home Audience 3 Should there be clots during menstruation? Childbirth as a cause of clots. The cause of blood clots is miscarriage

Should there be clots during menstruation? Childbirth as a cause of clots. The cause of blood clots is miscarriage

During menstruation, almost every woman experiences blood clots. They are often accompanied by prolonged and painful bleeding, but doctors believe that this is normal. However, when a woman gets too strong clots during menstruation, this may be a sign of a gynecological disease, but let’s try to figure out how to distinguish a deviation from the norm.

Why do clots come out during menstruation?

During the menstrual cycle, the walls of the uterus thicken in preparation for fertilization. If pregnancy does not occur before menstruation, the endometrial layer is shed, which is accompanied by bleeding. During menstruation, the body loses up to 250 ml of blood, but if the blood loss is larger, then this is considered to be excess of the norm. At strong discharge blood clots form, which are essentially small blood clots.

Causes of menstrual clots

If a large number of large clots form during menstruation, then this is a reason to contact a gynecologist. After examination, the doctor will reveal their cause, because possible pathologies there may be several:

Myoma

Myoma is a benign tumor that develops when hormonal levels. Due to myomatous nodes, the area of the endometrium increases, so the uterus is enlarged, and during heavy periods, clots are released, the patient experiences pain when urinating or defecating. The peak of the disease occurs at 35-50 years of age, and is usually diagnosed in women reproductive age.

Typically, fibroids do not give pronounced symptoms and are detected when medical examination. Vivid symptoms mean that the size of the fibroids is large, and therefore surgical intervention is required. But there are some symptoms that should alert a woman:

Long and heavy periods.
Large blood clots with mucus.
Pain in the lower back and lower abdomen.
Organ dysfunction gastrointestinal tract or urinary tract.

Endometriosis

Large blood clots can cause endometriosis when the endometrium lining inner surface uterus, grows too much, affecting internal organs. Dense endometriosis is caused by multiple abortions, iron deficiency, obesity, hormonal disorders or genetic predisposition. The symptoms of endometriosis are so varied that they sometimes confuse even the most experienced gynecologists. However, there are also bright severe symptoms:

pain symptoms in the lumbar girdle or lower parts belly;
during menstruation, severe blood clots and menstrual irregularities;
infertility;
intoxication: vomiting, weakness, chills, sometimes fever.

Anomaly of the uterus

Heavy periods with blood clots occur if a woman has a congenital anomaly of the uterus. This disease occurs in 2% of women and plays a decisive role in whether they can have children. Sometimes a woman with such a pathology manages to conceive and give birth, but pregnancy and childbirth are accompanied by complications: miscarriages are often observed different dates. Anomalous buildings uterus:

Common saddle and bicornuate uterus. In the first case, the part of the organ under the upper arch has not a convex, but a bottom compressed inward, in which partitions are formed. With this anomaly, it is possible to carry the fetus to term, but the septum usually causes many problems. As for the bicornuate organ, it has 2 cavities that connect in the center or near the neck. Learn more about the bicornuate uterus in the video:

Pelvic organ disease

Inflammatory processes in the female pelvic organs include any combination of pelvic peritonitis, endometritis, tubo-ovarian abscess or salpingitis. These diseases are usually transmitted sexually, but can also be caused by microorganisms vaginal microflora. Inflammatory processes are diagnosed based on complaints and clinical examination. Treatment of diseases is carried out using conservative therapy, depending on the clinical form diseases.

Blood coagulation disorder

The hemocoagulation (blood clotting) system activates fibrinogen dissolved in the blood plasma and forms fibrin blood clots in blood vessels, stopping any bleeding. Various diseases vessels or blood lead to blood clotting disorders, which manifest themselves as causeless bruises bleeding that does not stop due to injuries or heavy periods with blood clots in women.

Hormonal imbalance in the body

Hormones are produced by the ovaries, pituitary gland, adrenal glands, pancreas and thyroid gland. The totality of all hormones is responsible for women Health. If the body lacks any type of hormones, then the following deviations begin:

disruption of the menstrual cycle, as well as blood clots and copious discharge during menstruation;
sudden loss weight or vice versa excess weight;
indigestion;
breast swelling;
tumor development;
prostration.

Reasons hormonal imbalance a bunch of. For example, in adolescents it is temporary physiological process associated with the development of the organism. And in women, hormonal storms occur after childbirth, after a missed period or after a miscarriage, during pregnancy, at the onset of menopause or during breastfeeding. Also, the cause of hormonal imbalance can easily become poor nutrition, bad habits or chronic fatigue.

In what cases should you visit a doctor?

If you are planning a pregnancy, then blood clots during menstruation should be a cause for concern. The appearance of clots indicates the inability of the fertilized egg to attach to the uterus. If during menstruation not only clots appear, but also It's a dull pain lower abdomen - then you need to visit a gynecologist in any case: whether you are planning a pregnancy or not.

Treatment

Treatment gynecological pathologies assumes correct diagnosis. The examination includes MRI, ultrasound of the pelvic organs, laboratory and cytological studies. If the diagnostics do not show anything serious, the doctor will prescribe iron-containing drugs that will restore low level hemoglobin from blood loss during menstruation. In other cases, it is prescribed either conservative treatment, or surgical intervention, if the situation is particularly advanced.

The menstrual cycle is a systematic process in the body of women of reproductive age, controlled by hormones (mainly progesterone and estrogen), having a certain cyclicity and aimed at conceiving a child. U healthy women The regulative (menstrual) cycle can range from 28 to 32 days, but minor deviations from this range are not considered a pathology unless accompanied by painful symptoms and any disorders. On the first day of the cycle, menstrual blood is released from the woman’s vaginal tract, which, in addition to the blood itself, also contains enzymes that act as anticoagulants, mucus, particles of the epithelial layer and dead vaginal cells.

In some cases, a woman may notice that blood comes out of the vagina with blood clots, appearance resembling pieces of placenta. This symptom may be a manifestation of very serious illnesses, requiring comprehensive and emergency treatment(and sometimes surgical intervention), or physiological norm, so it is important to be able to distinguish normal discharge from pathological signs.

Menstrual blood has a rather complex chemical composition, the basis of which is glandular fibers and secretory fluid produced by the glands of the vagina and cervix. Clots can form when large quantities endometrial cells - an epithelial layer with a mucous structure lining uterine walls from the inside and necessary for successful implantation of a diploid fertilized cell (zygote). Starting from the middle of the menstrual cycle, the endometrium changes its density and structure, becomes looser and thickens. If the amount of female sex hormones exceeds the required physiological threshold, during menstruation the endometrium may prematurely coagulate in the uterine cavity and form clots.

Thickening of menstrual fluid can also occur when lack of activity anticoagulation enzymes, as well as in cases where a woman does not lead enough active image life, promoting stagnation of blood circulation in the pelvic organs. This situation is typical for women who hold office positions, are overweight, limiting mobility, or suffer from chronic disorders endocrine system. For the same reason, blood clots during menstruation can be observed in women who have undergone surgery or injury and are temporarily limited in movement.

Important! Bad habits(nicotine and alcohol addiction, drug use and toxic substances) can also promote increased blood clotting due to changes in its chemical composition and neutralization of enzymes that regulate the consistency of menstrual fluid.

Video - Three questions about periods that women are embarrassed to ask

Diseases of the uterus are the main cause of intrauterine blood clotting

Diseases of the uterus are the largest group of gynecological pathologies. Almost always, disturbances in the functioning of the organ are accompanied by changes in hormonal levels, therefore, in addition to the standard diagnostic methods a woman can have diagnostic curettage using a curette (a gentler method is vacuum aspiration) followed by histological examination collected material in order to determine hormonal levels and exclude tumor processes.

The most common pathology of the uterus, different shapes which is diagnosed in every fifth woman aged 20 to 50 years - uterine fibroids. Fibroids are formed by cells of the myometrium (muscular layer of the uterus) and may have diffuse or nodal shape and proceed without any symptoms for several years. Myoma refers to benign tumors Therefore, in most cases, doctors choose a wait-and-see approach with careful observation of the patient and monitoring of changes in myomatous nodes.

The symptoms of this type of tumor are quite sparse and may include the following signs:

increased nagging pain a few days before the onset of menstruation and during menstruation;
excess physiological norm secreted menstrual fluid (the normal volume is considered to be from 50 to 80-100 ml);
blood clots during menstruation;
increase in basal temperature.

Another reason related to the functioning of the uterus and that can cause premature blood clotting is birth defects development of the uterus. They are formed during the period of intrauterine growth and development, most often caused by a genetic factor, but in some cases they can be a complication of inhalation or consumption of toxic products. Most often, girls and young women experience bending of the uterus, which in 90% of cases leads to the inability to bear a child while maintaining full volume reproductive functions, as well as the intrauterine septum - a defect often associated with abnormal development of the renal system.

With these defects, the free exit of blood from the body of the uterus is difficult, which leads to its stagnation and the formation of small clots. Treatment of these defects is carried out only in foreign clinics, but is not accessible to most middle-class women due to the very high cost.

Pathologies associated with conception and pregnancy

Ectopic pregnancy is a serious pathology that can lead to heavy bleeding and the development of a generalized inflammatory process. It can develop even in absolutely healthy women, but the main risk group includes obese patients. diabetes mellitus, as well as those with a history of abortions and miscarriages.

On early stages intrauterine pregnancy is no different from the usual one: the woman also experiences all the manifestations of toxicosis, her mammary glands enlarge, and the pregnancy test shows positive result. When the gestation period reaches 4-6 weeks, symptoms and signs begin to appear, and if they appear, you should immediately consult a doctor. These include:

mixed bleeding blood clots;
sharp, sharp, pronounced nagging pain in the lower abdomen;
temperature rise to 38.5° and above;
vomit.

Note! The appearance of blood clots in pregnant women is very dangerous clinical symptom, which almost always indicates the onset of a miscarriage. Clots after childbirth are considered normal occurrence, but women with similar symptoms should be under the supervision of a specialist, since blood clots may be parts of the baby's place (placenta). Normally, such discharge should not last longer than 30 days, and should not be accompanied by severe pain or high fever.

Blood clots after insertion of an intrauterine device

Intrauterine device - a type hormonal contraceptives, which is installed inside the uterus around its cervix and is made of copper or plastic. Despite the fact that installation of the product is not a traumatic procedure, minor complications may occur after it. bloody issues, which normally disappear within 3-5 days. If this does not happen, the bleeding becomes profuse, and during menstruation blood clots begin to be released from the vaginal tract, the coil should be removed.

It is necessary to remove the product even if side effects: itching, burning, headaches, skin rash and other symptoms described in the instructions for use. Such women should consult a gynecologist about more appropriate methods of contraception.

Endometrial diseases

The endometrium is a functional uterine layer that regulates the synthesis of hormones necessary for the onset and maintenance of pregnancy, as well as the growth of fetal development. Endometrial diseases are diseases of the uterus, but experts refer to them as separate group. The most typical for this clinical picture(discharge of blood clots during menstruation) are endometriosis and endometrial hyperplasia. Both pathologies represent an abnormal proliferation of cells and layers of the endometrium, but with endometriosis they can extend beyond the uterus and reach other organs, including the uterine appendages.

If the endometrial tissue becomes inflamed, the woman is diagnosed with endometritis. The disease is dangerous due to the rapid growth of pathogenic flora inside the uterus and the spread of infection to other pelvic organs. The symptoms of any endometrial pathology are almost always the same and include the following signs:

intense pain in the lower abdomen with transition to the side walls (with ovarian endometriosis);
heavy periods (menorrhagia) lasting more than 1 week;
intermenstrual bleeding with blood clots;
insufficient secretion of vaginal lubrication and resulting discomfort during intimacy;
difficulty conceiving.

Treatment of endometrial diseases

Treatment of endometrial pathologies includes diagnostic curettage of the uterus, as well as medicines, used in standard treatment regimens. They cannot be used without a doctor’s prescription, as there may be individual contraindications.

Group of drugs	What medications should I take?	Image
Antispasmodics to relax the muscles of the uterus, eliminate spasms and pain	"Drotaverine" "Papaverine" (mainly rectally)
Oral contraceptives with varying levels of estrogen and progesterone to correct hormonal levels	"Chloe" "Janine" "Diane-35"
Anti-inflammatory drugs (for endometritis)	"Ibufen" "Ketorolac"
Antibiotics and antimicrobials for the prevention of complications and secondary infection	"Amoxicillin" "Tetracycline" "Cefazolin" (for severe cases)
Iron supplements for heavy blood loss for the prevention and treatment of anemia	"Ferrum Lek"

If a woman’s health is good, but her periods are still accompanied by the release of clots, it is necessary to take tests for blood clotting, and also determine the level of B vitamins in the body. With their excess, blood clotting ability increases, which increases the risk of uterine vein thrombosis, therefore this state also requires medicinal correction. A large number of vitamins of this group are contained in rye and peeled flour, whole varnishes, legumes, as well as liver, eggs and many vegetables and fruits.

If a woman consumes enough of these products, there is no need to take additional vitamin complexes, which contain B vitamins, negatively affects the consistency and viscosity of menstrual fluid and promotes the formation of blood clots.

Clots come out during menstruation

Since ancient times, women have been interested in everything related to the function of childbirth, and any unusual sensations caused anxiety and excitement: is everything okay?
This is still the case today; women are very careful and careful about their bodies, and they cannot help but worry about such a phenomenon as the presence of blood clots during menstruation.

Causes of clot formation

To understand the reason for this phenomenon it is necessary to have at least elementary representation about how the uterus is anatomically structured.
The uterus is a hollow muscular organ in which the fetus develops during pregnancy, consists of three layers: the endometrium - the layer lining the uterus from the inside, the myometrium - the muscular layer itself, and the perimeter - the membrane that covers the uterus.

During the menstrual cycle, the endometrium thickens and loosens, which is ready to receive a fertilized egg. And if pregnancy does not occur, then, as one of the scientists poetically put it, “the uterus cries bloody tears,” that is, the endometrium is rejected, accompanied by bleeding. During menstruation, a woman's body loses about a glass of blood. The discharge lasts from 3 to 5 days and its color varies from bright red, dark cherry or brownish and has specific smell. With heavy discharge, clots ranging in size from 3 mm to 3 cm usually appear, which indicates that the enzymatic system responsible for blood clotting is not coping with its task, and the blood partially coagulates in the vagina. Therefore, most often there is no reason to worry.

In what cases should you consult a doctor?

1. If, in addition to heavy periods with blood clots, you feel general malaise, dizziness, decreased performance, and you experience pallor skin- then you should think about the need to take a blood test and seek medical help. Most likely you have Iron-deficiency anemia. You should not self-medicate. Iron supplements adequately prescribed by a doctor will cope with the disease in 1-2 months.

2. If you are thinking about having a baby, you stop using birth control, and during your menstrual cycle you experience yellowish-gray bleeding with clots - this may indicate a miscarriage, rejection of the fertilized egg, that is, a miscarriage. In this case, it is also advisable to consult a doctor.

3. Normally, periods occur regularly, last 3-5 days, are moderately painful and moderately heavy. In this case, the appearance of clots is not a cause for concern. But if you are concerned about heavy bleeding with clots and severe pain, then you should consult a gynecologist, get tested and have an ultrasound, because this may indicate hormonal disorders, inflammatory process or the presence of a serious disease - endometriosis.

4. Blood clots can be observed in the menstrual flow of women who protect themselves from unwanted pregnancy through intrauterine device, they are part of a fertilized egg that leaves the uterine cavity during bleeding.

5. Bend of the uterus, an excess of B vitamins, increased thrombus formation can also cause the appearance of heavy menstrual flow with clots.

6. Heavy menstruation with clots can be observed in women in postpartum period. This indicates a pathology such as incomplete rejection of the placenta or bad contraction uterus. In any case, you need to see a doctor and receive treatment.

Conclusion

The appearance of blood clots during menstruation can be caused by any reason, even an increase in body temperature during colds, but if this worries you, then you need to consult a doctor, do tests and an ultrasound, which will help exclude or, conversely, identify violations, receive recommendations, treatment, as well as answers to all questions.

A large clot came out during my period

Women's health is somewhat reminiscent of a spider's web - incredibly strong, but at the same time fragile and airy. For many, the indicator intimate health- This is the nature of menstrual bleeding. A woman begins to suspect disturbances in the functioning of the pelvic organs when obvious changes occur in the menstrual cycle.

Blood clots from the nose

Blood clots from the nose are not uncommon. Clots can appear systematically or once. In some cases, certain conditions are necessary for their appearance, and sometimes they begin to stand out on their own. Nasal clots can occur for many reasons, mostly pathological, which need to be evaluated and treated.

Heavy periods with clots

All women have menstrual flow different character. Normally, from 20 to 60 ml of blood is released per day, this volume is very individual. Blood loss of more than 60 ml per day is considered heavy menstruation; this condition may require examination by a specialist. It is especially recommended to consult a doctor if you find blood clots in your period.

Blood clot after tooth extraction

Most surgical interventions involve loss of a certain amount of blood. Tooth extraction is no exception. After all procedures, a blood clot must form. This is not a pathology or complication, but a normal natural phenomenon. It is necessary for speedy healing and prevention of possible wound infection.

Menstruation after vacuum aspiration

A sign of normalization of the activity of the female genital organs is, first of all, menstrual function. Only on recovery normal cycle After menstruation, a woman can breathe easy again.

Long periods with clots

Girls begin their first menstruation at 12-15 years of age. If they haven’t reached this age yet, it’s worth thinking about some physiological disorders in organism. The course of the cycle for each girl can be different: for some it is abundant, for others it is moderate. With quite severe pain or no significant sensations at all. Have Brown color, or the color may be bright red or scarlet.

Blood clots that appear during menstruation can be scary. If you have not noticed such phenomena in yourself before, you may ask the question, “Are blood clots dangerous during menstruation?” Only a specialist can give you a definite answer.

But before you get nervous and make an appointment with a doctor, make sure this is not an isolated incident. After all, many women can observe how small lumps of coagulated blood come out during menstruation. But only a few similar phenomenon may become a symptom of the disease. If you want to make sure that everything is in order with your health, undergo a standard examination. Already at this stage, the doctor will be able to determine whether you really need to worry.

Determining the norm for such a phenomenon as menstruation is quite difficult. They can be short or long, abundant or with minimal bleeding. There are a large number of factors that influence them, so women often miss the moment of delay during pregnancy or the appearance of a gynecological disease. In this regard, it is recommended to regularly visit a gynecologist who will monitor your health and be able to determine if any abnormalities suddenly appear.

If you still haven’t found “your” specialist, then you need to seek help as soon as you discover that you have excessively heavy or unusually long periods with blood clots.

The menstruation itself is natural process peeling of the epidermis, which is located on the walls of the uterus. However, if any obstacle appears, the blood will clot without finding a way out. As for the cause of this phenomenon, it is often the bend of the uterus, which forms a natural septum.

In the case when blood clots that appear during menstruation accumulate in the resulting space, complications may arise. Define this situation A specialist can easily do this after an inspection. If no obstacles were found, then the doctor may suspect that you have a type of anemia. In addition to the clots that come out during menstruation, heavy discharge is a sign of it. How can you track their volume?

To do this, you need to know the weight of the sanitary product (pad, tampon) in pure form and its weight after use. By comparing these two numbers, you can determine the amount of your own allocations. Numbers over 80 grams per day are too large. If, during the calculations, you realize that your periods are heavy, you should go to see a doctor. It is possible that you have anemia, the causes of which lie in a lack of iron. Replenishing the missing amount required element, you can correct the current situation. However, your doctor should prescribe you to take iron supplements after an examination. After all, heavy periods, in which there are large clots, may be a symptom of a more serious illness.

Remember that the intensity of your periods depends on the lifestyle you lead. If you are predominantly in a supine or sitting position, then the discharge will occur slowly. With a sharp rise or intense movement, menstruation may intensify, and this will not at all be an indicator of the presence of the disease.

Why are clots dangerous?

If you determine that the clots that appear during menstruation are a violation of the norm, then you should listen to your feelings. You may not have noticed other symptoms that may indicate a medical condition. These special indicators include the following:

appearance severe pain in a stomach;
changed color of menstruation;
an unpleasant odor appears;
presence of bleeding.

The causes of each of these symptoms may be different, but taken together they can spell big problems for you. What should we be afraid of?

If you go to the doctor and he doesn’t find any other problems besides clots, he will most likely diagnose you with adenomyosis. To confirm it, you may need not only general examination on a gynecological chair using mirrors, but also colposcopy and ultrasound.

Common reason Women's visits to the gynecologist indicate a change in the color of the discharge to brown. If you observe this at the beginning or end of menstruation, then there is no need to worry. This is within normal limits. But the appearance brown discharge during menstruation or instead of menstruation should alert you. Perhaps this is the body's reaction to an infection or a sign ectopic pregnancy. The exact reasons for the changed color of menstruation can be determined by the doctor after examination. Hormone testing may be necessary to rule out hormonal imbalances.

Having brown discharge during pregnancy is also not normal. However, do not be scared and assume the worst. Perhaps you have simply developed a hematoma, which makes it possible to carry the pregnancy to term if you follow the doctor’s recommendations.

But remember that heavy discharge during pregnancy is a mandatory reason to urgently seek medical help.

Small blood clots may appear up to a month after birth. But if after the expiration of the period they have not disappeared, the possibility of retaining the remains of the placenta inside the body should be excluded.

Clots may also appear after the installation of the “spiral”. If you notice such symptoms, you should immediately contact your doctor. More likely, this method contraception is not suitable for you.

It happens that after sexual intercourse a woman observes the appearance of clots during menstruation. Such a symptom may indicate the presence of erosion, but a doctor must confirm this diagnosis.

In addition to the reasons described above, clots can appear due to polyps, hyperplasias and fibroids. But perhaps the most common diagnosis for the appearance of blood lumps during menstruation is endometriosis.

Endometriosis

Given gynecological disease is one of the most dangerous:

Define and deliver correct diagnosis hard enough.
If incorrect or untimely treatment may become a complication female infertility. And many women are afraid of losing the opportunity to have children.

Studies have shown that the cause of endometriosis is disorders in the immune and hormonal systems. In this case, the formation of large dark nodes is observed. The presence of blood clots during menstruation is one of the main symptoms of this disease. But if you find clots in yourself, you shouldn’t be afraid, because for accurate diagnosis you will need to undergo a thorough examination using modern equipment. Another indicator of the presence of this serious disease may be painful sensations. They occur both during menstruation and after it ends.

In addition to difficulty in diagnosis, endometriosis is also characterized by difficulty in treatment. This is due to the presence of different affected areas.

To begin with, the doctor will most likely prescribe you a course that will be aimed at restoring hormonal balance. However, it often happens that such a scheme does not give desired result. And then the need for surgical intervention arises. Its goal is to rid the body of the formed nodes. After this usually menstrual cycle is restored, and the formation of clots stops.

Some doctors use herbal medicine in their practice. It helps prevent the appearance of clots during menstruation and reduce the amount of discharge. The most popular are decoctions of herbs such as nettle, yarrow, and cinquefoil. To achieve results, you need to start taking one of the herbs 50 grams three times a day a few days before the start of menstruation. In addition to reducing clots, such decoctions are an excellent means of preventing anemia. If for some reason the named herbs are not available to you (not on sale, you have an allergy), you can use water pepper or red viburnum.

Remember that if the condition worsens or any other unpleasant symptoms, you should consult a doctor immediately. Only a specialist can accurately determine the cause of your feeling unwell and prescribe effective treatment.

Possible treatment

Depending on the symptoms that concern you, your doctor will prescribe an examination. Based on the results obtained, a treatment will be prescribed that will eliminate not only the symptom itself (the appearance of clots), but also the cause of its appearance.

If the doctor detects the presence of pathologies in the uterus, he will prescribe you additional research(for example, hysteroscopy or hysterography). Once the diagnosis is confirmed, you will be prescribed surgery which will help solve the problem.

If there are no pathologies, you may be prescribed an MRI. It will help identify neoplasms in genitourinary system. If the result shows that you do not have tumors, the doctor will prescribe a regimen for you to use gestagen-based drugs.

In case heavy menstruation occur in women in menopause, they are prescribed drugs based on hormones with a high content of progesterone.

The use of monophasic contraceptives is used in case of detection of uterine fibroids. These drugs help restore the balance of hormones and reduce the amount of bleeding. In cases where this scheme is ineffective, surgery is prescribed to remove the fibroids. And in very advanced cases It may be necessary to remove the entire uterus. However, doctors are increasingly using the embolization method. Its essence is to block blood access to the fibroid. This leads to the cessation of development and reproduction of tumor cells.

Treatment of endometriosis is complex, but with timely diagnosis it is possible, despite the fact that the disease is often asymptomatic. And if anemia is detected, the doctor prescribes iron supplements.

If clots are present and all are excluded possible diseases(pathologies), the doctor usually prescribes calcium gluconate or ascorutin.

Menstrual blood maintained in a liquid state due to activation special enzymes, preventing its coagulation in the uterus and vagina. Blood clots are allowed during menstruation, if they are small strands or pieces. The appearance of large clots may indicate pathology.

During menstruation, the endometrium is separated, which is prepared to receive a fertilized egg. The endometrium is the lining of the uterus that is permeated big amount vessels. It is intensively supplied with blood, and during menstruation its separation occurs due to blood overflow and spasm of microvessels. That's why menstrual flow resemble blood, but are not it in its pure form.

The concept of norm

During an average menstruation, a woman loses from 80 to 100 ml of blood. This normal indicators, which can sometimes deviate. In the first day or two your periods are heavy, but subsequently they decrease. At the same time, the discharge that appears on the pad contains not only blood. They include:

endometrial remnants;
cervical mucus;
vaginal microflora;
waste products of microflora.

Anticoagulant enzymes keep secretions in a liquid state so as not to interfere with their excretion. By chemical composition The blood is closer to venous and therefore has a dark red-brown color.

With normal blood loss, iron is not excreted in large quantities. Therefore, women with good menstrual function should not develop anemia.

What do blood clots mean during menstruation?

Periods from small clots and mucus fit into the concept of the norm. Similar discharge can be observed every cycle. Especially when using tampons, clotted blood and endometrial remains are not absorbed into them, but come out when removed.

But large blood clots during menstruation should alert you. The following conditions may be the cause.

The most dangerous thing that blood clots during menstruation can signal is a tumor of the uterus. But in this case, they can appear during the intermenstrual period. They can be jelly-like or hard, depending on the degree of coagulation. Sometimes changes in the properties of menstrual bleeding occur under the influence of stress.

5 warning signs

Periodic release of small blood clots is normal. But there are situations that require urgent medical care. Watch for five warning signs.

Duration. Menstruation lasts for a suspiciously long time, and there is no tendency to reduce bleeding. If seven days have passed and the discharge does not stop, you need to be examined by a doctor.
Abundance. The pathology is indicated by an uncharacteristic volume of blood loss, which leads to a feeling of weakness, dizziness, and tachycardia. And also profuse bleeding, when the pad lasts no more than two hours.
Smell. Unpleasant smell, uncharacteristic for normal menstruation, indicates a possible infection. Additional symptom high temperature may occur.
Abdominal pain . Pulling or sharp pain, which is accompanied by bleeding with blood clots, indicates possible internal bleeding.
Lineup changes. If clots appear with white streaks or purulent impurities, you should immediately consult a doctor.

An incorrectly diagnosed cause of bleeding with clots threatens severe complications. Endometriosis often leads to infertility. And after an ectopic pregnancy, there is a high risk of losing the tube. Or adhesions form in this area, which also prevent you from getting pregnant.

If blood clots appear during menstruation, it is necessary to exclude all factors that could have a detrimental effect on reproductive health. Treatment should be prescribed by a doctor based on the causes of the pathology. Sometimes you can limit yourself to homeopathy and folk remedies, and in some cases surgical treatment may be required.