Can there be clots during menstruation? Are periods with blood clots considered normal?

Each menstrual cycle begins with the renewal of the uterus, which starts the process of preparing it for fertilization. The secretions are blood, endometrium and an unfertilized egg. The endometrium exfoliates from the wall of the uterus, and in this place a wound surface is formed, blood is released. In some women, menstruation is accompanied by the appearance of clots. Are such conditions dangerous? Not always. Sometimes this may not be a signal of the disease, but a feature of physiology. However, the occurrence of unusual spotting requires increased attention. Blood clots during menstruation - causes, limits of the norm, methods of elimination - we will consider further.

Normal menstrual flow

In addition to the endometrium, blood is present in the secretions. It remains liquid due to the active work of substances that prevent clotting - anticoagulants. If their work is disturbed, a woman can observe lumps called clots.

They appear with a long stay in a static position without changing position. Why do the clots come out in this position? Prolonged immobility provokes stagnation and blood clotting in the uterus, as a result of which they are formed. Clots are released after lying or sitting for a long time.

The average amount of discharge during critical days is from 80 to 150 ml. Such blood loss is considered normal and does not cause inconvenience. The duration of the entire menstruation is 5-6 days. Mild pain may occur on the first day of the cycle, but in the future there should not be any unpleasant symptoms. Is it normal to have clots during menstruation? If there is no deterioration in well-being during blood clotting, then they should not bother the woman.

Know! The most abundant blood discharge is observed on the 2nd-3rd day of the cycle. Later, the lesions on the uterine wall heal and stop bleeding as much.

Causes of clots

Clots are coagulated blood and in this state take on a dark red hue. In appearance, they resemble jelly, usually small in size - less than 10 mm. Usually their appearance does not affect the entire process of menstruation in any way: they do not make it more painful or longer.

There are a number of different reasons for the occurrence or intensification of this phenomenon, including:

Colds. With the development of flu and colds, as a rule, the body temperature rises, which leads to intense blood clotting.
The period of puberty. In adolescents, active hormonal changes are just beginning, which sometimes entails heavy bleeding. The peculiarity of this period is that such intense discharges are sometimes replaced by meager ones. It usually takes at least 2 years to stabilize the menstrual cycle.
Age changes. The condition of premenopause, which is characteristic of older women, can also affect the presence of clots in the discharge. During this period, this phenomenon occurs frequently.
Congenital pathologies. A bicornuate uterus and other anomalies of the reproductive system can cause blood stasis and increased blood clotting. Also during menstruation, the ability of the uterus to contract is disturbed, as a result of which the bleeding becomes stronger, and clots are observed in it. Due to anatomical features, they may be black.
Abortion. If the pregnancy is interrupted for some reason at 1-2 weeks, the fetal egg comes out at the first menstruation. At the same time, large clots are observed in the secretions, similar in consistency to the liver.
Blood diseases. Diseases contribute to an increase in blood viscosity, which interferes with its normal clotting.
Childbirth. After childbirth, copious blood discharge appears for 3-10 days and is accompanied by clots. Their size can be different: very small or huge. If they continue to stand out for a long time in large quantities, this is a reason to seek medical advice.

In addition to these causes, there are various diseases in which such a phenomenon would be considered an unfavorable symptom. To diagnose them, you need to contact a specialist, only he will be able to figure out the real reason for the appearance of clots. In addition, the doctor will determine if these symptoms are dangerous.

Know! The size of clotted blood can range from 2–4 mm to 12 cm.

Diseases that require mandatory treatment are:

Iron-deficiency anemia. The disease is characterized by a low amount of iron, which leads to a decrease in hemoglobin. The saturation of cells with oxygen decreases. As a result, a gradual decrease in working capacity, fatigue develops. Symptoms in a woman: weakness, nausea, a change in taste preferences, a tendency to frequent diseases. Iron deficiency anemia develops against the background of heavy painful menstruation. At the same time, blood with small clots (less than 4 cm) is observed in the discharge.
Myoma of the uterus. Nodules, which are benign tumors, form in the uterus and prevent the natural detachment of the endometrium. In women, severe bleeding is observed, there may be huge clots resembling the liver.
Endometriosis. A disease in which the endometrium grows in atypical places, which leads to severe pain. A characteristic feature of endometriosis is heavy periods, which are accompanied by clots from the first days.
Ovarian cysts. Expressed in painful sexual intercourse, lengthening of the entire menstrual cycle, irregular periods. If left untreated, a cyst can cause clots to form along with profuse bleeding, which means the disease is progressing.

Such pathologies with inadequate treatment or its absence can lead to serious consequences.

How to stop heavy periods

There are several ways to regulate the menstrual cycle. It:

oral contraceptives - when used, the duration of menstruation and the volume of blood loss are reduced;
hormonal pills - help to establish a cycle schedule, allow bleeding to pass faster and not so abundantly;
complete, proper nutrition;
active physical exercises;
regular sexual intercourse.

Important! If the appearance of clots is accompanied by pain, heavy menstrual bleeding, weakness, high fever, you should see a doctor.

When to See a Doctor

Consultation with a gynecologist is mandatory in the following situations:

There are a lot of discharges, and they continue to go for more than 7 days in a row;
bleeding did not open at the beginning of the cycle;
the smell becomes unpleasant and sharp;
there are attacks of tachycardia, shortness of breath;
weakness and constant fatigue appear;
there is a pronounced pain syndrome.

All these signs can be a signal of serious blood loss, so they require a quick visit to the doctor.

Important! Abundant prolonged bleeding, in which more than 150 ml of blood is lost, can be dangerous to the life and health of a woman.

If clots are observed in menstruation for a long time, you should not worry and make yourself a terrible diagnosis. This condition is often normal and does not require medical therapy. However, if the clinical picture is complemented by severe pain and other manifestations, a specialist consultation is required. Only he can prescribe the right treatment.

Menstrual flow is observed in every woman. They first appear at the age of 10-15 years, and end with menopause, which occurs at 45-55 years. Blood clots during menstruation, pulling pains in the lower abdomen and malaise are in most cases the norm. However, sometimes the condition acquires a pathological connotation. What menstruation looks like with pieces of the endometrium, you can find out by reading the photo:

Every woman needs to understand when bleeding with pieces of the intrauterine layer speaks of pathology. The sooner a disorder is detected, the easier it will be to treat. Changes in the menstrual cycle are an important wake-up call that should make a girl seek advice from an experienced doctor.

To notice the pathology, it is necessary to understand why pieces of the endometrium come out during menstruation. The inner layer of the uterus is the endometrium, which is functional. It grows, creating favorable conditions for a fertilized egg. If pregnancy does not occur, menstruation begins. Due to the contraction of the uterus, unnecessary endometrium is rejected along with bloody discharge. Within 3-5 days, the entire exfoliated layer will completely come out.

Two conditions speak of violations in the female body - the complete absence of clots and too large pieces of meat.

In the first case, we can conclude that the endometrium is underdeveloped and there may be problems with conception. In the second - about changes in the functioning of the reproductive system of women. Why this happens is difficult to say without a medical examination.

The most common reasons:

Hormonal imbalance. It is violations in the work of the endocrine system that most often cause exfoliation of the endometrium in large pieces. Improper production of hormones can lead to serious complications. Causes an imbalance of stress, nervous tension, fatigue. You can correct the situation if you eliminate irritants, sometimes hormone therapy is required.
The presence of the Navy. After the installation of an intrauterine device, designed to protect the body from pregnancy, the nature, color and smell of menstruation always changes, during menstruation, clots similar to meat or liver come out. This is due to the fact that the spiral does not always take root, in addition, it causes rejection of the egg.

Adhesion processes. They arise due to a violation of the structure of the walls of the uterus. If there are a lot of adhesions, this entails meager periods with clots. Often the pathology ends in infertility.
Endometriosis, endometritis, fibroids, hyperplasia. These pathologies are characterized by a change in the structure of the endometrium. When it is rejected and comes out with menstruation, large pieces are formed. These pathologies require serious treatment. Their danger lies in the absence of severe symptoms for a long time. Menstruation is the only way to suspect violations.

Childbirth, termination of pregnancy, abortion can also cause menstruation with clots and pieces of meat.

After an abortion, abundant discharge is the norm, but if their period exceeds 10 days or this symptom is associated with others (temperature, pain), you should consult a doctor urgently.

What to do

Discharge during menstruation, similar to pieces of meat, is an alarming symptom, so you should immediately go to the doctor. Only a gynecologist can determine the causes of this symptom. To do this, the specialist uses ultrasound data, the results of blood tests, smears. Sometimes a diagnostic hysteroscopy is performed, the biological material is taken for histological examination.

Further actions depend on the diagnosis. Initially, doctors prescribe medication. These can be hormonal drugs, enzymes, etc. In parallel, traditional medicine recipes (decoctions, infusions, douches) are used. If the conservative method is ineffective, the doctor will talk about surgical cleaning of the uterus.

Curettage is recognized as a simple surgical operation. During the procedure, the doctor, using an instrument, will detach the damaged areas of the endometrium or remove the entire functional layer.

More gentle methods designed to cope with intrauterine pathologies are:

laser ablation;

cryodestruction;

microcurrent therapy.

After any of the presented procedures, spotting is noted, which disappears within a week. Innovative techniques are safe, painless and have a minimum rehabilitation period. Menstruation after cleansing occurs in 28-35 days. To minimize the risks of complications, after the procedure, the doctor prescribes anti-inflammatory and antibacterial agents, a course of vitamins to the woman. All this is necessary to prevent infection and speed up recovery.

Poor women have to drop out of the normal rhythm of life every month for a week. This is due to the onset of critical days, i.e. menses. The phenomenon is unpleasant and causes a lot of problems, ranging from mild discomfort to quite noticeable sharp pains, when there is only one salvation - painkillers. The mood these days is at zero. You don’t want to do anything, and you don’t feel like seeing someone once again, especially when you are not in the best shape, and guests, as a rule, require attention. You won’t explain to everyone in detail why something is wrong with you today. But this phenomenon is normal and cannot be avoided. The menstrual cycle is a kind of barometer that clearly reacts and, if possible, signals any failure in a woman's body. This article will touch on the topic of deviations from the norm and reveal the reasons why blood clots come out during menstruation, as well as what you should pay attention to in the first place so as not to miss the presence of a serious disease in the body.

A little about the menstrual cycle

A woman's reproductive capacity and her health can be judged by her course. Normally it should be:

two-phase: uterine and ovarian;
blood loss should not exceed 150 ml;
in the normal course of menstruation there should not be any;
menstruation should go regularly;
the duration of menstruation is on average 4 days, deviations from 3-7 days are acceptable;
The duration of the cycle, from the first day of the previous to the first day of the next menstruation, is 21-25 days.

If we consider the whole picture of menstruation by day, then we can clearly follow the changes that occur in a woman's body during this difficult period for her. So:

The first day. On the first day, the rejection of the old endometrium begins, and it is also the beginning of menstruation. There may be pain or discomfort caused by uterine contractions.
Second day. The pain may continue. Heaviness in the abdomen is normal and should not be scared. The process of the birth of a new egg begins. At this time, there may be increased sweating, which is explained by changes in hormonal levels. The sebaceous glands begin to work hard, causing sweating and an unpleasant odor. At this time, it is especially recommended to observe the rules of personal hygiene.
Day three. The most dangerous day for the penetration of any kind of infections and bacteria into a woman's body. The endometrium is rejected. The tissues of the uterus did not have time to return to normal. Its surface is more like a small wound. It is recommended to refrain from sexual intercourse for the entire period while menstruation is in progress.
Day four. Feelings of discomfort subside. The mood is not so depressed. Sweating becomes less. The gasket does not have to be changed every three hours.
Day five. Usually the latter, but everyone is individual. The walls of the uterus are completely healed. The mood is high. There are almost no divisions.

Menstruation with clots: causes

One of the reasons for heavy periods with blood clots may be low hemoglobin. This may indicate the onset of iron deficiency anemia. Oxygen ceases to enter the cells in the required quantities, which leads to their starvation. Pronounced symptoms are weakness, loss of strength, pallor of the skin, a sharp drop in blood pressure. Hormones cease to be produced normally, the work of the hematopoietic organs goes astray. The normal composition of menstruation is disturbed. It becomes heterogeneous, with blood clots, which used to be an uncharacteristic phenomenon. Clots can signal hormonal disorders in the body or diseases of the reproductive organs.

Severe stress, mental disorders of the nervous system, emotional overstrain.
Deviation from the norm of the hormonal background. The slightest changes in the functioning of the endocrine system bring down the menstrual cycle. This leads to the appearance of clots and a change in the color of the discharge.
Previously transferred gynecological operations.
Exacerbation of chronic diseases of any organ.
Consequences of radiation exposure.
Congenital anomalies in the development of the genital organs.
Failure in diet: diets, therapeutic starvation, beriberi, obesity.
Infectious diseases of the pelvic organs and not only them.
oncological processes. Most often it is a fibroid, a benign formation. It can lead to a violation of the nature of the discharge and affect the duration of the cycle.
Hyperplasia of the inner layers in the uterus. This leads to the growth of the endometrium. Provoking factors are high blood pressure, overweight, diabetes, hormonal failure.
Polyps can form due to the overgrown endometrium. The signal is a pulling pain in the lower abdomen.
A sign of concern may be an increased body temperature, a sharp, intensifying pain, the discharge becomes brown in color.
Poor blood clotting.

Blood clots during menstruation: normal

Blood clots during menstruation do not necessarily indicate the presence of an inflammatory process in a woman's body. They can be the norm, but only if this phenomenon is not regular. It will be considered quite normal if clots in menstruation appear when:

The woman has recently given birth. Three to four weeks after childbirth is necessary for the uterus to fully recover and return to normal. During this period, you can see blood clots in the discharge and you should not be afraid of them. However, if they are accompanied by fever, general weakness, then you should consult a doctor to exclude the possibility of placental remains in the uterus;
It can cause ectopic bleeding with blood clots. If at the same time there are no pains, poor health, discomfort, then there is no reason for concern. If the coil is causing concern, then you can ask your doctor to replace it with another method of contraception;
Sudden change in body position. When a woman gets up after sitting in one place for a long time, or after lying down, takes a standing position;
After suffering infectious diseases. Clots are the result of increased body temperature, and you should not attach importance to them. The next cycle should proceed normally, already without them;
When taking medications for a long time, without observing the prescribed dosage;
Bad habits: alcohol, smoking, drugs can lead to discharge with clots;
Abortion. The body needs a long time to fully recover after an abortion. In the discharge, clots may be present for some time;
Abnormal position of the uterus (congenital).

Reason to see a doctor

There may be several reasons to sound the alarm and run for a consultation with a gynecologist due to blood clots during menstruation:

If bleeding continues for more than a week and is very intense;
Unpleasant smell of discharge.
Severe, sharp pains that do not subside even with the help of painkillers.
If bleeding occurs several times per cycle.
Very large clots.
Pallor of the skin, loss of strength, apathy, shortness of breath, increased heart rate.
Increased body temperature.
If a .

Diagnostic methods

If your inner intuition tells you that something is wrong in the body, it is better to consult a doctor. Clots clots strife. At the first visit to the gynecologist, the doctor will collect complete information about you. Find out how the pregnancy proceeded, whether there were abortions or not, what diseases the woman suffered or suffers at the moment. Have you been on any medications lately? Often it is they who give a similar reaction in the form of blood clots in menstruation. During the examination, the doctor will definitely reveal whether the structure of the internal and external genital organs in a woman is normal or abnormal, with pathologies.

The next step will be the appointment by the doctor of the following procedures:

Blood sampling to determine the presence of bacteria and infections. To determine the level of hormonal levels;
for culture of the vaginal microflora.

If the gynecologist sees that the matter is more serious than he thought, then most likely the matter will not be limited to the usual procedures, and he will prescribe additional ones. Most often, this is hysteroscopy and diagnostic laparoscopy with tissue biopsy.

Treatment, as a rule, is medication and is selected individually, taking into account the physical characteristics of the patient and on the basis of the tests obtained.

If the disease is not amenable to medical treatment, then surgical intervention will be required. Hormone therapy will be prescribed to prevent relapse. This scheme is used for fibroids and polyps.

If blood clots are caused by the presence of infections and bacteria, then antibiotic therapy will be prescribed, in parallel with which physiotherapy will be carried out.

If blood clots are caused by a malfunction in the endocrine system, then specific treatment will be carried out. In the event that the required level of the hormone is not enough, it will be replenished with a synthetic analogue. With an excess of hormones, drugs will be prescribed to reduce and suppress their activity.

Gynecological diseases such as endometriosis and hyperplasia involve the complete curettage of overgrown layers of the endometrium. Further, treatment is mandatory, aimed at adjusting the hormonal background. If a woman does not have immediate plans to become a mother, then hormonal contraceptives will be prescribed or an intrauterine device will be suggested. This limits the growth of the endometrium. It will not build up and therefore blood clots will not collect.

In conclusion, I would like to add that it is necessary for any woman to make it a rule to visit the antenatal clinic regularly, and not to wait until she presses and the disease has time to acquire a chronic form or will be a pathology. The main thing to remember is that clots are not always a cause for panic. They may be normal and not cause harm. To make sure that they do not pose a serious danger, and you have no reason to worry, it is best to undergo a full examination. This will help to avoid serious diseases, which have unfortunately become more frequent in recent years. You should not treat your health carelessly and even more so save on it, because life, alas, is one.

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

In some cases, a woman may notice that blood comes out of the vagina with blood clots that look like pieces of the placenta. Such a symptom can be a manifestation of very serious diseases that require complex and urgent treatment (and sometimes surgery), or a physiological norm, so it is important to be able to distinguish normal discharge from pathological signs.

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

Thickening of the menstrual fluid can also occur with insufficient activity of anticoagulant enzymes, as well as in cases where a woman leads an insufficiently active lifestyle that contributes to stagnation of blood circulation in the pelvic organs. This situation is typical for women who hold office positions, are overweight, limiting the degree of mobility, or suffering from chronic disorders of the endocrine system. For the same reason, blood clots during menstruation can be observed in women who have undergone surgery or injury and are temporarily restricted in movement.

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

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

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

Uterine diseases are the most extensive group of gynecological pathologies. Almost always, violations in the work of the organ are accompanied by a change in the hormonal background, therefore, in addition to standard diagnostic methods, a woman can undergo diagnostic curettage using a curette (a more gentle method is vacuum aspiration) followed by a histological examination of the collected material in order to determine the hormonal background and exclude tumor processes.

The most common pathology of the uterus, various forms of which are diagnosed in every fifth woman aged 20 to 50 years, is uterine fibroids. Fibroids are formed by cells of the myometrium (the muscular layer of the uterus), can have a diffuse or nodular form and proceed without any symptoms for several years. Myoma refers to benign tumors, so in most cases, doctors choose expectant tactics with careful observation of the patient and control of changes in the myomatous nodes.

Symptoms of this type of tumor are rather poor and may include the following symptoms:

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

Another reason associated with the functioning of the uterus and capable of causing premature blood clotting is congenital malformations of the uterus. They are formed during fetal growth and development, most often due to a genetic factor, but in some cases they can be a complication of inhalation or consumption of toxic products. Most often in girls and girls there is a bending of the uterus, in 90% of cases leading to the inability to bear a child while maintaining the full volume of reproductive functions, as well as an intrauterine septum - a defect often associated with abnormal development of the renal system.

With these defects, the free exit of blood from the body of the uterus is difficult, which leads to its stagnation and the formation of small clots. The treatment of these defects is carried out only in foreign clinics, but is inaccessible to most middle-class women due to the very high cost.

Pathologies associated with conception and pregnancy

An ectopic pregnancy is a severe pathology that can lead to profuse bleeding and the development of a generalized inflammatory process. It can develop even in absolutely healthy women, but the main risk group includes patients who are obese, diabetic, and have a history of abortion and miscarriage.

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

bleeding with an admixture of blood clots;
sharp, sharp, severe pulling pain in the lower abdomen;
temperature rise to 38.5 ° and above;
vomit.

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

Blood clots after insertion of an intrauterine device

An intrauterine device is a type of hormonal contraceptive that is installed inside the uterus around its cervix and is made of copper or plastic. Despite the fact that the installation of the product does not apply to traumatic procedures, after it, slight bleeding may occur, which normally disappear within 3-5 days. If this does not happen, the bleeding becomes profuse, and during menstruation blood clots began to stand out from the vaginal tract, the spiral should be removed.

It is also necessary to remove the product if side effects appear: itching, burning, headaches, skin rashes and other symptoms described in the instructions for use. Such women should consult their gynecologist about more suitable methods of contraception.

Endometrial diseases

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

If the endometrial tissues become inflamed, the woman is diagnosed with endometritis. The disease is dangerous due to the rapid growth of pathogenic flora inside the uterus and the spread of infection to other organs of the small pelvis. The symptoms of any pathologies of the endometrium are almost always the same and include the following signs:

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

Treatment of endometrial diseases

Treatment of endometrial pathologies includes diagnostic curettage of the uterus, as well as taking medications used in standard treatment regimens. It is impossible to use them without a doctor's prescription, as there may be individual contraindications.

Drug group	What medicines to take?	Image
Antispasmodics to relax the muscles of the uterus, eliminate spasms and pain	"Drotaverine" "Papaverine" (mainly rectally)
Oral contraceptives with different levels of estrogens and progesterone for hormonal correction	"Chloe" "Janine" "Diane-35"
Anti-inflammatory drugs (for endometritis)	"Ibufen" "Ketorolac"
Antibiotics and antimicrobial agents for the prevention of complications and secondary infection	"Amoxicillin" "Tetracycline" "Cefazolin" (in severe cases)
Iron preparations with heavy blood loss for the prevention and treatment of anemia	"Ferrum Lek"

If a woman's health is in order, but menstruation is still accompanied by the release of clots, it is necessary to take tests for blood clotting, as well as determine the level of B vitamins in the body. With their excess, blood clotting increases, which increases the risk of uterine vein thrombosis, so this condition also requires medical correction. A large amount of vitamins of this group is found in rye and peeled flour, whole varnishes, legumes, as well as liver, eggs and many vegetables and fruits.

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

The menstrual cycle of different women has its own characteristics. Sometimes menstruation with clots is observed, but girls do not always pay attention to this. And, by the way, this can be associated with serious pathologies. However, it is likely that there is no reason to panic. But to make sure of this, you still need to visit a gynecologist.

Causes of clot formation

If you were frightened by such a phenomenon, or, on the contrary, you were indifferent to it, this does not mean that you should leave everything to chance. When menstruation is observed with blood clots, the reasons can be very diverse.

1. The main reason requiring mandatory surgical intervention is congenital or acquired pathology of the uterus . Both at birth and after an abortion, a septum can form on the organ that overlaps the neck. This barrier prevents blood from flowing freely, delaying secretions. The blood that accumulates in the septum coagulates. This is one of the common reasons why menstruation clumps.

Such an anomaly can develop as a result of alcohol and cigarette abuse, as well as due to nervous strain. Among the pathologies of the development of the uterus, there are: a bifurcation of the organ itself or the neck, a rudimentary horn, etc. Only a specialist after ultrasound or hysteroscopy can diagnose an anomaly.

2. Long periods with blood clots can be due to hormonal imbalance . Most often, pathologies in the work of the brain, thyroid gland, adrenal glands and ovaries lead to this. It is the abnormal amount of hormones that provokes the abundant growth of the inner layer of the uterus. As a result, excess tissue is shed and comes out with the blood in the form of clots. Only an endocrinologist can make a diagnosis of "hormonal failure". So do not delay going to the doctor, even if you are having periods with blood clots without pain.

3. Very often the cause of this phenomenon is intrauterine device . Contrary to popular belief about its safety, this method of contraception is far from harmless. Firstly, the spiral, like any foreign body, can be rejected by the uterus. Secondly, it is an abortive contraceptive. That is, it does not protect against pregnancy, but causes an early miscarriage. If you put a spiral and after a while you started menstruating with brown blood clots, you should know that the fetus may come out. Imagine how many mini-abortions the helix causes in a year. Many women, resorting to this method of contraception, complain of heavy and frequent menstruation.

4. endometriosis often accompanied by pain and blood clots. It is worth suspecting the disease if menstruation with clots comes after scraping. Although endometriosis can occur on its own. It is quite difficult to diagnose, especially if there are no prerequisites (abortion, miscarriage, etc.). Therefore, if you constantly feel discomfort on critical days, accompanied by profuse bleeding, immediately contact a gynecologist and undergo a complete examination. Believe me, the disease is easier to eliminate in the bud than to resort to heavy hormonal drugs and surgery.

5. After abortion and childbirth period with clots is the norm. It will pass by itself. You just need to pay attention to the color and consistency of the discharge. If they are shaped like flakes with uneven edges, have a bright red, brown or brown color, and are also accompanied by painful spasms, you should urgently go to the doctor. It is impossible to stop menstruation on your own or rely on chance in such a situation.

I would like to say one more thing - menstruation itself with blood clots, but without pain, is not a pathology. In healthy women, clots form at the end of the cycle, as the blood clots and flows less intensely.

Manifestation of abnormal secretions

How to distinguish normal menstruation with clots from pathology? If you are not regularly observed by a gynecologist or endocrinologist, it is almost impossible to do this on your own. Especially if the menstruation is painless. In addition, in order to suspect something is wrong, you must have the prerequisites.

For example, if you recently had an abortion, suffered a miscarriage or childbirth, put a spiral, you can guess what could be causing the deviations. In the same way, you will understand why menstruation comes with clots if you see an endocrinologist and know that you have problems with hormones.

But endometriosis and uterine pathology are unlikely to be suspected on their own. And even a doctor will not be able to determine these diseases “by eye”.

Therefore, if something bothers you and even if you are healthy, do not forget to visit the gynecologist as planned. This way you will minimize the risk.

How is it treated

Since there are several factors that cause menstruation with clots, the treatment for each patient is selected individually.

When it comes to serious anomalies in the structure of the uterus, the only way out is surgical intervention. Sometimes women refuse the operation, citing the fact that nothing bothers them. But the absence of painful symptoms is not all. With pathology of the septum of the cervix and body of the uterus, the risk of infection and inflammation of the organ increases. And this is fraught with serious consequences, up to its removal.