Large blood clots. Clots during menstruation: an alarm? Anomaly in the development of the uterus

Are clots during menstruation normal or a symptom of some gynecological or other kind of pathology? This complaint is very common in women of all ages. But the doctor is unlikely to be able to talk about any specific reasons why blood clots come out during menstruation without conducting at least a small examination and questioning. The fact is that moderate-sized clots, less than 2 cm, if there are a small number of them, can be a variant of the norm, this is nothing more than endometrial tissue that exfoliates from the uterus. But the alarm should be caused by abundant blood clots during menstruation, larger than 2-2.5 cm. They indicate a large blood loss. You need to pay attention to the amount of blood lost. Of course, doing this by eye is very problematic. But you can weigh hygiene products before and after use. The difference in weight will be the amount of blood lost. Normally, this is up to 50 grams for the entire menstruation. 50-80 grams is a borderline value, there is a risk of developing anemia if there are concomitant factors, for example, frequent nosebleeds, poor nutrition. And now the possible causes, consequences and solutions to the problem.

1. Just heavy periods. There are women who, due to the individual characteristics of the body or due to gynecological diseases such as adenomyosis and uterine fibroids, lose a lot of blood during menstruation. In this case, surgery or conservative therapy can help. It includes oral contraceptives. These are hormonal pills that protect against unwanted pregnancy. But they have not only this purpose. When they are taken, the endometrium remains thin, so menstruation with blood clots is much less common. Menses become moderate or even scanty. However, it must be taken into account that these tablets have many contraindications. Age over 35 plus smoking, severe renal and hepatic pathologies, history of thrombosis, etc. There are a lot of them. Therefore, you must first consult a doctor. The choice of the drug is not based on hormone tests, contrary to popular belief. You can take any modern drug that suits the price. If it will give side effects in the form of intermenstrual bleeding for more than 3 months, then it can be changed.

If oral contraceptives are not suitable for some reason, perhaps a woman is planning a pregnancy, then you can consider taking non-steroidal anti-inflammatory drugs (Nurofen, for example). This drug will not only anesthetize, if necessary, but also reduce blood loss and the number of clots. The dosage is approximately 800 mg of Ibuprofen (Nurofen) or 500 mg of Naproxen per day. These drugs should not be taken in the acute phase of diseases of the digestive system.

2. Interrupted pregnancy. If during menstruation clots similar to the liver come out, get checked for pregnancy. You can at least do a test. If there was a pregnancy, then even after its interruption, hCG remains in the urine and blood for some time. If two lines appear on the test, you need to do an ultrasound. If the miscarriage was incomplete, uterine curettage will most likely be prescribed.

3. Iron deficiency anemia. It happens that blood clots during menstruation mean this particular pathology. And after its correction, taking an iron preparation literally within 3-4 months, menstruation becomes less abundant, health improves, skin color becomes healthy, not pale, hair stops falling out. You should only know that there is a so-called hidden iron deficiency, which is not detected in a general blood test for hemoglobin. You need to donate blood for ferritin.

4. Sexual infections. In the case of abnormal menstruation, women are always checked for various sexually transmitted infections. The fact is that they can cause an inflammatory process in the uterus, affect the endometrium. Smears are given. And if endometritis is suspected, then discharge from the uterus can also be checked for the presence of an infectious agent. Treatment of endometritis is to take antibacterial agents.
It should be noted that an untreated inflammatory process in the uterus is practically a guarantee of infertility. Also, an ectopic pregnancy.

From the foregoing, it becomes clear that clots during menstruation are a reason to visit a doctor, but not be upset. All this is treated. If the gynecologist does not find the cause, visit an endocrinologist and a hematologist. Perhaps they will be able to identify the pathology in their part.

Menstruation for each woman can take place in her own way and not always these or those indicators are violations. In many cases, these are individual characteristics of the body that do not go beyond the limits of the norm. Menstruation can be quite plentiful, painful, or vice versa - only three days and a minimum of blood. Based on this, it is safe to say that there can be different explanations for this behavior of the female body. And sometimes they are quite unpredictable.

You should consult a doctor in the event that heavy periods with severe pain are repeated every time. Also, if clots are observed at the beginning and middle of menstruation, this is a characteristic sign that something is going wrong in the body. And you should consult a doctor to establish the causes of strong discharge and undergo treatment if necessary.

Abundant periods or bleeding: how to determine

Complaints that the menstruation is quite strong and to all this there are pieces of clotted blood, doctors hear quite often. Unfortunately, adenomyosis is a common diagnosis of such manifestations. This disease can occur in any girl or an already mature woman. In this case, age and time do not matter.

As a rule, there is no cause for concern if the case is not neglected. And you can find out with the help of ultrasound. It is worth noting that the clots themselves do not carry any danger. It's just clotted blood. This happens most often with strong periods. Therefore, doctors often recommend keeping track of all discharges (especially clots in the middle of the menstrual cycle), up to counting grams of discharge per day. If it is 80 or more grams of blood, then you need to see a doctor, because otherwise adenoma may develop. It is useful to carry out such calculations from time to time and in the presence of regular periods, because there is no guarantee that menstrual flow will always be small.

Quite often, it is precisely because of the presence of iron deficiency anemia that strong menstruation with clots is observed. In some cases, women complain that large chunks of thick blood come out. Therefore, one way out of this situation is the treatment of anemia. In most cases, it is after treatment that menstruation becomes more stable and constant at any time. For this, it is also important to know the level of hemoglobin and keep under control the presence of other cells in the blood on different days of the menstrual cycle.

Constant prevention and examination will allow you to control your health, and long breaks can only aggravate the situation. Therefore, if you are diagnosed with anemia, then it is better to control your health in time and there will be no problems with menstruation. This is especially true in the middle of the menstrual cycle, when abundant clots with impurities are observed. You may be prescribed special drugs that contract the uterus during menstruation. In this way, the discharge will come gradually and in a controlled manner.

After childbirth

If strong discharge began within a month after childbirth, then there may be two options. Either these are the remains of placental particles that did not have time to come out during the first menstruation, or this is the result of poor uterine contraction. For the first reason, additional curettage may be required, which will help to say goodbye to clots and completely clean the uterus.

As for the second option, for a better contraction of the uterus, it is necessary to take special preparations so that the remaining clots in the uterus do not harm. In this case, the blood can come out in large portions for a certain time, after which everything will be restored. Note that such reasons for excitement can be observed throughout the first month after childbirth, so do not panic ahead of time, but it is better to consult a doctor. In this case, almost every woman in labor meets with abundant secretions and clots.

In addition to the fact that clots can be observed with obvious violations, there are enough cases when this is observed during an increase in body temperature.

Often the reason for this is the presence of some infectious diseases, which provoke rapid blood clotting. Most often, the appearance of clots does not need to be scared, because this is a completely normal process, especially if the menstruation is not painful and not plentiful. Not only at the beginning of menstruation, but also in the middle, there may be clots on the pad, especially since at the end of the menstrual cycle the uterus should be completely cleansed.

Hormonal imbalance

Most often, heavy periods are observed in teenage girls or in women who have just given birth. This is explained in the first case by the reaction of establishing hormonal balance in the body. Clots during menstruation can appear several years before menopause. This phenomenon can be explained by the fact that there is a violation of the usual hormonal level, with regard to the presence of estrogen and progesterone. At this time, a woman may complain of headaches during menstruation, poor general well-being and why this happens is quite understandable.

In general, hormonal imbalance at any age makes itself felt and the first thing that can alert you is the appearance of clots at the beginning or middle of menstruation. For personal precaution, you can be examined by a doctor so that during menstruation clots you are not surprised and are not afraid of serious diseases as a result of them.

Endometriosis as the cause of thick discharge during menstruation

Quite often, this disease is the cause of strong periods. This is the most common disease that can occur at any age in a woman and at any time. Infected areas of the uterine mucosa are indicators of the presence of this disease, and the most dangerous thing that can happen in this case is that endometrial areas grow into the muscular membrane of the uterus and go beyond the normal range.

If this disease is not stopped in time, the consequences can be serious. In this case, abundant discharge is simply inevitable. Moreover, menstruation with blood clots in such patients is always observed and is more often painful.

Neoplasms in the uterus

Strong menstruation and the appearance of clots in the middle of menstruation is a fairly significant sign of the presence of neoplasms in the uterus. It can be fibroids, polyps or cysts. Such benign tumors cannot be left unattended for a long time, but it is better to remove them altogether. Why they appear and what are the reasons for their development is not always known.

Long periods with clots can be a clear indicator of cancer, and, accordingly, malignant tumors in the area of \u200b\u200bthe female organs. In this case, clots and thick dark blood may be observed during menstruation. Then it is not recommended to delay the consultation of a doctor, because anemia may occur and the treatment will be more than serious. Abundant discharge can only aggravate the situation, especially in the middle of the cycle.

Monthly menstruation is a normal, natural process. With this method, the female body is cleared of the endometrium, which was intended for implantation of the egg after fertilization. However, not all representatives of the weaker sex have menstruation without problems. Some women complain of painful periods. Other ladies talk about copious discharge. This article will tell you about why menstruation comes in clots. You can get acquainted with the main reasons for this phenomenon. Also find out if the symptom needs to be treated. This symptom appears quite often. That is why every woman needs to know about it.

Why do periods go in clots?

Before answering the question, it is worth saying that this phenomenon is not recognized as an independent disease. This symptom is a sign of many pathologies. Also, the symptom appears regardless of the disease. In this case, the woman does not require treatment or correction.

Why do periods go in clumps? If you have this question, then you should contact your gynecologist. Only a specialist will be able to clarify what is happening and make a correct diagnosis. It is worth noting that for this the physician will need to conduct a small study. In most cases, it consists in ultrasound diagnostics, hysteroscopy and some tests. Consider a few situations that will explain why menstruation comes in clots.

Condition after childbirth: lochia

Why do periods come with blood clots? If you have recently become a mother, then this phenomenon is absolutely normal. During pregnancy, an embryo with a placenta is located in the reproductive organ. Also, the child is surrounded by the endometrium.

After childbirth, the fetus comes out, followed by the child's place. The remaining areas peel off within a few days and come out. In the first weeks after childbirth, blood clots that come out of the vagina are normal. However, if such discharge lasts more than a month, then there is a reason to consult a doctor. Approximately two weeks after birth, the lochia acquire an orange-pink hue and a slimy consistency. Blood clots, on the other hand, cease to disturb the newly-made mother.

Cause of blood clots - miscarriage

Why do periods come with clots? If earlier the representative of the weaker sex was not bothered by such discharge, then we can talk about self-abortion.

Quite often, after the conception has taken place, the pregnancy is interrupted even before the delay of menstruation. In this case, the woman does not know about her new position, but notes that the menstruation has become more abundant. The clots are the rejected fetal membrane. With a miscarriage, such discharge is considered normal. However, already in the next cycle, the consistency and amount of menstrual flow should be restored.

Insidious disease - endometriosis

Why are there heavy periods with clots? Sometimes the cause of this symptom is endometriosis. This disease is hormone dependent. With it, the inner lining of the uterus grows where it should not be. In most cases, this is the abdominal cavity, ovaries, fallopian tubes and cervical canal. With the advent of a new cycle, the mucous membrane of the reproductive organ is rejected, and the overgrown pathological endometrium undergoes the same change.

Often, during endometriosis, menstruation not only has blood clots, but is also protracted. Many women note that during this period they feel worse, and the color of the discharge acquires a chocolate hue.

Hormonal failure in women

Why do blood clots come out of the vagina during menstruation? The cause of this symptom may be a hormonal failure. At the same time, the woman previously had completely normal menstruation.

With a hormonal failure in a representative of the weaker sex, not only the nature of menstruation changes, but also its regularity is lost. Bleeding may be absent for a long time, and then begin suddenly with increased force and lumps of mucus.

Abnormal structure of the pelvic organs

Why do blood clots come out during menstruation? The cause of this symptom may be the wrong structure of the reproductive organs. Often it is recognized as congenital. It can also be acquired and appear as a result of childbirth or abortion.

The bend of the uterus, the partitions in it and adhesions lead to the fact that the rejected endometrium does not come out immediately. It accumulates in the uterus and blood clotting occurs. After that, the woman notes that clots come out of the vagina.

Contraceptives chosen incorrectly

Why do clots go during menstruation? If you recently changed your contraceptive, this may be the first reason. Oral hormonal contraceptives and intrauterine devices lead to this phenomenon.

In the case of improper use of tablets, the woman's body receives an excess or insufficient portion of hormones. With an intrauterine device during menstruation, rejection of a fertilized egg may occur. This is exactly what a woman sees, taking mucus for clots.

Inflammation of the pelvic organs and its consequences

If you have menstruation with clots, then the cause of this may be a banal inflammation. Often, untreated genital tract infections appear this way. If you have ever had this pathology, then it is likely that this symptom will appear.

At the same time, a woman may observe an unusual character of cervical mucus during the cycle. Pain also often accompanies. In the acute form of the course of the pathology, an increase in temperature is observed. If treatment is not started on time, adhesions may form in the uterine cavity. This leads to an aggravation of the situation, when clots and lumps begin to appear regularly, and menstruation becomes protracted.

Premenopausal condition in women

The female body is designed in such a way that it has a certain supply of eggs. Around the age of fifty, it shrinks and reaches zero. During this period, discharge may be irregular. Also sometimes their character changes. Clots are the norm. However, this condition is met only if the woman has no additional complaints.

Most likely, such menstruation with mucus and lumps will be repeated several times. It will all end with the fact that the discharge will completely stop. At the same time, disturbing symptoms will also disappear.

Taking hemostatic drugs and menstruation with clots

In some cases, menstruation with clots appear due to medication. If you are using hemostatic drugs, this may be the main cause of the symptom.

It is worth recalling that such drugs can not be used in the first days of bleeding. Be sure to consult your doctor about this and, if necessary, change the dosage regimen. Do not use these medicines on your own. Remember that long-term use of hemostatic agents can lead to the formation of blood clots and clogging of blood vessels.

Is treatment needed?

If you suddenly start having periods with clots, pay attention to your health. With a one-time occurrence of a symptom, you can not visit the doctor. However, if the discharge with lumps is noted not for the first time, it is worth contacting a gynecologist. Be sure to get a consultation with a specialist if pains appear at the same time or menstruation becomes very plentiful.

The treatment regimen always depends on the cause of the pathology. Appointments should be given only by a doctor. Self-intervention can lead to negative consequences. Health to you!

Any changes during menstruation cause anxiety in women. Almost everyone has experienced such a phenomenon as blood clots during menstruation. The reasons for this can be different - from completely harmless to serious diseases that require the intervention of doctors.

What happens during menstruation?

Every month, regardless of a woman's desire, her uterus prepares to receive a fertilized egg. Under the influence of hormones, the inner layer of the uterus - the endometrium - begins to thicken. If pregnancy does not occur, the level of hormones decreases, the blood supply to the mucous membrane of the inner surface of the uterus stops, the endometrium is rejected and excreted through the genital tract. Thus, menstrual flow is a complex mixture of blood, mucus, endometrial particles, and vaginal cells.

Blood clots during menstruation are normal

Such a phenomenon during menstruation does not always indicate the presence of pathology. It is possible that menstruation is normal, and you should not worry. As you know, these days there is a death and withdrawal of the endometrium, which becomes loose and thick during the cycle. That is, the menstrual flow itself is not liquid, since it consists not only of blood, but also of the tissues of the inner lining of the uterus and glandular secretions. In addition, their consistency and color change every day.

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

In order for menstrual flow to come out more easily, special anticoagulant enzymes inhibit blood clotting. If the bleeding is heavy, the enzymes cannot do their job and some of the blood coagulates in the vagina. That's why it comes out in clumps.

The reasons

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

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

Hormonal imbalance. In case of malfunction of the endocrine glands, the cycle is disturbed, which is manifested by strong brown discharge with clots during menstruation.
Myoma of the uterus. This is a benign tumor in which there is a violation of the menstrual cycle. In this case, the discharge, as a rule, is abundant, the blood can come out in large clots.
hyperplasia of the endometrium. With this pathology, the inner layer of the uterus grows, which may be due to hypertension, obesity, diabetes, hormonal imbalance. In this case, dark large clots come out during menstruation.
Polyposis of the endometrium. With this disease, the inner layer lining the uterine cavity grows, similar to the formation of polyps. In this regard, menstruation with blood clots is possible, pain may appear in the lower abdomen.
For a month after giving birth, a woman may experience huge clots that come out with the blood, which is normal. You need to consult a doctor if the temperature rises: it is possible that fragments of the placenta remain in the genital organ.
Intrauterine device. If there is a foreign body in the uterus during menstruation, blood clots may be released.
Endometriosis. It is characterized by the growth of the endometrium outside the inner layer of the uterus. At the same time, periods become painful, longer, irregular, and the amount of blood released increases.
Violation of the functioning of the blood coagulation system. It begins to coagulate in the cavity of the reproductive organ, since the factors that prevent hemocoagulation do not work.
Clots can appear during the period of infectious diseases, accompanied by fever, for example, with SARS.
Malformations of the uterus. As a rule, they are genetically determined. These are pathologies such as an intrauterine septum, a bend of the uterus, a double or unicornuate uterus, and others. The formation of clots with such anomalies is explained by the fact that the exit of menstrual blood from the uterus is difficult due to the pathological structure of the organ, and coagulation begins in its cavity. In women with such defects, menstruation is usually quite painful.
Ectopic pregnancy. With this pathology, brown discharge, high fever, severe abdominal pain are possible.
Abundant discharge of blood with clots can be observed in infectious diseases of the pelvic organs.
The cause of such secretions may be an excess of vitamin B in the body.

When to see a doctor?

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

You should not worry if menstruation occurs regularly, there are no pains or they are moderate.

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

Menstruation lasts more than a week, the discharge is profuse.
Pregnancy is planned and attempts at conception are being made. In this case, the discharge may indicate that the egg was rejected and a miscarriage occurred.
Discharge during menstruation contains large clots with an unpleasant odor.
A woman experiences severe pain during menstruation. This may be a sign of inflammatory processes or hormonal disorders.

Finally

Small clots that come out during menstruation are normal. Each woman is very sensitive to any changes occurring in the body, and will immediately notice if the nature of the discharge has changed. If the bleeding is heavy, the clots are large, there are a lot of them, moreover, they are accompanied by painful sensations that were not previously observed, it is necessary to make an appointment with a gynecologist and be examined.

Every month a woman goes through the same thing - the onset of menstruation. A simple natural process brings a lot of experiences, and in some cases, pain. Color, quantity, consistency, duration of discharge are important.

Clots during menstruation: an alarm?

The biological role of a woman is determined by the possibility of childbearing. In case of non-fertilization of the egg, the endometrial layer exfoliates and is released in the form of blood. But if blood clots appear or a woman notices other changes in the body during menstruation, you should consult a doctor.

Clots during menstruation occur in a third of women of childbearing age, they can be divided into two groups: some consider such manifestations to be the norm, others, having noticed large bloody lumps, are sent to a specialist.

If you remember that you once had a similar situation, you should not rush headlong to the doctor. Isolated cases when blood comes out, in a peculiar way, “pieces”, are natural, but with regularity it is worth taking care of your health. To calm the nervous system, a simple gynecological examination will answer the question: “Why do pieces of blood appear and is it associated with serious diseases?”

What precedes the appearance of blood clots?

Why can the discharge be in the form of clots during critical days? First, let's recall the basic norms of discharge:

The blood is scarlet in the first days of menstruation, and darker, up to brown, in the last days.
The blood does not clot.
The maximum loss is 250 ml.
Abundant discharge occurs 2-3 days from the onset of menstruation.

Blood clots or blood clots for some women are a common occurrence during menstruation. A detailed examination, after contacting a gynecologist with a similar problem, reveals violations at the level of body systems (for example, the endocrine system) and at the level of organs (for example, the uterus, ovaries). The causes of such secretions can be diseases of various body systems, which we will discuss later.

Possible causes of blood clots

Clots during menstruation may appear in such cases:

Deficiency of enzymes - anticoagulants that prevent blood clotting in the walls of the vagina. This is why blood clots can appear during menstruation. Massive bleeding determines the onset of iron deficiency anemia. Enzyme deficiency can hardly be called a pathology or disease, but a regular course of medication will help to cope with increasing anemia.
For a long time, the body presents more and more surprises: appetite disappears, general weakness develops, and during menstruation, the scarlet color of the blood changed to permanent brown, and blood clots became an integral part of this period? After a series of gynecological examinations, the gynecologist often makes a diagnosis - “endometrial hyperplasia”. In a simpler and more accessible language, the endometrial layer grows unnecessarily and is not completely rejected during menstruation.
Such a serious disease does not develop from scratch, it is preceded by numerous hormonal disruptions, endocrine diseases, such as diabetes, obesity, arterial hypertension.
The main organ of the female reproductive system is the uterus. Uterine fibroids is a neoplasm of benign genesis. The inner layer of the organ changes, becomes bumpy. Menstruation periodically appears, accompanied by strong and copious discharge, and after removal of a benign tumor, brown clots become frequent surprises during menstruation.
There is no reason for frustration and even more panic for young mothers. In the first month after childbirth, women notice slight discharge in the form of blood clots, which is the norm. However, do not forget about other symptoms: blood clots that occur at the same time as a fever are a sure sign of an infection in the uterus. In this case, an appeal to a gynecologist is carried out urgently.
According to medical professionals, the endocrine system is the conductor that controls the body. This means that when the endocrine system is disturbed, first of all, the work of hormone-dependent organs and systems, including the reproductive system, is disrupted. With hormonal failures in the work of the thyroid gland, adrenal cortex, hypothalamus, pituitary gland, blood clots may appear.
Endometrial polyposis or local proliferation of endometrial cells in the form of polyps. This disease is one of the reasons for the appearance of lumps during menstruation and other clinical symptoms - pain in the lower abdomen of a cutting nature (due to trauma to large polyps), frequent intermenstrual bleeding. Finding out what polyps look like is easy - photos in medical books or on portals will help.
An intrauterine device is a contraceptive method that prevents the fertilization of an egg or the attachment of a fertilized one. With an intrauterine device, clots appear periodically, in their composition, during a cytological examination, parts of a fertilized egg are isolated.
Is the color of the released clot gray-yellow? A possible reason is the rejection of the fetal egg. Establishing the main cause of spontaneous abortion is within the power of the doctor, the appeal to which is necessary.
An ectopic pregnancy may be asymptomatic for up to a certain period, but soon a clear clinical picture appears that requires urgent medical attention. Clinical manifestations: a sharp increase in body temperature, unbearable pain in the lower abdomen on the right or left, blood discharge in brown clots.
Do not forget that excessive alcohol consumption, smoking and constant stressful situations can also cause clots to appear during menstruation.

Do not rely on chance. Consult a gynecologist. Untimely health care will negatively affect not only the state of the reproductive system and the ability to give birth, but also the whole body.