Patient have bleeding after 2 months of normal vaginal delivery. USG suggest bulky uterus.What next?

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Do a local and per vaginal examination and rule out infection. If USG shows empty uterine cavity and no signs of infection, nothing much to worry. Just do a UPT also.

add antibiotics and haematinics pre-existing endometritis can be the reason for sub-involution , as the USG is not showing any rpocs

Any retained product of conception or infection to ruleout

Do hysteroscopy

Thank you doctor

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