Blood clots came out during menstruation. How to prevent large blood clots during your period

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

Let's figure it out together, during menstruation - is this the norm or a pathology, and at the same time decide what to do in such a situation.

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

When a woman moves, secretions and blood are regularly shed. 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. From this, clots are formed during menstruation. These accumulations are the waste material of the egg.

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

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

Together with not so much blood as it might seem at first glance. In addition, all of it is compensated by the body, so there can be no large blood loss here. The color of the clots is usually dark red, more intense than menstrual blood.

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

If the appearance of clots is also accompanied by a feeling of severe fatigue, severe bleeding, 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 the "liver", an unpleasant smell, decreased efficiency, 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 an early miscarriage, when pregnancy is still difficult to determine. Then their color may be slightly yellow or gray, since the fetal egg comes out with clots, which the body has rejected.

So let's sum up our conversation. If your periods are regular, with small blood clots in the discharge, you should not ring the bell of concern. A doctor should be consulted if menstruation is accompanied by heavy bleeding, severe pain, irritability and fatigue.

In healthy women, the monthly cycle becomes regular on average 2 years after the onset of menstruation and lasts from 21 to 30 days. The amount of blood released in the first days of a new cycle is individual, 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. With blood, it can be normal, but pathology cannot be ruled out.

Normal secretions do not have a pronounced odor, they are dark in color. A small amount of thick fragments may be present in menstrual blood. The appearance of scarlet discharge should alert.

Outwardly. But, in fact, it is the 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, then this is normal.

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

Pathological causes

The situation is quite different when, after the release of clots, 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 a month and leads to anemia.

The main causes of poor blood clotting are as follows:

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

endometrial hyperplasia

With this disease, the membrane lining the uterus from the inside - 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 the neighboring ones.

The causes 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, severe childbirth, overweight and “bad” heredity can lead to hyperplasia.

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

In the first case, the endometrium that has grown over a long period comes out in the form of large clots. At the same time, a woman feels a sharp pain in the lower abdomen, often it looks like 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, has a focal character, then menstruation is rather scarce. This is due to the fact that only areas of normal, unchanged endometrium exfoliate and come out. In this case, in the middle of the cycle, spotting or heavy bleeding may appear.

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

Condition after childbirth

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

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

The composition and intensity of lochia varies depending on how long ago the birth was. In the first week they are profuse, like menstruation, they have many clots. The amount of blood released directly depends on how well the uterus contracts. During 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 hue, become thicker and less plentiful. At 4-5 weeks they are already dark brown and scarce. And, finally, by the 8th week, the uterine mucosa is completely restored, and the discharge takes on the character of light mucus.

They have the same character as in physiological childbirth. But in this case, a woman should especially carefully monitor their intensity and color. If the amount of blood suddenly increased significantly, you should immediately consult a doctor. Postoperative suture may interfere with the normal contraction of the uterus, which causes severe bleeding.

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

Hormonal imbalances

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

Violations can be caused not only by causes associated with insufficient or excessive production of sex hormones - estrogen and progesterone. Malfunctions in the work of the thyroid gland, adrenal glands also affect the female reproductive sphere not in the best way.

Often the menstrual cycle is interrupted. Menstruation comes earlier than expected, or, conversely, with a significant delay. After a long break in the menstrual blood, women notice rather large clots. The allocations are plentiful.

Hormonal disorders should not be ignored, hoping that "it will pass by itself." Often they become an impetus for the development of infertility, problems with pregnancy, severe anemia and cancer.

Anatomical anomalies

- 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 due to past diseases.

Congenital bending is not a concern. While acquired is accompanied by a whole set of unpleasant symptoms. Among them are a violation of the cycle, soreness in the lower abdomen on critical days, weak or too abundant discharge. Menstruation does not pass without a large number of clots. These problems are associated with difficult outflow from the uterine cavity.

The same discomfort is experienced by women with a septum in the reproductive organ. It appears as a result of a violation in the prenatal period of development. In addition to the problems associated with the menstrual cycle, this anomaly threatens the onset and normal bearing of a woman's pregnancy. Why do doctors advise getting rid of the septum surgically.

Anemia

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

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

Affects the nature of the monthly cycle. It becomes shorter. When menstruation comes, a woman feels especially bad - there is 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 lasts up to 7 days with anemia, and their intensity remains the same for almost the entire period.

Around the age of 13-14, girls begin menstruating. Bleeding is repeated 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 periods go in clots? Is it necessary to treat pathology?

What is menstruation and what does normal discharge look like?

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

The mechanism of 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 top layer of the endometrium begins to flake off. In the process of detachment, the integrity of the blood vessels is violated, so blood is released. Normal discharge is red or light burgundy. Together with the blood, an unfertilized egg, small clots of clotted blood, and mucus are separated.

In the first day or two, the blood is released little by little. It has a dark color. In the following days, the intensity of the blood output increases. By day 5-6 there are 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 lingers in the uterus and clots. Sometimes the clots are large and stand out constantly throughout the menstruation.

This phenomenon may indicate the development of pathology. Of particular concern should be the regulations that differ from the previous ones.

Individual features of the structure 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.
Unicorn uterus. One of the fallopian tubes is absent or poorly developed.
The division of the uterus into parts by a septum.
Curvature of the vagina and uterine cavity.
Underdevelopment of the reproductive organs (uterine cavity, vagina, cervix).

With an incorrect structure of the reproductive organs, menstruation is accompanied by profuse bleeding with blood clots, pain in the abdomen on different days of the cycle, and a violation of the cycle. The atypical shape of the uterus leads to the fact that the blood is not released from the cavity in time. Menstruation comes with clots that come out with uterine contractions.

The duration of the 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 causes lead to diseases:

abortions;
violation of the integrity of the reproductive organ during cesarean section;
genetic predisposition;
colds;
non-observance of hygiene rules;
early onset of sexual activity;
late birth;
bad habits;
malnutrition;
stress.

uterine fibroids

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

Disease	Description	Associated symptoms
endometriosis	Pathological growth of the inner layer of the uterus.	pain in the lower abdomen; copious discharge of blood during menstruation; violation of the monthly cycle
Polyposis	The formation of growths in the cavity and on the cervix - polyps.	irregular menstruation; pain during intercourse; severe pain in the lower abdomen during menstruation
Myoma	A benign formation that develops in the uterine cavity. Able to grow quickly and reach large sizes.	sharp pains in the abdomen, regardless of the period of the monthly cycle; menstruation is long; increased urination; brown discharge after intercourse; increase in abdominal volume at a stable weight
Oncology	Degeneration of cells into a malignant tumor. In most patients, primary oncology develops in the cervix. With untimely treatment, it spreads to other reproductive organs.	At the initial stage, it proceeds without symptoms. Over time, brown fetid discharge, pain and discomfort during intercourse appear.
Ovarian cyst	The appearance in the tissues of the ovary 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 menstrual cycle

Infectious diseases

The nature of the regulation can be affected not only by infections of the genital tract, 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 intercourse or if the rules for gynecological procedures are not followed. Abundant regulation accompanied by itching in the perineum. Violation of the menstrual cycle and increased bleeding occurs 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, change the structure of the uterine tissues. Most infections are accompanied by additional symptoms: a violation of sexual desire, discomfort during sex, fetid discharge throughout the cycle, fatigue, irritability, instability of body temperature.
Colds. During menstruation, clotted blood clots come out in the acute course of SARS and influenza. Viruses cause fever, which affects the ability of the blood to clot and increase the circulation of blood fluid. After recovery, menstrual manifestations return to normal.

Contraceptives

A change in the nature of discharge during menstruation is 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 giving up hormonal contraception, the body begins to produce hormones on its own. The first months from the moment of cancellation, there is an abundant release of blood, menstruation comes in clots. However, if there are no other disturbing manifestations, everything quickly returns to normal.

Very severe bleeding and the appearance of pieces of blood is 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 spotting in the middle of their cycle.

After a few months, the discharge becomes less intense. However, for most women, menstruation does not return to the form that it was before the installation of the spiral.

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 interrupted, strong bloody discharge with clots and mucus will appear.

The bloody lump in this case is part of the exiled fetal membrane. The clot has the form of a broken bubble. Sometimes during menstruation it comes out in chunks. If the gestation period is short, then the uterus is able to cleanse itself.

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

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

In most cases, early miscarriages do not cause complications. The most dangerous are the causes of spontaneous abortion. However, sometimes the fetal egg is attached outside the uterine cavity. A miscarriage during an ectopic pregnancy is 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;
spotting is not intense, but with particles of dead tissue;
the discharge is darker than with the regulations;
if 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 a violation of the frequency of menstruation.

There is a delay in menstrual flow of several months. When they appear, they take on an intense character. Due to the irregular cleaning of the uterus from the epithelium, the bloody fluid contains a large amount of mucus - the inner 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 worsens;
there are violations of the heart muscle and vascular system;
reduced efficiency and ability to concentrate;
Sudden hot flashes (hot flashes)

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

Change 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 an 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 lack or excess of hormones, natural reproductive processes are disturbed, the monthly cycle is lost, the volume and quality of secretions change. With an increased level of estrogen, an excess layer of the endometrium is formed, therefore, the number and volume of mucous clots increase.

Lack of progesterone affects the ability to expel blood secretions. They thicken and stand out in the form of dark clots. However, little blood 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 happens. This doesn't just happen normally. There are diseases that have such a symptom.

Why do some women have blood clots during their period?

Every change during menstruation is a cause for serious panic for most of the fair sex. Many women, trying to answer the question of why during the blood, without hesitation, resort to folk advice, independently “prescribe” potent drugs for themselves. 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 the endometrium is rejected during menstruation. This is how bleeding occurs.

Blood clots during menstruation do not always signal danger. Most likely, the processes proceed in accordance with the norm, 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 justified by stagnation of blood, which is formed when a person is in a static position for a long time. The blood coagulates, 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 watch how the “critical days” pass. Doctors recommend keeping a diary where you can “record” the presence of pain and other symptoms. This will help the doctor to correctly diagnose and prescribe appropriate therapy.

Recommend related articles

The menstrual cycle, as well as the density of secretions during critical days, depends on many criteria, including the general condition of the woman's body, its individual characteristics and age-related changes in hormonal balance. With any, first of all, one should be wary of various ailments of the genital area. If clots appeared during menstruation, the discharge became more abundant, in addition, discomfort and other unpleasant symptoms arose, then their causes in most cases will be pathological. If large seals of the uterine mucosa in menstrual flow appear without additional signs, then this may well be a variant of the norm.

In this article, we will just get comprehensive information about why blood clots come out during menstruation, what it is in principle, and for which symptoms you should not panic, and in which cases you need to consult a gynecologist.

How are periods

It is customary to call the period between the rules, that is, the time from the beginning of one period to the beginning of others. Normally, it can last 28-31 days. In all women, the duration of the menstrual cycle is purely individual and may differ with age. At a younger age, the cycle is more regular, because it is controlled by the 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, while pieces of tissue (endometrium) and menstrual blood come out for three to seven days. The next period of the menstrual cycle is accompanied by endometrial compaction 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 germ cell is in the fallopian tube in anticipation of 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 membrane. Thus, menstruation begins, and with it a new menstrual cycle. Normally, during menstruation, no more than 200 ml of blood with particles of the endometrium and mucous tissue should be released.

During menstruation, the body increases the production of special enzymes that slow down blood clotting and act as an anticoagulant. If , then an insufficient amount of such enzymes is not able to cope with its task, which is why large clots appear. If a piece of endometrium up to 0.1 m long comes out with a glandular structure and a maroon hue and with a metal smell, then in this case it is not gentle to worry. If there is a temperature, pain syndrome or huge clots, such discharge is very dangerous and requires immediate contact with a gynecologist.

Normally, large clots should not cause concern for a woman in such cases:

age up to 18 years;
if more than a month has not 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 a congenital abnormal form of the uterus.

When clots, is it normal?

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

Consider why menstruation goes 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 partitions in the uterus or its neck;
if a woman violates the drinking regime, protein products predominate in her diet, or diseases of the kidneys, liver or blood vessels are diagnosed, then the blood may have increased viscosity, which can cause clots in the regulation;
clots during menstruation occur in women who are in the same position for a long time. Blood accumulates, becomes thicker, and when you change your posture, blood clots come out;
coagulant drugs, as well as hormonal agents that reduce the duration and intensity of bleeding in the body, such as 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 goes in pieces;
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 represent an unevenly separated endometrium;

It is quite normal when clots are observed in the discharge, this may mean that the remnants of the fetal egg come out. Also, the cause of abundant regulation after an abortion or childbirth is 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 onset. During these periods of time, there may be an alternation of meager and abundant secretions. If large clots come out after the daub, it means that there is a change in the structure of the mucous membranes.

In menstrual flow, pieces of blood may appear after hypothermia of the body, with physical exhaustion and the presence of bad habits.

Pathological causes

There are pathological causes of menstruation with blood clots, consider the most common of them.

Hormonal failure due to diseases of the thyroid gland, adrenal glands, brain and pituitary gland. In this case, the regularity of the cycle may be disturbed, as well as menstruation with brown clots.
Uterine fibroids is a benign tumor, which is accompanied by disruptions in the menstrual cycle and large blood clots during regular periods.
Endometrial hyperplasia is a pathological growth of the inner uterine layer caused by arterial hypertension, excessive body weight, diabetes mellitus and hormonal disruptions. This disease is characterized by the presence of black clots in the regulation.
Menstruation with clots can also appear with endometrial polyposis, when there is a point growth of the inner uterine layer, and with this disease there are severe pains in the lower abdomen.
Menstruation with pieces can go with endometriosis, a pathological growth of the inner layer of the uterus beyond its limits. In such cases, the critical days drag on for a longer period, become irregular and painful, and also more abundant.
With blood pathologies that disrupt its coagulability, menstrual flow can clot in the uterine cavity.
The appearance of clots in the regulation is accompanied by infectious diseases, and body temperature may also rise with them. An example is SARS, 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.
With an ectopic location of the fetus, brown clots are released during menstruation against the background of fever 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 products of their vital activity, which change the viscosity and acidity of menstrual flow, causing the formation of clots.
Malignant tumors can cause not just regules, but heavy bleeding, therefore, if there is a general malaise against the background of the release of large clots during menstruation, you should immediately go to a specialist.
Stagnation of blood in the uterus and copious clots in menstrual flow can cause varicose veins of the small pelvis.
An excess of vitamin B.

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

Signs of pathologies

If a woman during menstruation usually has a homogeneous consistency, and at the onset of the next regulation a large clot came out, this should alert her in any case. But there are signs, in the manifestation of which you should immediately seek help from a doctor:

if there is not only menstruation with clots, but also dark smearing or white curdled discharge between critical days;
with a too short or too long menstrual cycle, when, than after 21 days or less often than after 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 menstruation is too dark, 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 the 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 menstruation comes with clots of bright scarlet color, and at the same time there is a huge blood loss, you should immediately call for emergency care. This may not be menstruation, but uterine bleeding, which is eliminated by the complete removal of the endometrium.

In the presence of secretions in the form of clots, what you definitely do not 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, an additional consultation with an endocrinologist may be necessary if the gynecologist suspects the presence of hormonal disorders in the body. And the presence of neoplasms in the uterine cavity may require a visit to an oncologist.

When using conservative therapy, the task 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 medication may be prescribed to stop bleeding.

In severe situations, in the presence of internal partitions, neoplasms or pathologies of the endometrium, 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 bring pain or discomfort, then this may well be a variant of the norm. If the discharge is too large and accompanied by pain, pungent odor and temperature, do not waste time that can be used for treatment, but immediately consult a doctor. Preventive gynecological examinations will allow timely detection of a disease of the reproductive system and prevent its development.