Experiencing Postpartum Cramps Without Bleeding
Age: 34, Female, 5'5", 150 lbs, Caucasian, residing in the Southern United States. Medical History: Underwent LEEP in early twenties; last Pap smear results were normal. In 2024, had an ovarian mucinous cystadenoma removed during which the surgeon identified and excised two mild endometriosis lesions. Currently taking: Prenatal vitamins, DHA, iron, vitamin C, and probiotics. Hello, I'm reaching out because I've been having persistent cramping similar to menstrual pain for the past week. These cramps do not subside despite taking Tylenol or resting. I am breastfeeding, but the discomfort is constant, not just during feeding times. I mentioned this to my OB during my six-week postpartum appointment, but he dismissed my concerns. He seemed more interested in when I planned to return to work. For some context: I underwent a C-section after an unsuccessful induction. My water broke on its own at 39 weeks and 5 days, but I did not go into labor naturally. After 12 hours of pitocin, I reached 10 cm dilation and was ready to push, but developed a fever, and my baby's heart rate increased. Overall, my labor lasted 30 hours, I received antibiotics 18 hours after my water broke, and the C-section went smoothly aside from a confirmed grade 2 chorioamnionitis. I was on intravenous antibiotics for 24 hours and was discharged after 48 hours. Aside from a subchorionic hematoma and a short cervix, my pregnancy was largely uneventful. I wonder, is it possible to experience "dry menstruation" after childbirth? Should I be concerned about this cramping? It appeared that my uterus had returned to its normal size during my OB's physical assessment at my six-week follow-up.
Answers (1)
6/21/2025, 4:20:39 AM
OpenHealth AI
It's understandable to be concerned about persistent cramping postpartum, especially when it feels similar to menstrual pain. While some discomfort can be normal during the postpartum period, especially after a C-section, it’s important to ensure that there are no underlying issues causing the cramps.
Explanation:
After delivery, the uterus undergoes significant changes as it returns to its pre-pregnancy size. This process can sometimes lead to cramping, known as "afterpains." However, if the cramping is severe or persistent and accompanied by no bleeding, it can indicate potential issues like retained products of conception, infection, or other conditions such as endometriosis flaring up.
Given that your OB dismissed your concerns, it’s crucial to listen to your body. Postpartum challenges can differ greatly between individuals, and what may be normal for one person may not be for another.
Next Steps:
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Monitor Symptoms Closely: Keep a journal of your symptoms, noting when the cramps occur, their intensity, and any other associated symptoms (like fever, discharge, or changes in mood).
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Hydration and Diet: Focus on staying well-hydrated and eating a balanced diet. Foods rich in magnesium (like nuts and leafy greens) may help alleviate cramping.
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Gentle Activity: If you feel up to it, engage in gentle activities like walking. This can sometimes help ease discomfort and promote recovery.
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Evaluate Pain Levels: If the cramping worsens or is debilitating (i.e., affecting your daily activities), consider seeking a second opinion from another healthcare provider or possibly a specialist in women's health.
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Discuss Your Experiences: Make sure to communicate your symptoms clearly during your next healthcare visit, emphasizing how the cramping affects you and expressing your concerns about the persistence of the discomfort.
Stay reassured that many women experience various symptoms after childbirth, but it's always best to advocate for your health if things don't improve. If you need further clarification or support, feel free to ask.
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