Violent clots during menstruation. Why do large blood clots come out during menstruation

Isolation of large and small lumps during critical days is a common occurrence that can happen in a healthy woman or indicate a pathology. It is important to know what accompanying symptoms should alert a woman.

What is a clot

During menstruation, each woman has a different intensity of bleeding, and the color of spotting is different. The amount of blood lost and its density are also individual, but in all women, without exception, anticoagulants are released during menstruation, which slow down clotting. If these substances do not do their job, small lumps may form, which are normal and do not pose a danger.

You probably won't need treatment if:

A large blood clot can stand out in the morning, it is formed due to the fact that the woman has been lying in one position for a long time and the discharge has curtailed. Menstruation with lumps is normally not accompanied by pain, temperature, spoiled general well-being. The discharge itself looks like pieces of jelly with streaks.

When should a pathology be suspected?

There are a number of signs that can indicate to a woman that something in her body is going wrong. Menstruation is not necessary for a woman in order to drop out of life for a week. This is a natural process that should be easy, painless.

If a woman is disturbed by spotting with blood for several days before menstruation, the beginning of the cycle is considered from the first day of the appearance of these discharges.

Only a detailed study, including tests, smears, ultrasound and examination, will help the doctor draw conclusions about women's health.

Can hormonal imbalance cause lumps?

Young teenage girls often have slight hormonal imbalances. After all, the cycle is not established immediately and monthly lumps are not uncommon. It is a completely different matter when an adult woman is faced with hormonal disruptions, the causes of which can be very different.

The hormonal background of a woman can be unstable for many reasons. The main ones are on the list, each of them can break the cycle to one degree or another. Blood clots are the most common manifestation.

Endometriosis and adenomyosis as the cause of lumpy discharge

Endometriosis is a disease that is characterized by the growth of the lining of the uterus outside of it. The disease is common and is accompanied by very painful and prolonged menstruation. Also, failures in the larger and smaller (less often) side are not uncommon. Menstruation is profuse, blood loss is often greater than in healthy women. Clotted blood is a common symptom, due to which endometriosis is detected.

Adenomyosis, in turn, affects not only the uterus, but also nearby organs. The appearance of these diseases still does not have specific reasons, it is believed that because of it, the uterine mucosa can resemble honeycombs. Possible reasons may include:

Over time, untreated diseases affect the contractile function of the uterus;

Lumps with endometriosis are denser, often larger, this is due to cycle disorders, over time, the walls thicken unevenly.

Polyposis can cause clots to form

Women over 30 years of age are at risk for this disease. The main way to identify polyps is clots in menstrual flow. The endometrium grows, filling the uterus, and during menstrual bleeding, parts of it are released.

1. Menses become irregular and painful. A woman loses her legal capacity for a while, it is difficult to do household chores, work.
2. Clots may come out in chunks. Patients characterize them as "chunks" of tissues.
3. The cycle is not regular, sometimes menstruation does go through time.

It is also interesting that at the beginning of the disease, blood clots are not large and resemble clotted blood.

Polyposis is a benign disease, with the exception of the only cancerous form - adenomatous.

However, from cycle to cycle they increase, often becoming denser. If the remnants of the old endometrium are not all out, this can trigger inflammation. Ultrasound will help identify polyposis.

What else cause the formation of lumps

Not always the cause of lumpy discharge lies in the uterus. Sometimes, even the most unexpected diseases affect women's health.

Each of these reasons or their combination can affect the quality of the cycle once or affect the overall health of the female organs of the reproductive system. If blood clots appear constantly, it is better to find out why this is happening with your gynecologist and whether this is normal.

Pathological changes in female organs

There are serious problems that affect the overall health of women, including the ones that can cause bloody clots during monthly critical days.

Pathological diseases can be life-threatening for a woman. Most of them cause pain during sexual intercourse, contact may result in bleeding. Heavy periods and bleeding between periods can activate or worsen anemia.

Conclusion

Normal periods may come with clots, but they do not knock a woman out of life. That is, they do not cause significant pain, they are not too plentiful. In any case, menstrual blood with lumps is a reason to visit a doctor unscheduled, pass the necessary tests, and undergo an ultrasound scan. Only then the doctor will surely be able to draw conclusions and answer why menstruation comes out with clots.

Most women experience monthly crampy abdominal pain that radiates to the lower back. In addition, they are accompanied by swelling and mood swings. Similar signs indicate the beginning of menstruation. For some, this is a joy, for others - another disappointment, but the body is far from emotional reactions. It works in the usual physiological mode: the uterus is cleansed and brings its mechanism to readiness. Not always one menstruation is similar to the previous ones, and when there is a delay for several days or clots are found in the blood, women get lost, they begin to think about terrible diseases.

Normal menstrual flow

During menstruation, the main role is given to prostaglandins. This substance is actively produced by the mucosa and causes uterine contractions, which are felt as slight spasmodic movements. Such disharmony is considered normal and does not require medical intervention. Doctors recommend seeking advice in the following cases:

• cycle shorter than 21 and longer than 35 days;
• profuse bleeding that lasts more than a week;
• severe pain and dizziness during menstruation;
• painkillers do not relieve condition.

The release of small, the size of a small coin, menstrual blood clots should not be alarming. This is a sign of a good work of the coagulation system. Only in some cases, lumpy discharge becomes a reason to see a doctor.

Physiological causes of clots

Blood clots accompany all normal periods. It happens, if a woman is in a static position for a long time: sleeping, sitting, etc. From a physiological point of view, there is a simple explanation: the released blood stagnates in the uterine cavity. Most women will confirm that after waking up on the first visit to the toilet, there is a thick discharge that comes out in the form of lumps and is regarded as the norm.

The appearance of blood clots is considered natural in the postpartum period. Usually, recovery of ovarian function occurs after two months. The first menstruation after a long physiological absence will differ from the usual critical days before pregnancy. But you should consult a doctor only if you have unexpected periods, which are accompanied by painful cramps.

Monthly discharge with copious blood clots is always observed, when is an intrauterine device.

Besides, with congenital anomalies structures, such a symptom is not a cause for concern. Deformation of the intrauterine septum, bending of the uterus, the existence of only one paramesonephric duct leads to unusual secretions, which are the norm.

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 cervix, 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 jagged 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.

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

Why do some women have blood clots during their period?

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

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

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

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

Conclusion

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

Hello Lyudmila! If, as you say, in terms of time it should not be menstruation, and their nature is not similar to menstruation, then you should not delay a visit to the doctor. Because, you can be pregnant and just not know about it. And blood clots can indicate a variety of pathological processes in your body.

Clots with a threatened miscarriage

The most indicative symptom of a threatened miscarriage is bleeding. In this case, blood clots may also come out of the vagina. If spotting is bright red, call an ambulance immediately or better, if possible, immediately go to the hospital without waiting for the doctors to arrive.

You should know that in addition to bleeding with a threat of miscarriage, a woman may experience colic and abdominal pain, weakness, body temperature is elevated, sometimes vomiting also joins.

Clots with hematoma

There may be a hematoma during pregnancy - then the discharge is dark brown. With a hematoma, the fetal egg exfoliates from the wall of the uterus and blood begins to collect in this place. In this case, dark, more often spotting vaginal discharge may also be accompanied by clots.

In any case, even if there is no bleeding, but it bleeds with clots, this is bad. Do not hesitate to visit the doctor. The risk of miscarriage is especially high in early pregnancy.

Clots in spontaneous abortion

It's hard to talk about it, but spontaneous miscarriages or abortions, alas, do happen and often. The woman begins cramping pain, which is constantly increasing. In this case, the cervix opens, and the uterus itself begins to contract, pushing the fetus out. Everything is accompanied by blood discharge interspersed with blood clots and even tissue fragments - the fetal egg exfoliates. In such cases, abortion is rarely avoided. After the product of fertilization comes out (the so-called tissue emerging from the vagina in the form of a clot, from which the embryo should have formed), the contractions stop. This indicates that the miscarriage has taken place. Mostly this happens in the first days and weeks of pregnancy.

The danger of spontaneous abortion lies in the fact that not all tissues may come out, and the remains of the fetal egg are still in the uterine cavity. Therefore, it is necessary to carry out curettage to prevent the development of serious infections and complications.

Clots in a missed pregnancy

It happens that the fetus freezes in the womb. There are many factors that could be responsible for this. But it is not at all necessary that a woman immediately finds out about what happened, especially in the early stages, when there is still no movement. Usually, after several days or even weeks after the embryo freezes, bleeding may open, accompanied by the release of blood clots.