Bloody clots during menstruation. Why does the discharge during menstruation go in pieces and clots

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 seek the advice of 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 you are not surprised and 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.

All the women of the world are already accustomed to menstruation. How many would like to get rid of them for good, but nothing can be done here. And in general, it is, first of all, an indicator of women's health. Their character should be systematic, constant and adjusted, without failures and deviations. That is why it is so important to understand the very process of critical days.

When deviations occur, for example, heavy periods with clots, then you need to understand what is normal and what is pathology.

The first day of menstruation determines the beginning of a new period of the menstrual cycle. In the first 3-7 days of the cycle, the endometrial layer is shed and leaves the vagina in the form of bloody discharge. Sometimes, during menstruation, clots come out - this is the tissue of the walls of the uterus.

When the discharge ends, the body again begins to prepare for a possible conception. Then in the body there is an increase in the hormones progesterone and estrogen. They are responsible for building up the walls of the uterus (endometrium).

With a positive result of fertilization, she will be responsible for a favorable environment for the embryo, for useful nutrients and to deliver oxygen to the embryo. For these reasons, the endometrium increases significantly in thickness.

And if the conception did not happen, then the entire increased volume loses its meaning, the walls peel off and the matter comes out with the blood. It happens that the endometrium exfoliates with large bast shoes and then menstruation with pieces is obtained.

Blood clots during menstruation are cumulative. That is, they usually collect in the uterus and begin to clot when a woman is in a sitting position or lying down for a long time. And with a sharp rise in the body, the clots come out. All this is considered normal.

When pieces with blood speak of deviations

During menstruation, blood clots are normal. But if the pieces are very large and menstruation is plentiful, you should be wary.

There are also deviations from the norm. It is known that during menstruation the volume of blood released is from 150-250 ml, a woman changes the pad as usual.

Situations where menstruation:

come out in big chunks:
too long go in large quantities

indicates certain problems. And then all this should alert the woman and force her to seek help from a highly qualified specialist.

Causes of menstruation with clots

Menstruation with clots can be the norm, or it can be a pathology. The main thing is to understand when it is worth contacting a gynecologist.

If we talk about the reasons for such secretions, then various serious diseases can be hidden here, which entail very big health problems.

Finding the cause of the clots, it will be possible to understand why they appeared.

Possible reasons include:

Women's hormonal imbalances. Hormones are an integral part of the menstrual cycle. , progesterone is involved in all processes associated with the cycle: first in the preparatory process (possible fertilization), and then, if conception does not occur, in the process of spotting. Of course, when the hormone somewhere does not fulfill its task or does not perform on time, then the whole body experiences stress. It may look like a late period with blood clots. Hormones can also be affected by: thyroid gland, adrenal glands, pituitary gland, brain. Disruptions in the hormonal background can occur in women during menopause. Then there is a huge restructuring of the whole organism under the new regime, and therefore a woman is prescribed a hormone substitute during such a period.
Abortion, miscarriage, curettage- all this can cause blood clots during menstruation. The consequence of blood clots is injury to the walls of the uterus. During abortion and curettage, pieces of the endometrium may indicate incomplete cleansing of the fetus. With a miscarriage, they usually happen. Often a girl does not even know about her interesting situation, because pregnancy failure occurs at the very beginning of the cycle, after a short delay, menstruation begins. In such cases, the discharge is different from the usual. Of course, it would be nice to go through to make sure the uterus is clean.
Birth of a child. Immediately after childbirth, the woman comes out. These are strong discharges and large clots, which is normal. Within a month, 1.5 months, they should come to naught. Situations when the temperature rises, the head begins to spin until you lose consciousness, you should immediately consult a doctor. The reason may be hidden in the incomplete exit of the placenta.
Restoration of the monthly cycle after childbirth. It is clear that menstruation does not come immediately, and at first they will not go systematically. But after about 6 months, the cycle must improve.
Contraception - intrauterine device. One of the most used methods of protection against unwanted pregnancy. Especially, this method is popular among women who have given birth, and the intrauterine device is allowed to be placed after childbirth, when 6 months have passed. She is placed in the uterine cavity, and then the woman lives with her, as usual. There is, of course, individual intolerance, but in general it does not cause discomfort.

In the first months after the establishment of an intrauterine device, menstruation may be more abundant than usual. Menstruation is also common, the clots of which have a considerable shape - this is all related to normal recovery.

Against the background of all this, additional types of ailments may appear: weakness, dizziness, physical fatigue.

It is possible that between the cycle small ones will go along with pieces of uterine tissue, and the bleeding process will last more than 7 days.

Usually, after 3 months, everything returns to normal. If this does not happen, then this is a reason to start taking tests to establish the cause of such processes.

Cases where menstruation can be very profuse and with clots:

When heavy periods with clots, the reasons may be hiding in a banal viral infection, ARVI, infectious disease, at elevated body temperature.
It is not known how many symptoms there are, but it can be said for sure that having pieces of the endometrium with brown daub and painful pains in the lower abdomen, it is worth coming for an ultrasound scan and making sure of the diagnosis or refuting it.
Why over measure of vitamin B in the body leads to such consequences as blood clots, it is not clear, but it is a fact.
Disturbances in the circulatory system and its regulation are also one of the causes associated with pieces of blood that come out with menstruation.
Varicose veins of the pelvis begins to appear at an early age. Even then, menstruation goes along with bast shoes of blood. But most often in this disease there is mucus with bloody discharge. At the very beginning, menstruation is plentiful, over time they are aggravated by pain.
Among the causes, the leading place is occupied by diseases associated with the female genital organs. - a benign tumor. Her symptoms are "generous" critical days and "generous" pieces of blood, and no other signs. That is what makes her so dangerous. If the fibroid is not cured in time, it can develop into a malignant tumor. The treatment for this problem is to take the course or remove it. So uterine fibroids need to be identified as early as possible.
polyps. They appear on the walls of the uterus in the form of small neoplasms and can interfere with the normal course of menstruation.
. The symptoms of this disease are as follows: an irregular cycle, the number of days of spotting increases, the critical days themselves are thicker and have clots of stagnant blood. Why does this happen, because with the growth of the endometrium on the walls of the uterus, its amount goes beyond. And when there is a rejection of the endometrium, large pieces of tissue are obtained. It is necessary to monitor such a condition so that endometriosis does not develop into a chronic form and the deplorable effect of infertility does not turn out.
Malformation of the uterus (bend, double uterus, septum, etc.). Usually this problem is caused by genetic features. Sometimes, in such cases, the cycle remains normal, and in some cases there may be failures. Often such critical days are painful, blood flow is difficult and as a result - pieces of matter with menstruation.
Clotted menstruation may be due to taking drugs aimed at inducing bleeding.

How many reasons have spotting with pieces can be seen from the above, but in any case, the situation must be solved with the help of treatment and not independent, but professional.

Reading your body's signals

A woman notices the slightest changes in the menstrual cycle immediately. It can be menstruation ahead of time or, conversely, a delay.

The nature of the bleeding is also noticeable by the number of pads or tampons used. And she will immediately notice the blood clots that come out with menstrual blood, even if nothing hurts.

In the case of the following symptoms in a woman, you should consult a doctor for help:

The duration of menstruation is more than a week, and they are profuse;
Situations when a girl wants to conceive a child, and after trying to get pregnant, menstruation behaves uncharacteristically for ordinary ones. All this may indicate a miscarriage;
If the bleeding has an unpleasant odor and huge frequent pieces of the endometrium;
Severe pain during the red days of the calendar, and not only red ones, can indicate either hormonal disruptions.
And, when the clots of menstruation and the discharge themselves have a dark color, then you should look for pathology in the female body. Of course, such deviations are considered normal when a woman is recovering from childbirth, as well as when she has a high body temperature. But when the situation repeats itself repeatedly, it is not good. Miscarriage, tumor growths - this is what can cause darkening of the blood.

So you should carefully monitor your red days of the calendar. Maybe you should look at photos on the Internet in order to have an idea of \u200b\u200btheir appearance and not ask yourself: “why do I have such discharge?”

And in conclusion, I would like to draw your attention, dear women, blood clots are considered normal, but only if they do not exceed the norm. All suspicious symptoms should be discussed in the gynecologist's office. And then each of you will have excellent female health.

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.

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 a gynecologist's consultation is necessary.

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 compaction of the endometrium and preparation of the follicle for rupture, this is the so-called proliferation phase, which lasts until the middle of the cycle, that is, until the follicle ruptures and the egg is released.

For some time, the 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 regimen, 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 regular, but heavy bleeding, therefore, if a general malaise appears 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 anyway. 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.

Blood clots during menstruation is a phenomenon that can be provoked by both physiological and pathological factors. To maintain reproductive health, this symptom should not be ignored.

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

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

When the reproductive organs prepare for pregnancy, the body produces a large amount of female hormones, as a result of which the endometrium becomes thicker. If the egg is not fertilized during ovulation, hormone production stops. This leads to a slow flow of blood to the uterus, as a result of which its upper layer, the endometrium, begins to gradually shed. Discharges appear.

Normal periods should be liquid in consistency. On the 3rd-4th day, the amount of excreted fluid decreases. At the end of menstruation, there is a so-called daub - blood stains. They can be seen on the daily pad.

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

Monthly discharge, which go in pieces similar to the liver, is associated with stagnation of blood in the uterine region. With immobility in the reproductive organs, it stagnates and gradually folds, as a result it comes out in pieces. This is a normal physiological phenomenon, so there is no reason to panic.

But if the clots come out along with heavy periods, while the woman complains of severe discomfort in the ovarian region, this is an alarming symptom. In this case, it becomes necessary to undergo a medical examination.

What clots can be normal

The presence of clots during menstruation, similar to the liver, does not always indicate pathology. The color and texture of menstrual flow in girls are individual.

The female body is specific. During the menstrual cycle, enzymes are actively produced that take part in the process of slowing down blood clotting. Periods with lumps are a guarantee that these substances are doing their job well.

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

If the discharge with pieces comes out painlessly, the woman's body temperature does not rise and nausea does not occur, you should not worry, as this is normal.

Some girls note at home, you can learn more about this condition from a separate article on our website.

Pathological periods

The appearance of menstrual blood with large pieces is often associated with a dangerous pathology. Why there are discharges with pieces during menstruation, we have sorted it out. If large blood burgundy clots are released painlessly and asymptomatically, then you should not worry, as this is due to the activity of enzymes.

Monthly chunks indicate the course of the pathological process in such cases:

The woman has a severe stomach ache.
A lot of .
During menstruation, large clots, similar to the liver, come out.
Clots during critical days are released in young girls (under 18 years of age).

What big clots say

If blood clots during menstruation, similar to the liver, are due to physiological factors, they are not large and have an unpleasant odor. But the huge pieces that stand out along with heavy bleeding are dangerous.

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

Myoma of the uterus. The disease is characterized by the presence of a benign neoplasm in the uterine region, due to which the monthly cycle fails. The release of menstrual blood with pieces in this case is accompanied by increased body temperature and pain in the lower abdomen.
Hyperplasia of the uterine endometrium. This disease contributes to the coagulation of blood stagnant in the uterine region, resulting in the formation of enlargements. With hyperplasia, monthly discharge is long and plentiful.
Endometriosis. This is a dangerous disease in which the endometrium grows outside the uterus, that is, on other organs. The process of its growth and exfoliation is very painful. With endometriosis, the discharge resembles the liver.
Hormonal disbalance. Abundant periods with burgundy enlargements are a common sign of hormonal imbalance.
Intrauterine device. This contraceptive is often perceived by the female body as a foreign body. As a result, the fluid in the uterine region coagulates, large clots form, which are very painfully excreted from the body during menstruation.
Problems with blood clotting. In this case, the monthly fluid begins to coagulate in the uterus. This is due to the impaired functioning of enzymes that should prevent coagulation.
Ectopic pregnancy. With this pathology, the discharge is characterized by profusion and soreness. Also, with an ectopic pregnancy, the temperature rises.
Medical correction of the monthly cycle. Often after taking drugs to artificially induce menstruation, such as Duphaston, the cycle goes astray. This provokes poor clotting of the menstrual fluid in the uterine region, resulting in the formation of large, painful clots.
Inflammation of the pelvic organs.

Treatment of profuse blood loss

When menstruation comes in clots, this is an occasion to consult a specialist. Do not put off going to the hospital if:

The discharge of blood after menstruation is accompanied by severe pain.
During menstruation, the temperature rises.
Clots during critical days stand out for more than 4 days.
Large pieces have an unpleasant odor.

In these cases, immediate treatment of pathology is necessary. With heavy menstruation, gynecologists prescribe hemostatic drugs that stop the discharge. The most popular drugs in this group are Dicinon and Tranexam. They take an active part in the process of blood clotting. As a result of their use, menstruation ends faster.

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

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