What evaluation is recommended if lochia lasts more than 8 weeks post-delivery?

If lochia persists beyond 8 weeks post-delivery, it is essential to evaluate for potential retained products of conception, uterine abnormalities, or other complications such as infection. The recommended evaluation includes measuring beta-HCG levels followed by a pelvic ultrasound.

The beta-HCG level check is useful in determining if there are still hormonal indications of pregnancy, which may suggest retained products if the levels remain elevated. A pelvic ultrasound complements this by providing a visual assessment of the uterine contents to identify any retained tissue or abnormalities in the uterus.

This combined approach allows for a comprehensive assessment, addressing both hormonal status and anatomic evaluation, thereby guiding further management. Addressing retained products or complications promptly is crucial for the patient's health and recovery after delivery.