Blood clots came out during menstruation. How to Prevent Large Blood Clots During Menstruation

Over time, menstruation becomes something ordinary for every woman, something that comes once a month, and you just need to get through it. But when clots appear during menstruation and other changes, many women begin to sound the alarm.

Let’s figure out together whether it’s normal or pathological during menstruation, and at the same time decide what to do in such a situation.

Most women know that menstrual discharge is the secretion of the uterine gland and blood. In addition to these components, menstrual fluid contains pieces of the endometrium and vaginal epithelium.

When a woman moves, secretions and blood are released regularly. If the female body is at rest (sleeping, sitting, lying, etc.), then the blood begins to leave the vagina more slowly, collects there and coagulates. This is what causes clots to form during menstruation. These accumulations are waste material from the egg.

Basically, menstrual flow is heavy and thick because the enzymes responsible for thinning the blood do not have time to do their job. This is how clots appear during menstruation, a small amount of which in menstrual blood doctors consider normal.

Blood clots appear during menstruation and in those women who have inserted these clots. These clots are part of the egg that was fertilized, but are washed away during menstruation.

Along with not as much blood as it might seem at first glance. In addition, all of it is compensated by the body, so there cannot be much blood loss. The color of the clots is usually dark red, darker than menstrual blood.

But if the clots are abundant and are accompanied by pain, you should immediately consult a gynecologist, as these signs may indicate endometriosis. This is a female disease, the cause of which can be smoking, abortion, alcohol, hormonal imbalance, inflammatory processes in the female genital organs and much more. Blood clots after menstruation can also be a symptom of this disease. Only a doctor can recognize this disease with your timely visit. A timely analysis of smears, blood and urine taken from you, and an ultrasound examination will help the gynecologist correctly diagnose your disease, prescribe timely treatment and procedures so that deviations in your health do not become chronic. It is possible that a blood clotting test will also be needed. With early diagnosis of your disease, a complete cure can be guaranteed.

If the appearance of clots is also accompanied by a feeling of severe fatigue, heavy bleeding, and loss of strength, then your first step is to see a doctor for examination and examination.

The bend of the uterus, thrombosis, an excess of B vitamins can also cause bleeding during menstruation with clots.

If you suddenly have previously unseen clots during menstruation, similar to “liver”, an unpleasant odor, decreased performance, there is a reason to visit a gynecologist. After all, these signs can indicate a serious pathology of the body as a whole and the reproductive system in particular.

Clots during menstruation can also indicate a miscarriage in the early stages, when pregnancy is still difficult to determine. Then their color may be slightly yellow or gray, since the fertilized egg, which was rejected by the body, is released with the clots.

So, let's summarize our conversation. If your periods are regular, with small blood clots in the discharge, there is no need to ring the bell. You should consult a doctor if your period is accompanied by heavy bleeding, severe pain, irritability and fatigue.

In healthy women, the monthly cycle becomes regular on average 2 years after the start of menstruation and lasts from 21 to 30 days. The amount of blood released in the first days of a new cycle varies individually, but on average it is 50-70 ml. It is believed that if you have to change sanitary pads every 2-3 hours, then a woman loses a lot of blood during her period. The blood may be normal, but pathology cannot be ruled out.

Normal discharge does not have a distinct odor and is dark in color. Small amounts of thick fragments may be present in menstrual blood. The appearance of scarlet discharge should alert you.

Externally. But, in fact, this is accumulated blood or pieces of the exfoliated inner lining of the uterus - the endometrium. When they are small and the bleeding is not too painful, this is normal.

If a woman does not move for a long time, sits or lies, then the blood stagnates and begins to coagulate in the uterine cavity or vagina. After the woman stands up, a blood clot will come out. In this case, there is no reason for concern.

Pathological causes

The situation is completely different when, after the clots are released, the bleeding intensifies, the woman feels weakness and pain in the lower abdomen. This is a serious reason to see a doctor to find out why this is happening. After all, the appearance of such symptoms is characteristic of a number of diseases.

Poor clotting

One of them is poor blood clotting. With this pathology are observed. This condition can last up to 10 days every month and leads to anemia.

The main causes of poor blood clotting are:

genetic diseases - hemophilia, von Willebrand disease;
insufficient vitamin K content;
oncological and infectious diseases of the liver;
long-term use of antimicrobial drugs and anticoagulants;
low platelet count.

Endometrial hyperplasia

With this disease, the membrane lining the inside of the uterus, the endometrium, grows deep into the walls of the uterus or grows too much. Sometimes so much so that the process goes beyond the genital organ and spreads to neighboring ones.

The reasons that cause the appearance of endometrial hyperplasia are not fully understood. But it is believed that disorders of the hormonal and immune systems can provoke the appearance of this pathology. Frequent abortions and long-term use of intrauterine contraceptives, difficult labor, excess weight and “bad” heredity can lead to hyperplasia.

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Disturbances in the monthly cycle, which is observed in women suffering from endometrial hyperplasia, may be the first symptom by which a doctor suspects this pathology. Depending on the causes of the disease, periods either come after a long break or too often.

In the first case, the endometrium, which has grown over a long period, comes out in the form of large clots. In this case, the woman feels a sharp pain in the lower abdomen, often similar to labor pains. The discharge (except for large thick fragments) is liquid and much more abundant than in the normal state of the endometrium.

When the growth of the endometrium is uneven and focal in nature, then menstruation is quite scanty. This is explained by the fact that only areas of normal, unchanged endometrium are exfoliated and come out. In this case, spotting or heavy bleeding may appear in the middle of the cycle.

The reasons for the appearance of blood are various - strong physical exertion, careless sex. But due to the increased fragility of blood vessels with focal hyperplasia, bleeding can begin arbitrarily.

Condition after childbirth

Postpartum discharge in women is somewhat different from the usual menstrual discharge and is called lochia. Do not be alarmed if a large amount of blood comes out while breastfeeding your baby, when walking or after palpating the abdomen - the uterus contracts especially actively. on average up to 8 weeks and consist of:

blood cells;
plasma that is released from the injured surface of the uterus;
epithelium;
mucus.

The composition and intensity of lochia changes depending on how long ago the birth took place. In the first week they are heavy, similar to menstruation, and contain a lot of clots. The amount of blood released directly depends on how well the uterus contracts. In the first 7 days of the postpartum period, a woman can lose up to half a liter of blood.

Then the lochia acquire a red-brown tint, become denser and less abundant. At 4-5 weeks they are already dark brown and scanty. And finally, by week 8, the uterine mucosa is completely restored, and the discharge takes on the character of light mucus.

They have the same character as during physiological childbirth. But in this case, the woman should especially carefully monitor their intensity and color. If the amount of blood suddenly increases significantly, you should immediately consult a doctor. A post-operative suture can prevent the uterus from contracting normally, causing heavy bleeding.

It happens that after childbirth the placenta is not completely separated, the endometrium does not come out well, and the blood stagnates. In this case, the woman may feel severe weakness, dizziness, which is accompanied by high fever. This condition is a reason to immediately visit a gynecologist.

Hormonal imbalances

Among the reasons that cause the release of large amounts of blood during menstruation, hormonal imbalances in the body occupy a special place. They occur in women of different ages - both very young girls and mature ladies.

Disorders can be caused not only by reasons related to insufficient or excessive production of sex hormones - estrogen and progesterone. Malfunctions of the thyroid gland and adrenal glands also do not have the best effect on the female reproductive system.

The menstrual cycle often gets disrupted. Your period comes earlier than expected, or, conversely, with a significant delay. After a long break, women notice rather large clots in their menstrual blood. The discharge is abundant.

Hormonal imbalances cannot be ignored, hoping that “they will go away on their own.” They often become an impetus for the development of infertility, problems with pregnancy, severe anemia and cancer.

Anatomical abnormalities

- this is a phenomenon that is characterized by a non-standard location of the organ in the abdominal cavity. The body of the uterus is displaced posteriorly, to the left or right side. Often the bend is congenital, but can also occur as a result of previous diseases.

Congenital deformity is not a cause for concern. While acquired is accompanied by a whole set of unpleasant symptoms. Among them are cycle disturbances, pain in the lower abdomen during menstrual periods, weak or too abundant discharge. Menstruation does not pass without a large number of clots. These problems are associated with obstructed outflow from the uterine cavity.

Women with a septum in the reproductive organ experience the same unpleasant sensations. It appears as a result of a disturbance in the intrauterine period of development. In addition to problems associated with the menstrual cycle, this anomaly threatens the onset and normal pregnancy of a woman. This is why doctors advise getting rid of the septum surgically.

Anemia

Insufficient hemoglobin content in the blood – anemia. It can appear as a result of the harmful effects of various external factors on the body or develop after large blood loss.

The production of female sex hormones depends on the sufficient content of all necessary nutrients in the body. As soon as their concentration decreases, a process begins that negatively affects the functioning of the reproductive organs.

Affects the nature of the monthly cycle. It becomes shorter. When menstruation arrives, a woman feels especially bad - severe weakness, pain in the lower abdomen and lower back, shortness of breath even at rest.

The discharge these days is abundant (due to increased fragility of blood vessels), bright red in color (low number of red blood cells in the blood). In this case, a large number of clots come out. Menstruation with anemia lasts up to 7 days, and its intensity remains the same for almost the entire period.

From about 13 to 14 years old, girls begin menstruation. Bloody discharge recurs monthly and stops during pregnancy or with the onset of menopause. Their intensity depends on the individual characteristics of the woman and on the processes occurring in the body during the monthly cycle.

Sometimes liver-like clots appear with menstrual flow. Why do my periods come in clots? Is it necessary to treat the pathology?

What is menstruation and what does the discharge normally look like?

Menstruation, menstruation or regula is a period of a woman’s monthly cycle when the uterine layer is renewed and an unfertilized egg is expelled. At this time, a small amount of blood is released. Normally, up to 250 ml of blood comes out during the entire period.

The mechanism for the formation of blood clots lies in the specifics of the menstrual cycle. During the first period of the cycle, the hormone estrogen prepares the woman's reproductive organs for fertilization. Under its action, the endometrium of the uterus thickens.

If fertilization does not occur, the upper layer of the endometrium begins to peel off. During the detachment process, the integrity of the blood vessels is disrupted, causing blood to be released. Normally, the discharge is red or light burgundy. Along with the blood, an unfertilized egg, small clots of dried blood, and mucus are separated.

In the first day or two, blood is released little by little. It has a dark color. In the following days, the intensity of blood flow increases. By day 5–6 there is only spotting. It is considered normal if menstruation is not accompanied by severe pain, and the secreted clots are small in size and appear several times during menstruation.

Why do blood clots form?

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Small blood clots during menstruation are layers of the endometrium or caked blood pieces, since the blood does not come out immediately, some of it is retained in the uterus and coagulates. Sometimes the clots are large and are released continuously throughout the menstruation.

This phenomenon may indicate the development of pathology. Regulations that differ from previous ones should cause particular concern.

Individual structural features of the reproductive organs

In some women, heavy periods with clots are caused by congenital pathologies of the reproductive organs. Structural anomalies include:

Bicornuate uterus. With this deviation, the organ is divided into two cavities.
Unicornuate uterus. One of the fallopian tubes is missing or poorly developed.
Dividing the uterus into parts by a septum.
Curvature of the vagina and uterine cavity.
Underdevelopment of the reproductive organs (uterine cavity, vagina, cervix).

If the structure of the reproductive organs is abnormal, menstruation is accompanied by heavy bleeding with blood clots, pain in the abdominal area on different days of the cycle, and disruption of cyclicity. The atypical shape of the uterus leads to the fact that blood is not released from the cavity in time. Menstruation comes with clots that are released during uterine contractions.

The duration of regulation in the presence of congenital disorders usually exceeds 7 days. Pathologies reduce a woman’s ability to bear children. If structural anomalies prevent pregnancy, they are corrected surgically.

Gynecological pathologies

Gynecological pathologies are one of the most common reasons why menstruation comes with clots. They develop under the influence of various factors. The following reasons lead to diseases:

abortions;
violation of the integrity of the reproductive organ during caesarean section;
genetic predisposition;
colds;
failure to comply with hygiene rules;
early onset of sexual activity;
late birth;
bad habits;
poor nutrition;
stress.

Uterine fibroids

Many gynecological diseases at the initial stage do not have obvious manifestations. Most of them can be suspected by the way their periods go. The table lists the pathologies that cause menstruation with clots that look like pieces of liver.

Disease	Description	Associated symptoms
Endometriosis	Pathological growth of the inner layer of the uterus.	pain in the lower abdomen; excessive bleeding during menstruation; menstrual cycle disorder
Polyposis	Formation of growths - polyps - in the cavity and on the cervix.	irregular menstruation; pain during sexual intercourse; severe pain in the lower abdomen during menstruation
Myoma	A benign formation that develops in the uterine cavity. Capable of growing quickly and reaching large sizes.	sharp abdominal pain regardless of the period of the monthly cycle; menstruation takes a long time; increased urination; brown discharge after sexual intercourse; increase in abdominal volume with stable weight
Oncology	Degeneration of cells into a malignant tumor. In most patients, primary cancer develops in the cervix. If not treated promptly, it spreads to other reproductive organs.	At the initial stage it occurs without symptoms. Over time, brown, foul-smelling discharge, pain and discomfort appear during sexual intercourse.
Ovarian cyst	The appearance in the ovarian tissue of a cavity filled with liquid contents.	heaviness in the lower abdomen; painful spasms of the abdominal muscles; causeless increase in body temperature; nausea; change in the cyclicity of menstruation

Infectious diseases

The nature of the regulation can be affected not only by genital tract infections, but also by diseases affecting other organs and systems. Clots during menstruation appear due to:

Salpingitis. Inflammation of the fallopian tubes is caused by bacteria and fungi that enter the body during sexual intercourse or if the rules for gynecological procedures are not followed. Abundant regula is accompanied by itching in the perineum. Menstrual irregularities and increased bleeding occur when the disease becomes chronic.
Sexually transmitted diseases. Infectious pathogens affect the state of the reproductive system. Many of them lead to disruption of the ovaries, reduce the contractility of the uterus, and change the structure of the uterine tissue. Most infections are accompanied by additional symptoms: impaired sexual desire, discomfort during sex, foul-smelling discharge throughout the entire cycle, fatigue, irritability, and instability of body temperature.
Colds. During menstruation, clots of clotted blood come out during the acute course of ARVI and influenza. Viruses cause fever, which affects the blood's ability to clot and increase the circulation of blood fluid. After recovery, menstrual symptoms return to normal.

Contraceptives

Changes in the nature of discharge during menstruation are observed after taking hormonal contraceptives and installing an intrauterine device. Hormonal pills suppress the production of eggs and thicken the mucous secretion. Ovulation does not occur, which is why women do not get pregnant.

After stopping hormonal contraception, the body begins to produce hormones on its own. In the first months after withdrawal, there is a profuse release of blood and menstruation occurs in clots. However, if there are no other alarming manifestations, everything quickly returns to normal.

Very heavy bleeding and the appearance of pieces of blood are sometimes observed for 3 months from the date of installation of the intrauterine device. During this period, the reproductive organ adapts to the foreign body that has appeared. Menstruation lasts from 7 to 10 days. Some women notice bleeding mid-cycle.

After a few months, the discharge becomes less intense. However, for most women, periods do not return to the shape they had before the IUD was installed.

Miscarriage in early pregnancy

In the first weeks after fertilization, a woman may not be aware of the birth of a new life. If due to any factors the pregnancy is terminated, severe bleeding with clots and mucus will appear.

The bloody lump in this case is part of the expelled membrane. The clot has the shape of a ruptured bubble. Sometimes during menstruation it comes out in chunks. If the pregnancy is short, the uterus is able to cleanse itself.

However, sometimes particles of dead tissue remain in the body. In this case, after heavy bleeding, discharge with a strong unpleasant odor will appear. Signs of miscarriage:

periodic pain or sharp pain in the lower abdomen and lumbar region;
small reddish discharge, which quickly takes on the character of intense bleeding with chunks;
blood when urinating.

In most cases, early miscarriages do not cause complications. The causes of spontaneous abortion pose a great danger. However, sometimes the fertilized egg attaches outside the uterine cavity. A miscarriage during an ectopic pregnancy poses a threat to a woman’s life. With an ectopic abortion, the following symptoms are observed:

pain from the organ to which the embryo was attached;
dizziness;
loss of consciousness;
nausea and vomiting;
bloody discharge is not intense, but with particles of dead tissue;
the discharge is darker than with regulation;
Once bleeding occurs, it is difficult to stop.

Beginning of menopause (45–50 years)

Before menopause, the level of female hormones in a woman’s body decreases. The uterus loses the ability to quickly renew the epithelium. Changes in the body lead to irregular periods.

There is a delay in menstrual flow of several months. When they appear, they become intense. Due to irregular cleaning of the uterus from the epithelium, the bloody fluid contains a large amount of mucus - the internal epithelium of the uterus. The onset of menopause is also characterized by the following symptoms:

the frequency of menstruation increases to 50–90 days;
regulations do not last long;
nervousness appears;
sleep deteriorates;
disturbances in the functioning of the heart muscle and vascular system occur;
performance and ability to concentrate decreases;
unexpected attacks of heat (hot flashes) are observed.

Undesirable symptoms go away after the body is reconstructed and adapted to new conditions. However, the duration of the adjustment period is individual for all women.

Changes in hormonal balance

Hormonal balance is one of the main indicators of the well-being of a woman’s reproductive system. The frequency and nature of monthly discharge is influenced by estrogen and progesterone. The first hormone promotes the formation of the egg and the formation of a new layer of the endometrium of the uterus. The second is responsible for the processes that occur after the reproductive cell reaches the uterus.

If fertilization occurs, progesterone promotes pregnancy. In the event that the cell is not fertilized, the hormone initiates the onset of menstruation.

In case of a deficiency or excess of hormones, natural reproductive processes are disrupted, the monthly cycle is disrupted, and the volume and quality of discharge changes. With increased estrogen levels, an excess layer of the endometrium is formed, therefore the number and volume of mucous clots increases.

Lack of progesterone affects the ability to expel bleeding. They thicken and stand out in the form of dark clots. However, little blood fluid is produced. Excess progesterone leads to an increase in the intensity of menstruation.

Hormonal changes occur due to disruption of the adrenal glands, thyroid gland, brain and pituitary gland. Failures in the production of hormones lead to infertility, the formation of tumors, the development of chronic pathologies of internal organs, spontaneous abortions and premature births.

If blood clots come out during menstruation, then you need to find out why this is happening. This doesn't just happen normally. There are diseases that have such a symptom.

Why do some women experience blood clots during their periods?

Every change during menstruation is a cause for serious panic for most representatives of the fair sex. Many women, trying to answer the question of why during bleeding, without hesitation, resort to popular advice and independently “prescribe” themselves potent drugs. But often the causes of this condition do not require medical intervention.

characterized by a gradual increase in the uterine walls, which prepares the uterus for possible fertilization. If this does not happen, the resulting layer of endometrium is shed during menstruation. This is how bleeding occurs.

Blood clots during menstruation do not always signal danger. Most likely, the processes proceed as normal, and the woman does not need to worry. It also happens that the shade of menstruation, like the consistency, changes daily.

Blood clots during menstruation are released when a woman, after lying down or sitting, begins to move. The appearance of clots is explained by stagnation of blood, which forms when a person is in a static position for a long time. The blood coagulates and pieces of different sizes come out. This phenomenon is not considered pathological. The clots are usually dark red in color. It is somewhat different from .

Conclusion

Every woman who wants to understand the reason for the appearance of clots during menstruation should observe how the “critical days” proceed. Doctors recommend keeping a diary where you can “log” the presence of pain and other symptoms. This will help the doctor correctly diagnose and prescribe appropriate therapy.

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The menstrual cycle, as well as the density of discharge during menstrual periods, depends on many criteria, including the general condition of the woman’s body, its individual characteristics and age-related changes in hormonal balance. In any case, first of all you should be wary of various ailments of the genital area. If clots appear during menstruation, the discharge becomes more abundant, in addition, discomfort and other unpleasant symptoms arise, then their causes in most cases will be pathological. If large compactions of the uterine mucosa appear in menstrual discharge without additional signs, then this may well be a variant of the norm.

In this article, we will get comprehensive information about why blood clots come out during menstruation, what they are in principle, and what symptoms should not panic, and in what cases a consultation with a gynecologist is necessary.

How do your periods go?

It is customary to call the period between periods, that is, the time from the beginning of one period to the beginning of another. Normally it can last 28-31 days. For all women, the duration of the menstrual cycle is highly individual and may differ with age. At a younger age, the cycle is more regular, as it is controlled by sex hormones produced in the body.

The beginning of the cycle is characterized by the maturation of the follicle and the renewal of the inner mucous layer of the uterus, with pieces of tissue (endomentry) and menstrual blood coming out over the course of three to seven days. The next period of the menstrual cycle is accompanied by thickening of the endometrium and preparation of the follicle for rupture; this is the so-called proliferation phase, which lasts until the middle of the cycle, that is, until the follicle ruptures and the egg is released.

For some time, the reproductive cell remains in the fallopian tube awaiting fertilization, but if there were no favorable conditions and conception did not occur, then the production of sex hormones decreases, and the uterus begins to reject the inner lining. Thus, menstruation begins, and with it a new menstrual cycle. Normally, during menstruation, no more than 200 ml of blood should be released with particles of the endometrium and mucous tissue.

During menstruation, the body increases the production of special enzymes that slow down blood clotting and act as an anticoagulant. If, however, then an insufficient number of such enzymes is not able to cope with its task, which is why large clots arise. If a piece of endometrium up to 0.1 m long comes out with a glandular structure and a dark burgundy tint and with a metallic smell, then in this case there is no need to worry. If fever, pain, or huge clots appear, such discharge is very dangerous and requires immediate attention to a gynecologist.

Normally, large clots should not cause concern to a woman in the following cases:

age under 18 years;
if more than a month has passed since the birth of the baby;
if in the recent past there was an abortion, miscarriage, gynecological surgery or uterine curettage;
when using intrauterine methods of contraception;
with congenital abnormal shape of the uterus.

Is it normal to have clots?

In the absence of pathological processes, the secretions of regula have a mucous uniform consistency and a dark red tint. A variant of the norm may be small blood clots during menstruation and pieces of the uterine epithelium, but only in cases where the total volume of discharge during the menstrual period does not exceed 80-100 ml, there is no pain, no unpleasant odor, and their duration does not exceed a week.

Let's look at why periods come in clots in the absence of additional pathological symptoms:

menstrual blood coagulates and leaves the uterus in lumps in cases where there are scars and adhesions inside the organ that prevent the normal outflow of secretions;
The cause of clots during menstruation can be congenital bends or septa in the uterus or its cervix;
if a woman violates the drinking regime, protein products predominate in her diet, or kidney, liver or vascular diseases are diagnosed, then the blood may have increased viscosity, which can cause clots during regulation;
Clots during menstruation occur in women who remain in the same position for a long time. The blood accumulates, becomes thicker, and when you change position, blood clots come out;
Coagulant drugs, as well as hormonal drugs that reduce the duration and intensity of bleeding in the body, for example, nasal ones, can also cause the formation of blood clots during menstruation. As a side effect, during menstruation, due to these medications, blood clotting increases, and menstruation comes in chunks;
the intrauterine device, which serves as a method of contraception, can also cause menstruation with blood clots;
if a spontaneous abortion occurs in the first weeks of pregnancy, then after a short delay bleeding appears with clots, which are unevenly separated endometrium;

It is quite normal when clots are observed in the discharge, this may mean that the remains of the fertilized egg are being released. Also, the cause of abundant regulation after an abortion or childbirth is a hormonal imbalance. In addition, hormones regulate the production of enzymes that are responsible for blood clotting.

Menstruation with large clots can characterize various periods in a woman’s life, such as the onset of puberty, the first sexual experience, or the beginning. During these periods of time there may be an alternation of scanty and abundant discharge. If large clots come out after the daub, it means that a change in the structure of the mucous membranes is occurring.

Pieces of blood may appear in menstrual discharge after hypothermia, physical exhaustion and bad habits.

Pathological causes

There are pathological causes of menstruation with blood clots, let's look at the most common of them.

Hormonal imbalance due to diseases of the thyroid gland, adrenal glands, brain and pituitary gland. In this case, the regularity of the cycle may be disrupted, and menstruation may also occur with brown clots.
Uterine fibroids are a benign tumor, which is accompanied by disruptions in the menstrual cycle and large bloody clots during regular periods.
Endometrial hyperplasia is a pathological growth of the inner uterine layer caused by arterial hypertension, excessive body weight, diabetes and hormonal imbalances. This disease is characterized by the presence of black clots in the regula.
Menstruation with clots can also appear with endometrial polyposis, when a point proliferation of the inner uterine layer occurs, and with this disease severe pain in the lower abdomen occurs.
Lumpy periods can occur with endometriosis, a pathological growth of the inner layer of the uterus beyond its limits. In such cases, critical days drag on for a longer period, become irregular and painful, and also more abundant.
With blood pathologies that impair blood clotting, menstrual discharge can clot in the uterine cavity.
The appearance of clots in the regula is accompanied by infectious diseases, and they can also cause an increase in body temperature. An example is ARVI, influenza.
Genetic abnormalities in uterine development. These include intrauterine septa, bends, one or two-horned uterus, etc. The reason for the formation of large clots is the stagnation of secretions in the uterine cavity, the shape of which is changed. Usually with such pathologies.
If the fetus is ectopic, brown clots are released during menstruation against a background of elevated temperature and severe pain in the lower abdomen.
Infectious diseases of the pelvic organs cause inflammation in the uterine cavity, which changes the structure of its inner layer. Bacteria also poison the blood with their waste products, which change the viscosity and acidity of menstrual flow, causing the formation of clots.
Malignant tumors can cause not just regula, but heavy bleeding, so if you experience general malaise due to the release of large clots during menstruation, you should immediately go to a specialist.
Stagnation of blood in the uterus and heavy clots in menstrual flow can cause varicose veins of the small pelvis.
Excess of vitamin B.

Any reason for the appearance of clots in menstrual flow listed above is a reason to visit a gynecologist.

Signs of pathologies

If a woman’s discharge during menstruation usually has a uniform consistency, and when the next regular period comes, a large clot comes out, this should alert her in any case. But there are signs that, if they occur, you should immediately seek help from a doctor:

if there are not only periods with clots, but also dark spotting or white curdled discharge between critical days;
when the menstrual cycle is too short or too long, when less than 21 days or less than 35. It is also abnormal when the cycle is irregular and long intervals alternate with short ones;
when it exceeds 150-180 ml;
if menstruation lasts more than 8 days;
if the period is too dark in color, rotten or rotten fish, and also contains impurities of pus or white discharge;
if there is severe, unbearable pain in the lower abdomen.

In such cases, it is possible to determine why pieces come out during menstruation only after a gynecological examination and ultrasound of the pelvic organs. If necessary, the doctor may prescribe other tests and studies.

Treatment

If your period comes with bright scarlet clots, and there is enormous blood loss, you should immediately call emergency help. This may not be menstruation, but uterine bleeding, which is eliminated by completely removing the endometrium.

If you have discharge in the form of clots, what you definitely don’t need to do is self-medicate and use folk remedies to stop blood loss. Only a doctor can determine the cause of abnormal discharge and prescribe adequate treatment. In some cases, additional consultation with an endocrinologist may be necessary if the gynecologist suspects the presence of hormonal disorders in the body. And the presence of tumors in the uterine cavity may require a visit to an oncologist.

When using conservative therapy, the goal is to compensate for the lack of iron in the body caused by large blood loss. For this, vitamins and a special diet are prescribed, in which foods with a high iron content predominate in the diet. Bed rest is also indicated and medications may be prescribed to stop bleeding.

In severe situations, in the presence of internal septa, neoplasms or endometrial pathologies, surgical intervention such as curettage or hysteroresectoscopy may be necessary. The most radical method of treatment, which is used at the very last moment, is the complete removal of the uterus and appendages. This technique is used for malignant tumors in a neglected state, mainly for women who have already left the reproductive age.

Thus, if critical days are accompanied by the appearance of clots that do not cause pain or discomfort, then this may well be a variant of the norm. If the discharge is too large and is accompanied by pain, a strong odor and temperature, do not waste time that could be used for treatment, but consult a doctor immediately. Preventive gynecological examinations will allow timely detection of diseases of the reproductive system and prevent its development.