
  • infertility.

One of the most common is vaginal dysbacteriosis, or gardnerellosis. It is characterized by a strong smell of fish, itching, burning and the appearance of a viscous mucus of a greenish-yellow hue. Gels, creams, tablets are used for treatment. Fungal disease candidiasis, or thrush, is characterized by symptoms. These are curd-like discharges with the smell of onions, garlic, or sometimes they smell of sour kefir. There is a disease with an ammonia smell. It is aggravated by sexual intercourse. Both partners are treated with antifungal drugs.

What other problems can be with similar symptoms:

  1. Colpitis - inflammation of the vaginal mucosa, has different forms and symptoms of the disease. Often there is discomfort during sex, cutting pains, increased secretions in the form of mucus and pus, impaired urination. For treatment, suppositories, gels and antibiotics in the form of tablets are used.
  2. Postpartum copious discharge with a specific putrid odor indicates inflammation that has appeared. These symptoms are closely monitored by doctors in the maternity hospital.
  3. Abundant clear discharge in women, if they are colorless, may indicate inflammation of the appendages, diseases of the cervix. It is worth visiting a doctor to establish an accurate diagnosis.
  4. Very often, sexually transmitted diseases become the cause of an unpleasant odor in the intimate area. These include chlamydia, gonorrhea, trichomoniasis. All of them can have serious consequences. However, if you undergo treatment with a venereologist in time, the disease will recede.

White

If white discharge with a smell appears in the intimate area, this is a sign of a thrush disease. Often they are in the form of a film or resemble cottage cheese in appearance. This disease occurs in those women who do not live sexually. Sometimes a white, fishy-smelling discharge is caused by bacterial vaginosis. To properly prescribe treatment, the gynecologist must take a smear.

yellow

Discharge that is yellow in color indicates an infection in the vagina or uterus. If they are thick, yellow-green in color, then the causative agent of the infection is gonococcus. The disease is accompanied by itching and an unpleasant burning sensation in the genital area. If such symptoms appear after sex without protection, you should immediately see a doctor. Sexual infections, such as trichomoniasis, also have a foamy structure. In the event of purulent diseases, the appearance of yellow discharge is accompanied by an increase in the number of leukocytes in the blood.

If a woman had an abortion or had a difficult birth, there is a risk of developing inflammation caused by staphylococci, streptococci - endometritis and adnexitis. Their symptoms are yellow discharge. When thrush is characterized by a sour smell, the consistency of cottage cheese. When a woman has yellow discharge between periods, this indicates the likelihood of inflammation in the fallopian tubes or ovaries. The process is accompanied by severe pain in the lower abdomen.

Purulent

One of the main reasons for the appearance of such secretions is inflammation of the organs responsible for reproduction: ovaries, fallopian tubes, cervix, vagina. More often these diseases are transmitted during sex, are associated with a decrease in immunity, poor ecology, and non-compliance with intimate hygiene. The color and nature of purulent discharge depends on the type of infection that led to inflammation. They are thick and white-yellow in purulent vaginitis. With Trichomonas - greenish-yellow, in the form of foam.

curdled

In the female body, in the microflora of the vagina, there is always a fungus of the genus Candida, which helps to maintain a constant acidity. When its amount increases sharply, a disease called thrush occurs, which is accompanied by curdled discharge. In addition, there are sleep disturbances, burning and itching, and painful urine comes out. A white coating appears in the vagina. There are several reasons for this disease:

  • dysbacteriosis;
  • pregnancy;
  • medicines;
  • decreased immunity;
  • environmental influence;
  • hormonal disruptions;
  • stress;
  • use of synthetic underwear.

If a woman, in addition to thrush, is diagnosed with cervical erosion, the curdled discharge becomes pink, because fresh blood is released. Another thing is when hormonal imbalances occur along the way. A brown color appears due to impurities of coagulated blood. Green curdled discharge is formed during genital purulent infections. Look at the photo. This is what white discharge looks like with thrush.

Foamy and thick

Foamy, thick discharge indicates the body's reaction to trichomoniasis. Men do not suffer from this disease, but they become carriers of it during intercourse. Sometimes it occurs due to elementary non-compliance with the rules of hygiene. Accompanied by severe pain in the lower abdomen, burning, frequent urination. It is treated with special drugs.

Bloody: red or brown

The color of these secretions is associated with the presence of blood in their composition. Before menstruation, brown discharge signals the onset of endometriosis, hormonal disorders. In the middle of the cycle, they are signs of polycystic ovary syndrome, which causes infertility. In the last days of menstruation, they may become dark brown, sometimes black, with blood clots. This suggests the possibility of the appearance of chlamydia and herpes. Brown discharge after menstruation indicates the threat of an ectopic pregnancy.

Allocations of red or scarlet color indicate cervical erosion if they began a few days before menstruation. During pregnancy - signal placental abruption. There is a threat of abortion. If the discharge appears after intercourse, this indicates that the woman has microcracks in the vagina or erosion of the cervix.

Which doctor to contact

Depending on the symptoms of the disease, in which an unpleasant odor appears from the vagina, you should contact different specialists. If there is itching, watery mucous discharge, burning sensation associated with sexual intercourse, you should visit a venereologist. He will also help with purulent discharge from the vagina, which is accompanied by profuse urination. The doctor will order tests if you suspect that you have contracted a sexually transmitted disease after unprotected intercourse. According to the results of the examination, treatment is prescribed.

You should visit the gynecology department in other cases. Allocations in women with unpleasant odors are often associated with physiological processes occurring in the body. Menstrual disorders, inflammatory processes in the uterus and vagina, the presence of tumors, complications during pregnancy are a reason to visit a gynecologist. Only he, having done all the tests, will determine the cause of the disease and prescribe the correct treatment.

Video: how to treat discharge with the smell of rotten fish

Watch the video and you will understand why there is a discharge in women with unpleasant odors. Specify whether it is dangerous for health, and how to behave in such a situation. In the video you will receive information from well-known experts in the field of medicine. You will learn why it is important to see a doctor in time to conduct an examination and get rid of a disease in which the smell of fish from the intimate area.

Sooner or later, every woman may face such a problem as discharge with an unpleasant odor. This phenomenon becomes a cause for concern, refusal to have sex, and, as a result, the woman becomes irritable and feels uncomfortable. For secretions, the presence of a characteristic odor is normal, since the vagina has its own microflora - bacteria constantly “living” in it.

They help stop the reproduction of harmful microorganisms, thereby protecting the woman's body from the development of infections.

Where does the discharge in women with an unpleasant odor come from?

If you feel an unpleasant smell from the discharge (rotten fish, sour smell), and also they do not go as usual (abundant, greenish, gray-white, frothy, curdled, watery or with pus), then this indicates a violation of the natural microflora. Very often, vaginal discharge with an unpleasant odor is accompanied by itching, redness and pain in the lower abdomen. Therefore, as soon as you have such symptoms, see a doctor as soon as possible.

Why does discharge with an unpleasant odor appear?

Such disorders can occur as a result of inflammation in the vaginal area. This inflammation can cause various infections or dysbacteriosis.

The fact that there is an infection suggests that in addition to beneficial bacteria, harmful microorganisms may also be present in the vagina. It is because of them that unpleasant odors and vaginal discharge occur. It makes no sense to talk about diseases that are accompanied by such symptoms, since the final diagnosis can only be made after the examination.

What to do if there is a discharge with an unpleasant odor?

First of all, you need to visit a gynecologist. After he conducts an examination, you will receive the necessary referrals for tests. At the second visit, when all the results are ready, the doctor will prescribe treatment. After the medications have been drunk, a second test will be required in order to confirm your recovery. This is your third visit to the gynecologist. During your appointment, you will receive advice on how to avoid recurrence.

What not to do if you have foul-smelling discharge?

Self-medication is definitely not worth it. As mentioned above, the diagnosis can only be made by your doctor and only after you have passed all the tests. Self-medication will only aggravate the disease. It is worth saying that discharge in women with an unpleasant odor can appear as a result of infections, and subsequently lead to serious diseases. Each of the infections requires immediate treatment, which will be effective for this microorganism, but not for another. That is precisely why it is very important to contact specialists. Even after recovery, you need to carefully monitor your health and periodically check with a gynecologist. Prevention will also be useful.

Any woman in her life sooner or later faces such a problem as vaginal discharge with an unpleasant odor. Discharges in women with an unpleasant odor cause constant anxiety, refusal of intimacy with a sexual partner and, as a result, irritability and discomfort.

Normally, every woman always has a characteristic smell and discharge from the genitals, because the vagina has its own microflora - a number of bacteria "permanently living" there. They prevent the reproduction of harmful microorganisms, thereby protecting the body of a woman from the development of a particular infection.

If you have an unpleasant vaginal odor (rotten fish, sour smell), as well as unusual discharge (more abundant, greenish, grayish-white, frothy, cheesy, watery or purulent), this means that the balance of the natural microflora of the vagina has been disturbed . Discharge in women with an unpleasant odor is often accompanied by itching, redness, pain in the lower abdomen.

Causes of discharge in women with an unpleasant odor

Such disturbances of the natural microflora may be the result of inflammation in the vaginal area. Such inflammations cause various kinds of vaginal infections (both around and inside), or its dysbacteriosis.

The presence of an infection indicates that, in addition to beneficial bacteria, pathogens are present in the vagina. It is as a result of their vital activity that an unpleasant odor and discharge from the vagina occurs.

It does not make sense to list infections that cause such symptoms, since it is possible to determine the disease only by passing the necessary tests for the presence or absence of certain dangerous microorganisms, as well as an examination by a gynecologist.

The causes of dysbacteriosis (bacterial vaginosis) can be: douching (irrigation inside the vagina), change of sexual partner, use of contraceptive suppositories or vaginal tablets.

What to do?

First of all, you need to make a visit to the gynecologist. After the examination, he will give you the necessary directions for the tests. During the second visit, when all the test results are ready, the doctor will prescribe a course of treatment for you. After you drink the medication, you will need to take tests again to confirm your recovery - this will be your third visit to the gynecologist. During the third visit, you will be given a number of recommendations to avoid relapse or re-infection.

What Not to Do

Of course, there can be no talk of any self-treatment. As mentioned above, only your attending physician can make an accurate diagnosis for you and only after passing the necessary tests. Self-medication can only aggravate the disease.

It is worth noting that some infections that cause discharge with an unpleasant odor can lead to such serious consequences as inflammation of the cervix, appendages and infertility.

Each specific infection with the above symptoms requires a specific treatment that will be effective for her, but completely useless for another infection. That is why it is so important to seek help from professionals in a timely manner.

Ovulation, conception, pregnancy, childbirth - all these are necessary stages of the process, which in human society is commonly called procreation. The final link in this chain is the postpartum period: a woman's body must recover to a certain level in order to gain the ability to repeat the reproduction cycle - not only the possibility of re-conception or bearing, but, sometimes, the life of a woman depends on the quality of the recovery processes. Therefore, it is so important for her to constantly monitor her physical and physiological state during this period, paying attention to the slightest signs of a “failure” in the body. Vaginal discharge, which has an unpleasant odor or an unusual color, is one of the most important signs of such a pathology.

The concept of normal secretions

The postpartum period is a fairly long recovery process. Having got rid of the fetus in the womb, the body, as an exemplary hostess after the departure of the guests, puts its “house” in order: the pelvic bones are replaced, the configuration of the spine changes, the walls of the vagina narrow, the abdominal muscles and skin integuments are tightened, but especially important processes take place in the uterus.

Regardless of how the baby was born (by natural birth or by caesarean), the uterus begins to contract, decreasing in size to its normal state, immediately after separation from its inner surface of the placenta. Naturally, the wound surface remaining on its inner shell bleeds quite strongly, and it is not surprising that intense contraction of the uterus is accompanied by profuse bleeding (lochia) - this period lasts up to 2-3 days.

Over time, lochia that smells like normal menstrual flow (or does not have a pronounced smell at all) changes its intensity, color and texture - therefore, the nature of such changes should be given special attention, even if they do not particularly bother the young mother. As a rule, 6-7 days after delivery, the discharge becomes brown in color and becomes less abundant. True, lochia tends to slightly increase in intensity during breastfeeding, during physical exertion, when coughing or laughing, but this is considered a normal manifestation of more active contraction of the uterus and abdominal muscles.

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