Why are there heavy periods with clots. Why menstruation comes with blood clots

It happens that in women, in addition to menstruation, discharge in the form of blood clots appears in a certain period, they are able to react to this in different ways. Some take this symptom for granted, others go to gynecology so as not to expose their body to any danger. You should not worry if you find rare blood clots.

Get an examination by a gynecologist to find out the likelihood of a connection between the symptom that has appeared and other diseases.

During the period of menstruation, if you notice blood clots once, this is not a reason for unrest. It's just that in the uterus, the epidermis detaches from its walls - a process of physiology provided for by nature. During menstruation, blood clots are released during the formation of a pathological septum.

There may be a bend in the cervix, which is an obstacle to the natural exit of blood. As a result, blood clotting occurs in the inside of the uterus, which becomes clots. Under this circumstance, it is especially important that they not only accumulate in the inner part, but subsequently come out.

Deviations

The deviation presented above is able to detect the gynecologist during the standard examination of the patient. If it turns out that the doctor does not detect such an anomaly, and clotted discharge will be repeated during menstruation, this can indicate anemia. It can also talk about itself with menstrual flow of an abundant nature. Under this circumstance, a woman should be attentive to the amount of blood excreted from the body.

There is nothing difficult in determining the mass of secretions. In one day, it should be 80 g. To quantify the contents of a sanitary napkin, you should find out its weight while it is not used, and then determine its weight with menstrual contents. As a result, sum all the values obtained per day, this will be the desired weight. Which will also make it clear what is the likelihood of anemia.

Menses with clots

There are cases when menstruation with the release of clots is the cause of anemia, based on a lack of iron in the body. As a result, we can talk about iron deficiency anemia. If we take into account scientific studies, then the allocation of clots is somehow associated with a lack of iron. So when iron deficiency is normalized, then there will be no more blood clots during menstruation. Just do not use iron-containing preparations at the first appearance of clots.

What answer can be given to women who are concerned about the release of clots during menstruation? Ladies should not forget that during active actions, blood from the vagina enters more intensively and in large volumes. And during a relaxed state, sitting or lying down, the exit process slows down. This is what creates anxiety for a woman when she gets up very quickly from a lying state. If in such cases there is a release of clots, then this is the norm. Great importance should be attached to clotted blood when they are accompanied by pain.

The formation of menstrual clots is abundant. The emerging situation is not even iron deficiency anemia, it is much more dangerous. Watching menstrual flow, you need to pay attention to this.

The important features are:

Pain in the abdomen, causing anxiety;
The highlights change color;
The occurrence of an unpleasant odor;
Profuse menstrual flow of blood.

During a medical examination: colposcopy, ultrasound, examination with a mirror, when the above signs are absent, but there are clots, then adenomyosis can be diagnosed in gynecology.

When a woman discovers a brown discharge with clots, it makes her worry. Unrest is insignificant if brown discharge during menstruation appears when menstruation is just beginning, or when they are already ending. But if such discharge is menstruation itself or during menstruation, then immediately contact a gynecologist. The cause of this irregularity in the menstrual cycle may be an infection or the presence of an ectopic pregnancy. In addition, it will not be superfluous to take tests for hormones in the body, this can exclude the presence of hormonal failures.

Even when there is a pregnancy, brown menstruation with clots is possible. The cause of their occurrence is a hematoma, which is formed in the area of the internal pharynx. If a pregnant woman does not lift the slightest weight, she may be able to bear her child until the very end of her pregnancy. But we should not forget that brown discharge should not be plentiful. So if they increase, see a doctor immediately.

Blood clots also occur in the postpartum period. But they end after three weeks or, in some cases, after a month. If this does not happen, you will have to deal with the elimination of the placenta that remains after childbirth. Contraceptives or the result after the establishment of the "spiral" may contribute to this sign. For a woman, this should mean that this form of pregnancy prevention is extremely unsuitable for her, and it must be removed from the uterus.

One of the reasons when a woman has menstruation, which go in clots after intercourse, may be erosion. For clarification, you should contact the gynecology, due to which it will be possible to find out the presence or absence of other diseases in the genitourinary system.

These include pathologies of the uterus, such as:

endometrial hyperplasia- this is the growth of uterine tissue due to dysfunction of the sex glands. There are several varieties of this disease, and they can lead to endometrial cancer. And as a result - the likelihood of infertility. Symptoms include abnormal bleeding between periods, long periods of two to three weeks, heavy menstrual periods, anemia, and obesity. Be aware that smeared discharge indicates polyposis, and blood shows the presence of glandular hyperplasia and adenomatosis. Endometrial hyperplasia can affect both young women of reproductive age and older menopausal women.
uterine fibroids- a benign tumor of the smooth muscles of the uterus, which regulates the growth of sex hormones. It occupies about a quarter of gynecological diseases of women who go to the doctor. Women 30-50 years of age suffer most from this disease. Symptoms include heavy menstrual periods, pain in the lower abdomen and lower back, and bleeding between periods.
Polyp- benign growth on the mucous membrane. Polyps can be the result of an infection resulting from chronic inflammation, which is an abnormal response to an increase in estrogen and a buildup of blood vessels in the cervical canal. What causes it is not always possible to say with certainty. There is an asymptomatic origin of polyps.

Symptoms include vaginal bleeding:

Between periods;
After intercourse;
After the menopause.

A polyp in the cervix can be inflamed, but rarely can become infectious. Then there is a yellow or white discharge from the vagina. A polyp in the cervix is usually seen in women over the age of twenty who have had multiple pregnancies. Polyps are most often first discovered during the next examination by a gynecologist. Standardly, one polyp develops, but sometimes two or three can be found. Elimination of the polyp can occur during a gynecological examination with special forceps, if it is transparent and does not bleed. Bleeding is removed surgically and under general anesthesia.

Endometriosis is a disease in which cells of the endometrium (the lining of the uterus) grow outside the uterus, on the ovaries, fallopian tubes, intestines, bladder, or other abdominal organs. The first signal to see a doctor will be manifestations as the release of blood clots. If you start this process, it can contribute to infertility. To determine endometriosis, a thorough examination and high-class equipment are necessary; fortunately, such equipment is available in gynecology. Also, one of its manifestations is pain during menstruation and after it ends.

Depending on which area is affected, the treatment of this disease will depend. Sometimes the doctor prescribes a course to restore the balance of hormones to the patient, which often turns out to be ineffective. In such circumstances, specific surgical interventions are used. During the operation, endometriosis nodes are removed, and as a result, there is a high probability that everything will work out, including menstruation.

Diverse phytopreparations are intensively used in the treatment of the nodes described above. In addition, it does not hurt to use them if the clotted secretions have increased in abundance, due to which anemia has manifested itself. Before the onset of menstruation, approximately two or three days in advance, decoctions of cinquefoil, yarrow or nettle should be taken. It is necessary to apply 50 g of one of the decoctions in three approaches per day. Including water pepper or red viburnum is suitable for this procedure.

Abundant periods with clots can be pathologies or a variant of the norm, it all depends on the woman's well-being, the total amount of blood loss during menstruation and the level of hemoglobin.

Normally, a woman's periods come, on average, every 28 days (plus or minus 1 week). And the bleeding lasts no more than 7 days. During these days, a woman loses up to 50 grams of blood. And this is considered the norm. If menstruation is plentiful with clots, and there are many of them and the size is quite large, there is a high probability of pathology. In this case, it is not specifically these pieces of tissue that cause concern - it's just exfoliated endometrium, but the fact that their presence almost always indicates a large blood loss.

Very heavy periods with blood clots - this is an occasion to measure the approximate blood loss. If your sanitary napkin or tampon gets completely wet in 2-3 hours or less, and this lasts 2 or more days, this is a reason to see a doctor and take a blood test for hemoglobin - this is the minimum amount of examination. Normally, hemoglobin is above 120 in women. If hemoglobin is lower, you have iron deficiency anemia, which, by the way, is not only a consequence of a large blood loss, but also the root cause of bleeding, since subclinical hypothyroidism usually develops simultaneously with it (anemia).

But the causes of heavy periods with blood clots may be different. So, it is often associated with low blood clotting. To diagnose this pathology, a woman takes a special blood test - a hemostasiogram. At the same time, an ultrasound scan of the uterus and ovaries is mandatory. It is often found that heavy menstruation is a consequence of several diseases at once. For example, blood clotting disorders may be detected, coupled with endometrial hyperplasia. Naturally, treatment will be prescribed depending on these same causes that need to be eliminated. In the future, after treatment, a woman can be prescribed hormonal drugs with a contraceptive effect. They suppress the excessive growth of the endometrium - and this is the most common cause of heavy bleeding.

Separately, it should be said that heavy periods after childbirth with clots are also observed. But even if a woman is breastfeeding, treatment should be carried out. Modern antibiotics, which are necessarily prescribed for the inflammatory process, can be taken during lactation.

But what to do with heavy periods with blood clots, if it is not possible to immediately consult a doctor? We hasten to warn that with severe bleeding, a large loss of blood with a fatal outcome is possible. If your hygiene product becomes unusable in an hour, you need to call an ambulance. It will not be possible to quickly stop uterine bleeding on your own, especially with the help of herbs. In most cases, in such an emergency, a woman undergoes a procedure for the surgical removal of the endometrium from the uterus - this is a small operation that is performed without an incision, through the vagina. Thus, the doctor will not only stop the bleeding, but also receive material with which, according to the results of a histological examination, it will be possible to make a diagnosis, determine the cause of what happened, and find out if there is endometrial cancer or a process preceding it.

A regular menstrual cycle is the key to the health of every woman, but sometimes during absolutely normal periods there are unusual discharges that scare many. Among them, the appearance of blood clots. They tend to stand out in chunks and are very disturbing to women. Usually, if you have meat-like symptoms, you should seek medical help. Sometimes the cause of such secretions is an inflammatory process in the body or gynecological diseases.

Approximately one in three women have discharge in the form of large pieces of blood during menstruation. They can be divided into two groups, the first of which is the norm and is not accompanied by other dangerous symptoms. The second type appears due to the presence of a gynecological disease in the body.

Throughout the menstrual cycle, the inner lining of the uterus gradually becomes thicker, thus preparing for possible fertilization. If pregnancy does not occur, the layer of the endometrium, along with the blood, is shed and leaves the vagina, sometimes in the form of pieces of exfoliated endometrium, which is not a pathology.

Menstrual blood is dark red in color and has a characteristic odor. Usually there are no clots in it, but some women report the appearance of small pieces of blood as a monthly phenomenon.

They appear when the enzymes responsible for its clotting cannot cope with abundant secretions, therefore it can fold directly into the vagina. For this reason, pieces come out that look like meat, but in fact it is just coagulated blood. When a clot has come out of the vagina, as if skin or tissue, it may just be a separated endometrium.

Main symptoms

Despite the fact that discharge in the form of clots is considered the norm, in most cases you need to consult a gynecologist about this. You should urgently seek medical help in such cases:

the size of the allocated pieces is more than 3 cm;
simultaneously with clots, a woman's temperature rises;
weakness;
pain in the abdomen.

If during menstruation a clot came out simultaneously with other symptoms, a pathological process may develop in the body.

Pathological changes

When a woman's periods are usually long and plentiful, then you should not worry about this. But there are other reasons for the appearance of atypical secretions.

The enzymatic system is responsible for the normal process of blood clotting in women, failures in which lead to the appearance of small clots, which changes the nature of the discharge. There are particles in them that did not have time to curl up. If a woman's blood clots too quickly, a clot will definitely appear during menstruation.

The lack of enzymes most often leads to poor clotting and the release of pieces that look like meat. Such discharge also occurs with anemia in women. If, simultaneously with clots, weakness, high temperature, you should not postpone a visit to the doctor.

The presence of an intrauterine device

The intrauterine device, which is used to protect against unwanted pregnancy, also often causes bleeding in the form of pieces. After its installation, menstruation changes slightly. Clots appear due to the fact that a foreign body in the form of a spiral does not always take root well in the female body, and also due to the rejection of a fertilized egg.

Almost always, when installing a spiral, the color, character and consistency of menstrual blood changes. A large piece also comes out due to the septum on the cervix, when the spiral does not allow the egg to attach to the walls of the uterus, and it leaves the vagina in the form of bloody pieces. In this case, every time during menstruation, a large clot will appear.

Adhesive processes

Changes in the structure of the uterine wall leads to the formation of adhesions. The uterine cavity is affected by the adhesive process and because of this, the normal menstrual cycle is disturbed. Menstruation can be quite meager, but with the presence of clots, the size and number of which depends on the degree of development of adhesions.

Adhesive formations without treatment often end in the absence of menstruation and infertility, so it is necessary to contact a specialist for any changes in menstrual blood.

Polyposis of the endometrium

When endometrial cells grow locally, polyps form. Because of them, a large clot may appear during menstruation. Endometrial polyposis is characterized by severe cutting pains. True, clots can come out at almost any time of the menstrual cycle. Discharge during polyposis increases, but their nature depends on the size of the polyp, which can separate and exit the vagina as a clot.

Childbirth as the cause of clots

There are no reasons for excitement in women who have just given birth, for whom heavy periods with pieces of blood are the norm. Childbirth is a complex process, which is why the female body needs a lot of strength to recover after them. After the birth of a child, excess epithelium comes out of the uterus simultaneously with blood secretions in order to best clean its cavity.

The uterus during childbirth is involved in the process of the birth of the child. It is intensively reduced, and after the newborn, the afterbirth comes out. But blood clots still remain in the cavity of the female organ and then come out with menstruation. Such discharge should not bother a woman if they are not accompanied by a rise in temperature and poor health.

Abortion

Sometimes the discharge of pieces of blood or tissue can mean the termination of a pregnancy. Spontaneous abortion or medical intervention leads to this kind of discharge.

abortion

After artificial termination of pregnancy, women will always be within ten days. In general, this is a normal phenomenon, because the body needs to clear itself of excess clots in the uterine cavity. Such discharge is not considered menstruation, but a kind of body response to stress after an abortion. Their duration depends on the individual characteristics of the woman's health.

In this process, the color and size of the bleeding plays an important role. Strongly large pieces of blood, pain in the abdomen, fever should be the reason for an immediate visit to the doctor. The type and amount of blood released depends on the type of abortion. With medical termination of pregnancy, profuse bleeding is observed only in the first days after taking the drugs, and then they become spotting.

Vacuum and surgical abortion is characterized by profuse discharge. The presence of any additional symptoms at the same time can be life-threatening for the woman.

miscarriages

A large blood clot in some cases means an early miscarriage. Another characteristic sign of a miscarriage is the appearance of gray mucus with a yellow tint. Conception is interrupted for various reasons, when the fertilized egg is not accepted by the body.

Despite the absence of visible health problems, menstruation can come with blood clots. Often this symptom alarms a woman, and encourages her to visit a gynecologist unscheduled. Consider the most common reasons why menstruation comes with blood clots.

Why menstruation comes with blood clots: features of the structure of the uterus.

The female uterus is an amazing organ that has incredible elasticity. Representing a kind of muscular "bag", during pregnancy, the uterus is able to increase several tens of times, restoring its former size after childbirth in a short period of time. During menstruation, blood, endometrial cells and the secret of the internal glands are freely evacuated from the uterine cavity through the cervical canal into the vagina.

In the presence of congenital anomalies of the uterus, menstruation comes with blood clots and is accompanied by intense pain in the lower abdomen. This phenomenon is observed with a bicornuate uterus, incomplete doubling of the uterus and vagina, infantile (underdeveloped) uterus , the presence of a septum in the uterine cavity, the bend of the uterus, which contributes to the difficulty of evacuation and stagnation of menstrual blood. Pain during menstruation is associated with the accumulation of blood in the uterine cavity, as a result of which it begins to contract, in order to quickly "get rid" of the contents.

Why do periods come with blood clots? Sign of uterine fibroids.

Myoma (fibromyoma, fibroma) of the uterus is a benign formation that is formed against the background of hormonal imbalance in the body. Fibromatous nodes can grow both outside and into the uterine cavity, and have a different size. If the tumor is located in the endometrium, the uterus is deformed, as a result of which the outflow of secretions is disturbed and menstruation begins to flow in blood clots.

IMPORTANT! With the development of uterine fibroids, menstruation is irregular, there are complaints of pulling pains in the lower abdomen, as well as intermenstrual bleeding. The appearance of one of these signs is a reason to immediately contact a gynecologist.

Menstruation with blood clots: when the endometrium is "not healthy."

Thickening of the inner layer of the uterus (hyperplasia) appears in some diseases and provokes the formation of blood clots during menstruation. The causes of problems with the endometrium of the uterus can be:

endometriosis;
endometrial polyps;
hormonal disorders;
hypertensive disease;
diabetes;
obesity.

As a rule, the formation of clots during menstruation with endometrial hyperplasia is accompanied by malfunctions in the menstrual cycle, the presence of pain, general malaise, lack of appetite. Bloody discharge is thick, profuse, dark brown.

Are there menstrual blood clots during pregnancy?

Everyone knows that during the gestation period, spotting from the genital tract is far from the norm. Pregnancy completely changes the hormonal background in a woman's body, resulting in the absence of the usual monthly menstrual cycle. The forces of the body are aimed at bearing the fetus, which needs a good blood supply.

Menstruation with large yellow-gray blood clots may indicate an early termination of pregnancy. Brownish blood clots during menstruation with pain, fever, and chills should be suspected ectopic pregnancy , which can provoke the development of massive internal bleeding that threatens the life of a woman.

Why do periods come with blood clots? And the reason for that...

Sedentary lifestyle.

If you stay in one position for a long time - sit or lie down, the outflow of blood from the uterine cavity is disturbed, and the accumulated secretions turn into clots. In this case, you should not worry, since this nature of the discharge does not pose any threat to health.

Violation of blood clotting.

Women who have elevated clotting factors in the blood notice the appearance of blood clots during menstruation. In this case, you should consult a doctor and undergo the necessary examination. Most often, the reason why menstruation comes with blood clots is due to the presence of iron deficiency anemia.

Intrauterine contraception.

In this situation, the mechanism for the formation of blood clots during menstruation is that the intrauterine device (IUD) partially impedes the outflow of secretions.

postpartum period.

Lochia - bloody discharge from the genital tract in the first 2-4 weeks after childbirth. Lochia is absolutely normal and may contain small blood clots.

Bad habits, weakened immune system.

Previously transferred gynecological operations.

Violation of the hormonal background in the body.

If blood clots come out during menstruation, you should consult your doctor about this. The fact is that this symptom is characteristic of many pathological conditions, some of which pose a particular danger to health. Early diagnosis of the disease is half the success in its treatment.

From about the age of 12, every girl has monthly menstrual bleeding. By the nature and regularity of these secretions, one can judge the state of a woman's health and any possible pathologies. It often happens that menstruation comes in clots. Why does this happen and is it a reason for an unscheduled consultation with a gynecologist?

What are menstrual flow?

Throughout a woman's menstrual cycle, the lining of the uterus prepares for a possible pregnancy. In order for the fetus to be securely attached to it, its walls are constantly thickened. If the conception of a child does not occur, the next menstruation occurs, during which not only menstrual blood, but also the rejected layer of the endometrium comes out of the woman's body. After the end of the monthly discharge, the endometrial layer will begin to grow again in anticipation of fertilization.

Usually, the blood released during the “red days of the calendar” has clearly defined characteristics: a bright scarlet color, a rather unpleasant specific odor and low coagulability. On average, the discharge lasts about 4 days, and during this time no more than 250 ml of blood leaves the female body. The nature of menstruation can differ significantly in the first and last days. At first they are scarlet in color and high in intensity, and after the third day they become less abundant and acquire a brown or dark red tint.

Causes of clots during menstruation

For what reasons does blood coagulate, why do periods still go in clots? The following are the most common.

Endometriosis, or abnormal growth of endometrial tissue. Absolutely all women of childbearing age can be affected by this disease. But in most cases, it affects girls who have repeatedly had abortions and curettage. Usually this condition is accompanied by severe pain, profuse monthly and spotting discharge before and after them.

Sometimes the first menstruation after childbirth begins in this way. Such a pathology can be caused by the fact that particles of the placenta remain in the uterus. In advanced cases, scraping may be required.
Immediately after the curettage procedure (for example, during a missed pregnancy), notches may form on the uterine mucosa. Blood sometimes gets into such openings, which coagulates and is released along with menstruation in the form of clots.
In violation of the female hormonal background, namely the ratio of estrogen and progesterone, in some cases there is an increase in the function of blood clotting - it leads to the formation of clots.
Uterine fibroids is a benign neoplasm that changes the nature and process of menstruation.
In the presence of an intrauterine device in the form of clots, particles of a fertilized egg can come out.
Finally, a change in the nature of menstruation and the formation of blood clots can provoke low hemoglobin, an excess of B vitamins, alcohol and nicotine abuse, as well as psycho-emotional instability and regular stress.

Should I see a doctor if my periods are clotting?

As a rule, women do not go to the gynecologist if they notice blood clots during menstruation.

Indeed, often this is a variant of the norm and does not require a medical examination.

However, in some situations, it is necessary to consult a doctor as soon as possible in order to determine why menstruation comes in clots and exclude the presence of serious diseases. The following symptoms may be the reason for an unscheduled visit to the doctor:

heavy bleeding with clots when the pad gets wet in less than 2 hours
a sudden change in the nature of menstrual flow;
severe sharp pain in the abdomen;
heavy periods with clots lasting more than 7 days;
the presence of clots more than 5 centimeters;
irritability, nervousness, a feeling of depression and constant fatigue, poor health in general.

Treatment of pathological clots during menstruation

In order to get rid of clots provoked by any pathologies, it is necessary first of all to determine the cause. With a timely visit to the doctor, an ultrasound diagnosis of the pelvic organs will be prescribed. This research method will be able to establish the presence or absence of the main cause of the appearance of clots during menstruation - endometriosis. Hormonal drugs can be used to treat it. However, in most cases, only a cardinal measure, a surgical operation, helps to completely get rid of this problem. In addition, the doctor may perform an MRI of the urogenital system to rule out the presence of any neoplasms.

Also, in case of complaints about the appearance of clots in menstrual flow, a blood test for male and female sex hormones is almost always prescribed, as well as a general blood test, with which it will be possible to determine the level of hemoglobin. Depending on the detected cause, appropriate medications are prescribed that normalize the hormonal background or increase the iron content in the blood. Finally, along with the complex treatment of the disease that caused changes in the nature of the course of menstruation, ascorutin or calcium gluconate is very often prescribed.

If menstruation comes in clots, this is equally likely to be the norm, and a sign requiring medical intervention. It all depends on how typical this phenomenon is for a particular woman and whether it provokes a serious loss of blood in her. In addition, you need to be attentive to your well-being during menstruation and quickly respond to obvious deviations from the usual development of events.