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Severe blood clots during menstruation. Blood clots come out during menstruation - the main causes of the problem

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. Exists 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.

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:

  • the appearance of severe abdominal pain;
  • changed color of menstruation;
  • appeared bad smell;
  • 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 of brown discharge during 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, don't 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 for 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. Most likely, this method of 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

This gynecological disease is one of the most dangerous:

  1. Define and deliver correct diagnosis hard enough.
  2. 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 pain. 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 recovery 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, the menstrual cycle is usually 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 cases where heavy menstruation occurs in women during 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-containing medications.

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

Blood clots during menstruation are a phenomenon that can be provoked by both physiological and pathological factors. For supporting reproductive health This symptom should not be ignored.

During menstruation, there is discharge - bloody clots. Before we tell you what it is, we suggest you understand how blood is formed during menstruation.

Every month, the endometrium grows in the uterine cavity, which is exfoliated and released from the body on the first day of menstruation. The upper tissue of the organ sometimes separates in lumps - this is normal. This process is associated with the maturation of the egg, which prepares the body for possible fertilization.

When the reproductive organs prepare for pregnancy, the body produces large amounts female hormones, as a result of which the endometrium becomes thicker. If the egg is not fertilized during ovulation, hormone production stops. This leads to a slower flow of blood to the uterus, as a result of which its upper layer, the endometrium, begins to gradually be rejected. Discharge appears.

Normal periods should be liquid in consistency. On the 3-4th day, the amount of fluid released decreases. At the end of menstruation there is a so-called spotting - blood spots. They can be seen on panty liners.

Blood clots during menstruation are small. Usually their size does not exceed 0.3 cm. If a woman moves a lot during menstruation, then the pieces increase during menstruation. They also often stand out when there is a sudden change in body position.

Menstrual discharge, which comes in liver-like chunks, is associated with stagnation of blood in the uterine area. When immobilized in reproductive organs it stagnates and gradually coagulates, resulting in pieces coming out. This is a normal physiological phenomenon, so there is no reason to panic.

But if clots come out along with heavy menstruation, and the woman complains of severe discomfort in the area of ​​the ovaries - this is alarming symptom. In this case, it becomes necessary to undergo a medical examination.

What clots can be normal?

The presence of liver clots during menstruation does not always indicate pathology. The color and consistency of menstrual flow varies from girl to girl.

The female body is specific. During menstrual cycle Enzymes that take part in the process of slowing blood clotting are actively produced. Periods with chunks are a guarantee that these substances do their job well.

It is the enzymes that color the menstrual discharge. burgundy color and make them jelly-like in the second half of menstruation.

If the discharge with chunks comes out painlessly, the woman’s body temperature does not rise and nausea does not occur, there is no need to worry, as this normal phenomenon.

Some girls celebrate at their place, learn more about similar condition you can from a separate article on our website.

Pathological menstruation

Appearance menstrual blood with large pieces is often associated with dangerous pathology. We have explained why there is discharge in chunks during menstruation. If large burgundy blood clots are released painlessly and asymptomatically, then there is no need to worry, as this is due to the activity of enzymes.

Periods in chunks indicate leakage pathological process in such cases:

  1. A woman has severe stomach pain.
  2. A lot of .
  3. During menstruation, large clots similar to liver come out.
  4. Clots during critical days stand out in young girls (under 18 years of age).

What do big clots mean?

If blood clots during menstruation that look like liver occur due to physiological factors, they do not have big size and an unpleasant odor. But huge pieces that come out along with heavy bleeding are dangerous.

The reasons why blood clots come out during menstruation may be:

  1. Uterine fibroids. The disease is characterized by the presence of a benign neoplasm in the uterine area, due to which the monthly cycle fails. The release of menstrual blood in chunks in this case is accompanied by increased body temperature and painful sensations lower abdomen.
  2. Hyperplasia of the uterine endometrium. This disease promotes the clotting of blood stagnant in the uterine area, resulting in the formation of enlargements. With hyperplasia, menstrual discharge is prolonged and abundant.
  3. Endometriosis. This dangerous disease, in which the endometrium grows outside the uterus, that is, on other organs. The process of its growth and exfoliation is very painful. With endometriosis, the discharge resembles liver.
  4. Hormonal disbalance. Heavy periods with burgundy enlargements - common symptom hormonal imbalance.
  5. Intrauterine device. This contraceptive is often perceived by the female body as a foreign body. As a result, the fluid in the uterine area coagulates, large clots are formed, which are very painfully released from the body during menstruation.
  6. Problems with blood clotting. In this case, the monthly fluid begins to coagulate in the uterine area. This is due to impaired functioning of enzymes that should prevent coagulation.
  7. Ectopic pregnancy. With this pathology, the discharge is characterized by profuseness and pain. Also, with an ectopic pregnancy, the temperature rises.
  8. Drug correction of the monthly cycle. Often, after taking medications to artificially induce menstruation, for example Duphaston, the cycle gets disrupted. This provokes poor clotting menstrual fluid in the uterine area, resulting in the formation of large, painful clots.
  9. Inflammation of the pelvic organs.

Treatment of excessive blood loss

When your periods come in clots, this is a reason to consult a specialist. You should not delay going to the hospital if:

  1. Discharge of blood after menstruation is accompanied by severe pain.
  2. During menstruation, the temperature rises.
  3. During menstruation, clots are released for more than 4 days.
  4. Large pieces have an unpleasant odor.

In these cases, immediate treatment of the pathology is necessary. At heavy menstruation Gynecologists prescribe hemostatic drugs that stop discharge. Most Popular medicines of this group - Dicynon and Tranexam. They take an active part in the process of blood clotting. As a result of their use, periods end faster.

Nettle decoction also helps reduce the duration of menstruation. To prepare it, the plant juice must be diluted. hot water and bring this mixture to a boil. The product is taken before meals 3 times a day.

If menstrual clots, which visually resemble the liver, arose as a result of a pathological process, then surgical treatment will help get rid of them.

A regular menstrual cycle is the key to the health of every woman, but sometimes during absolutely normal periods unusual discharge is observed, which frightens many. These include the appearance of blood clots. They usually come out in chunks and are very disturbing to women. Usually, if it looks like meat, you should contact medical care. Sometimes the cause of such discharge is an inflammatory process in the body or gynecological diseases.

Approximately one in three women experience discharge in the form of large pieces of blood during menstruation. They can be divided into two groups, the first of which is the norm and is not accompanied by others dangerous symptoms. The second type appears due to the presence of a gynecological disease in the body.

Throughout the menstrual cycle, the inner lining of the uterus gradually becomes thicker, thus preparing for possible fertilization. If pregnancy does not occur, the endometrial layer, along with the blood, is torn off and comes out of the vagina, sometimes in the form of pieces of exfoliated endometrium, which is not a pathology.

Menstrual blood has a dark red color and a characteristic odor. There are usually no clots present, but some women report the appearance of small pieces of blood as a monthly occurrence.

Appear when the enzymes responsible for its coagulation fail to cope with heavy discharge, so it can curl up directly into the vagina. For this reason, pieces that look like meat come out, but in fact it is just coagulated blood. When a clot comes out of the vagina, like skin or tissue, it may just be separated endometrium.

Main symptoms

Despite the fact that discharge in the form of clots is considered normal, in most cases you need to consult a gynecologist about this. You should urgently seek medical help in the following cases:

  • the size of the isolated pieces is more than 3 cm;
  • simultaneously with the clots, the woman’s temperature rises;
  • weakness;
  • pain in the abdomen.

If during menstruation a clot comes out simultaneously with other symptoms, a pathological process may develop in the body.

Pathological changes

When a woman’s periods are usually long and heavy, there is no need to worry about this. But there are other reasons for the appearance of atypical discharge.

The enzymatic system is responsible for the normal process of blood clotting in women, failures in which lead to the appearance of small clots, which changes the nature of the discharge. They contain particles that did not have time to coagulate in time. If a woman's blood clots too quickly, a clot will certainly appear during her period.

A lack of enzymes most often leads to poor coagulation and the release of meat-like pieces. Such discharge also occurs with anemia in women. If at the same time as clots, weakness, heat, you can’t put off visiting a doctor.

Presence of an intrauterine device

An intrauterine device, which is used to protect against unwanted pregnancy, also often causes bleeding in the form of pieces. After its installation, menstruation changes slightly. Clots appear due to the fact that a foreign body in the form of a spiral does not always take root well in female body, as well as due to rejection of the fertilized egg.

Almost always, when installing the IUD, the color, character and consistency of menstrual blood changes. A large piece also comes out due to the septum on the cervix, when the spiral does not allow the egg to attach to the walls of the uterus, and it comes out of the vagina in the form of bloody pieces. In this case, a large clot will appear every time during menstruation.

Adhesive processes

Changes in the structure of the uterine wall lead to the formation of adhesions. The uterine cavity is affected adhesive process and because of this, the normal menstrual cycle is disrupted. Menstruation can be quite scanty, but with the presence of clots, the size and number of which depend on the degree of development of adhesions.

Without treatment, adhesive formations often result in the absence of menstruation and infertility, so it is necessary to consult a specialist for any changes in menstrual blood.

Endometrial polyposis

When endometrial cells grow locally, polyps form. Because of them, a large clot may appear during menstruation. Endometrial polyposis is characterized by strong cutting pains. True, clots can come out at almost any time during the menstrual cycle. Discharge during polyposis increases, but its nature depends on the size of the polyps, which can separate and come out of the vagina as a clot.

Childbirth as a cause of clots

Women who have just given birth have no reason to worry, for whom heavy periods with pieces of blood are the norm. Childbirth is complex process, which is why the female body requires a lot of effort to recover from them. After the birth of a child, excess epithelium comes out of the uterus simultaneously with blood discharge in order to best clean its cavity.

During childbirth, the uterus participates in the process of the birth of a child. It contracts intensely, and after the newborn comes the placenta. But blood clots still remain in the cavity of the female organ and then come out along with menstruation. Such discharge should not bother a woman unless it is accompanied by a rise in temperature and poor health.

Abortion

Sometimes the discharge of pieces of blood or tissue can mean termination of pregnancy. Spontaneous abortion or medical intervention leads to discharge of this kind.

Abortion

After an artificial termination of pregnancy, women will always have within ten days. In general, this is a normal phenomenon, because the body needs to cleanse itself of excess clots in the uterine cavity. Such discharge is not considered menstruation, but a kind of body response to stress after an abortion. Their duration depends on individual characteristics woman's health.

In this process important role plays color and size bloody discharge. Very large pieces of blood, pain in the abdomen, fever should be a reason immediate appeal to the doctor. The type and amount of blood released depends on the type of abortion. At drug interruption During pregnancy, heavy bleeding is observed only in the first days after taking the drugs, and then they become spotting.

Vacuum and surgical abortion are characterized by copious discharge. Availability of any additional symptoms at the same time can be dangerous to a woman’s life.

Miscarriages

A large blood clot in some cases means a miscarriage early pregnancy. One more characteristic feature miscarriage is the appearance of gray mucus with a yellow tint. Conception is interrupted by various reasons when the fertilized egg is not accepted by the body.

But still, if you find blood clots during your period, consult your doctor and undergo an examination to determine the cause of their occurrence. We will try to understand the main reasons why periods come in clots further in the article.

Why do clots come out during menstruation?

Throughout the entire cycle, the inner lining of the uterus, in preparation for a possible pregnancy, gradually thickens. If pregnancy does not occur during menstruation, the rejected endometrial layer comes out with blood. Approximately 250 ml of blood (40-60 ml per day) is lost by the female body during the four days of menstruation. Menstrual blood usually has bright red color, low foldability and specific smell. A woman’s body replenishes blood loss quite quickly, so there is no need to worry about this.

The color of blood and its consistency change during menstruation, which is normal. At the beginning of menstruation, the blood is scarlet; towards the end, its color becomes dark red or brown. These changes in blood color are considered normal.

It happens that a woman develops blood clots (blood clots) during menstruation, measuring 0.5-4 cm. For some, their appearance in menstrual blood is a common occurrence. It is due to the fact that anticoagulant enzymes that prevent blood clotting cannot cope with heavy menstrual bleeding, and some blood clots in the vagina. This contributes to the fact that menstruation comes in clots. Heavy menstrual bleeding often causes anemia. Therefore, if the amount of blood loss during menstruation is large, you should undergo a medical examination.

Why is my discharge brown after my period? There is a very clear answer to this question. Since the bulk of bloody discharge occurs during the first two or three days, then the amount of blood released gradually decreases. Changes in iron levels in the blood lead to a change in color.

Another situation is when there are scant brown discharge instead of menstruation. As a rule, this is a warning sign. For women who have entered menopause, this behavior of the body is typical, since reproductive functions are gradually decreasing, but endocrine system also produces hormones to create favorable conditions for conception.

As for teenage girls, they may also experience brown discharge and scanty periods. Especially on initial stage, when the young body has not yet completely adjusted to new level growing up. This determines the scarcity and color of the discharge.

Brown discharge on the day of menstruation, as a rule, is the very first discharge, which seems to warn about the onset of menstruation. The second day is considered the most abundant. At this time, the girl loses from 50 to 150 mm of blood.

If a girl notices that she has brown discharge and her period should be later according to schedule, then it is better to consult a gynecologist. Such discharge can be both a harbinger of menstruation and a sign of a serious illness.

With the disease endometrial hyperplasia, large blood clots often appear during menstruation. A characteristic feature of this disease is excessive growth of endometrial tissue. Endometrial hyperplasia is caused by diabetes mellitus, hormonal changes, obesity and hypertension. Symptoms of the disease: weakness, poor appetite, brown periods with clots.

Uterine fibroids – benign neoplasm in the uterus. In this pathology, the main female organ becomes lumpy and increases in size, normal cycle menstruation is disrupted. Subsequently, heavy, painful periods with clots may appear large sizes.

Within 30 days after the birth of the baby, a woman may have bloody discharge with clots. This is the norm. If such discharge is combined with a high temperature, this may indicate the presence of placental remnants in the uterus. A visit to the doctor in this case is mandatory.

Brown periods with clots can be caused by hormonal imbalance. Hormones regulate all processes that are associated with the menstrual cycle. Hormonal imbalances at the level thyroid gland, hypothalamus, adrenal glands, pituitary gland and brain are disrupted monthly cycle and may affect clot formation.

A disease called endometrial polyposis - focal proliferation of endometrial cells in the form of polyps - can also become a provoking factor for the appearance of clots. Polyps can reach large sizes and prevent the egg from implanting in the uterus. Signs of endometrial polyposis: menstruation comes in clots, stomach hurts.

The intrauterine device can also be one of the reasons causing menstruation with clots. In this case, clots are parts of an egg that comes out with blood that has been fertilized.

If your periods come with clots, the reason often lies in an abnormality in the development of the uterus. Pathologies that disrupt the normal flow of blood during menstruation include the intrauterine septum: unicornuate and double uterus.

If you find a large clot during your period, it most likely happened early miscarriage. Gray-yellow blood clots indicate that conception took place, but for some reason rejection occurred ovum. Visiting a doctor in such a situation is necessary.

It should be noted that brown periods with clots are observed in women suffering from anemia. To increase hemoglobin levels in the blood, doctors usually prescribe iron-containing medications. Women suffering from this disease should include liver, meat, apples, beets, and eggs in their diet.

If blood clots appear during menstruation, there may be an excess of B vitamins in the body, which is also one of the reasons.

Brown periods with clots, accompanied by severe abdominal pain and high fever, can be a sign of the initial stage of an ectopic pregnancy, which poses a mortal threat to a woman’s life. Therefore, if you have these symptoms, go to the hospital immediately.

Reasons that cause menstruation with clots also include smoking, alcohol abuse, elevated temperature body, stress.

It happens that women experience brown discharge before menstruation. The reason for this is often various women's diseases. But it should be noted that when menstruation begins with a “daub,” as a rule, there is nothing wrong with that. If the discharge is brown before menstruation, observed several days before its appearance, this is no longer the norm.

Such disorders often occur with hormonal imbalances that are temporary in nature, as well as with diseases such as adenomyosis, endometriosis, and adenomyosis.

The reason why periods are smeared brown is quite often endometrial polyps, endometrial hyperplasia (a condition that often precedes uterine cancer).

Sometimes the reason that menstruation Brown and scanty may be erosion of the cervix.

Therefore, to find out the real reason why your periods are brown, consult a doctor. After all, a disease detected in time is cured faster and more effectively.

Intrauterine device, contraceptives

As a rule, light brown periods appear in a woman after she has had intrauterine device. This is specific by-effect this method protection against unwanted pregnancy. If no abnormalities were detected during diagnosis using ultrasound or other examination methods, then normalize this state possible with the help of medications prescribed by your doctor.

When a woman takes hormonal contraception, she may experience brown discharge. When using these drugs, endometrial atrophy may develop. If upon admission birth control pills Over the course of 3-4 cycles, instead of menstruation, you have scanty brown periods, you should give them up.

Surgical interventions

Any intrauterine surgical procedure - medical abortion, removal of polyps in the uterus, removal of fibroids, laparoscopy of an ovarian cyst, removal of part of the uterus, curettage - may also be the reason why periods are brown and scanty. Please note that if the discharge has an unpleasant odor, pain and fever occur, you should consult a doctor.

Sexually transmitted diseases

When a woman had hypothermia and then her cycle was disrupted, this usually indicates the presence of inflammatory diseases cervix, uterus and its appendages. In addition, if a woman has had suspicious sexual intercourse, and she feels pain in the abdomen, burning and itching in the vagina, discomfort during sexual intercourse, the reason is most likely the presence of hidden sexually transmitted infections, which include chlamydia, gonorrhea, syphilis, etc.

External factors

Do you have brown periods? The reasons may often be hidden in external factors. Constant nervous feelings bad dream, chasing the parameters of a supermodel or, on the contrary, overeating, heavy physical activity, bad habits, acclimatization - all these factors have an extremely negative impact on our health and can be the reason why periods are brown and irregular. Take care of your health, take walks fresh air, give up bad habits, because your health depends only on you.

Brown periods with clots: treatment

Menstruation with clots is not always a sign pathological disorders in the female body. The main reasons to seek medical help may be:

  • when a woman has scanty or heavy periods with clots that were previously unusual for her;
  • menstruation comes in clots, their duration is more than 7 days, the stomach hurts severely;
  • you feel very tired;
  • during menstruation, a large clot came out, having a yellowish-gray color;
  • menstruation comes with large clots, and they have an unpleasant odor;
  • nervousness and irritability;
  • heavy bleeding.

Diagnosis and treatment of bleeding with clots involves treating and eliminating the causes that caused their appearance. In case of uterine pathology, after a thorough full examination and procedures such as hysteroscopy and hysterography are often prescribed surgical method treatment.

If no pathologies are detected on ultrasound, the gynecologist will most likely prescribe an examination aimed at identifying neoplasms in the urogenital system - magnetic resonance imaging computed tomography. If the diagnosis showed the absence of tumors, for treatment hormonal disorders the gynecologist will prescribe medical supplies containing gestagens. At heavy bleeding related to the offensive menopause, are appointed hormonal drugs containing progesterone.

Monophasic contraceptives are prescribed in the presence of uterine fibroids. They restore the balance of hormones and help reduce bleeding. If treatment does not bring any results, then they are used to remove fibroid nodes. operative method. When the disease is severely advanced, it becomes necessary to remove the entire uterus. On this moment embolization is used to treat fibroids. This modern technique involves blocking blood access to fibroid nodes, as a result of which tumor cells stop multiplying, growing and dying.

To identify endometriosis, either laparoscopic examination or hormonal drugs are prescribed. This disease is dangerous because in many cases it is asymptomatic, and if not treated promptly it leads to infertility.

If tests show that bleeding is associated with low level hemoglobin in the blood, you will most likely be prescribed iron supplements, for example, tardiferon.

If your periods come in clots, but no diseases or pathologies have been identified, the doctor will prescribe you calcium gluconate or ascorutin.

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Any changes during menstruation cause anxiety in women. Almost everyone has encountered the phenomenon of blood clots during menstruation. The reasons for this can be different - from completely harmless to serious illnesses requiring medical intervention.

What happens during menstruation?

Every month, regardless of a woman’s wishes, her uterus prepares to receive a fertilized egg. Under the influence of hormones, the inner layer of the uterus, the endometrium, begins to thicken. If pregnancy does not occur, hormone levels decrease, blood supply to the mucous membrane inner surface the uterus stops, the endometrium is rejected and excreted through the genital tract to the outside. Thus, menstrual discharge is a complex mixture consisting of blood, mucus, endometrial particles, and vaginal cells.

Blood clots during menstruation are normal

This phenomenon during menstruation does not always indicate the presence of pathology. It is quite possible that your periods are normal and there is no need to worry. As you know, these days the endometrium dies and is removed, which becomes loose and thick during the cycle. That is, menstrual flow itself is not liquid, since it consists not only of blood, but also of tissue inner shell uterus and glandular secretions. In addition, their consistency and color change every day.

Usually, during menstruation, blood clots come out as soon as a woman gets out of bed after sleeping or from a chair after sitting for a long time. This is explained by the fact that the blood in the uterus, when lying down or sitting, stagnates and begins to coagulate, forming clots. As soon as the woman gets up, they come out, and this is not a deviation from the norm.

To make menstrual flow easier, special anticoagulant enzymes inhibit blood clotting. If the bleeding is heavy, the enzymes cannot cope with their task and some of the blood clots in the vagina. That's why it comes out in clumps.

Causes

One of the reasons for the appearance of large clots in menstrual flow– endometrial hyperplasia

Possible causes of blood clots during menstruation are: various diseases and condition. These include the following:

  • Hormonal imbalance. In case of malfunction of the glands internal secretion a cycle disruption occurs, which is manifested by strong brown discharge with clots during menstruation.
  • Uterine fibroids. This benign tumor, in which menstrual irregularities occur. In this case, the discharge is usually profuse, and blood can come out in large clots.
  • Endometrial hyperplasia. With this pathology, the inner layer of the uterus grows, which may be due to hypertension, obesity, diabetes mellitus, hormonal imbalance. In this case, dark, large clots come out during menstruation.
  • Endometrial polyposis. With this disease, the inner layer lining the uterine cavity grows, similar to the formation of polyps. In this regard, menstruation with blood clots is possible, and pain may appear in the lower abdomen.
  • For a month after giving birth, a woman may experience huge clots coming out along with blood, which is normal. You should consult a doctor if your temperature rises: it is possible that fragments of the placenta remain in the reproductive organ.
  • Intrauterine device. In the presence of foreign body Blood clots may be released in the uterus during menstruation.
  • Endometriosis. It is characterized by the growth of the endometrium outside the inner layer of the uterus. At the same time, periods become painful, longer, irregular, and the amount of blood released increases.
  • Impaired functioning of the blood coagulation system. She begins to coagulate in the cavity reproductive organ, since factors that prevent hemocoagulation do not work.
  • Clots may appear during infectious diseases accompanied by an increase in temperature, for example during ARVI.
  • Malformations of the uterus. As a rule, they are genetically determined. These are pathologies such as intrauterine septum, uterine bend, double or unicornuate uterus and others. The formation of clots with such anomalies is explained by the fact that the exit of menstrual blood from the uterus is difficult due to the pathological structure of the organ, and coagulation begins in its cavity. In women with such defects, menstruation is usually quite painful.
  • Ectopic pregnancy. With this pathology, brown discharge, high fever, severe pain in a stomach.
  • Copious discharge of blood with clots may occur when infectious diseases pelvic organs.
  • The cause of such discharge may be an excess of vitamin B in the body.

When to see a doctor?


If large clots appear during menstruation, you should consult a gynecologist, especially if the discharge is heavy, prolonged and accompanied by pain.

You should not worry if your periods come regularly and there is no or moderate pain.

It is necessary to go to a gynecologist about clots during menstruation in the following situations:

  1. Menstruation lasts more than a week, the discharge is heavy.
  2. Pregnancy is planned and attempts are made to conceive. In this case, the discharge may indicate that the egg has been rejected and a miscarriage has occurred.
  3. Discharge during menstruation contains large clots with an unpleasant odor.
  4. A woman experiences severe pain during her period. This could be a sign inflammatory processes or hormonal disorders.

Finally

Small clots that come out during menstruation are normal. Every woman reacts very sensitively to any changes occurring in the body and will immediately notice if the nature of the discharge has changed. If the bleeding is profuse, the clots are large, there are a lot of them, and they are also accompanied by painful sensations that have not been observed before, you should definitely make an appointment with a gynecologist and be examined.