Every month the body shows the woman whether she becomes a mother or not. For each of the fair sex such a difficult period, as menstruation, is different. Normal consider the duration of discharge for several days. Initially they are abundant, then they begin to thicken and become poor.
Thick periods should make a woman consult a doctor
The color gradually changes from red to brown, almost black at the end. Dark and thick periods throughout the entire period of menstruation are often alarming and even frightening. But anxiety and fear make not all see a doctor.
In some gynecological diseases, discoloration or consistency of the menses becomes the only symptom. If inattentively monitor health and skip this symptom, then the pathology can be started. To avoid this, you need to know some points about menstruation, its duration and cyclicity.
The lunar calendar menstrual cycle has a duration of twenty-eight days. This number of days does not apply to all women, so this indicator often varies. Variants of the norm will be the duration of not less than nineteen days and not more than forty-five. Menstruation should not last more than seven days or less than two.
During menstruation, weakness or malaise, slight nagging pains are possible. The appearance of severe and prolonged pain in the lower abdomen can be a sign of pathology. At the beginning of menstruation, the largest volume of blood is secreted, which gradually decreases. Abundant or scanty discharge throughout the menstruation is a frequent symptom of endometrial diseases. Heterogeneous color or the appearance of clots should also alert.
Severe pain during menstruation may indicate pathology
About the reasons
Gynecologists say that the discharge of dark color in the period of menstruation is rarely a deviation. Women who are not associated with physical exertion often observe menstruation with such a characteristic symptom. The remaining symptoms, which include fatigue, malaise, nervousness, and even soreness, go away like most.
The appearance and consistency of bleeding changes due to blood density. This is not a sign of serious problems in the body. Often, dark and viscous secretions are characteristic of the age after thirty years. But when other symptoms appear, then you need to forget about the norm and contact a gynecologist for help.
The reasons for the appearance of thick dark secretions are:
- The position of the cervix, its bend.
- Polyps benign character.
- Narrowing of the cervical canal.
- Change the uterus in size.
- Removal of the intrauterine device.
A sudden change in body weight in the direction of increasing or decreasing, discomfort during menstruation, an unexpected change in the color and consistency of blood discharge should be disturbed. A common cause is a change in hormone levels. The following situations lead to this:
- stress and emotional distress
- significant ultraviolet radiation,
- endocrine system malfunction
- infectious diseases - undertreated or missed.
Drugs based on hormones and weight loss drugs often have a significant effect on the change in the nature of your menstrual period: at the beginning of the menopause period there is a density and a darker shade of menstrual flow.
To identify a specific cause, you can use additional methods of research, such as laboratory tests and ultrasound. Competent and timely treatment by an experienced gynecologist will allow to cope with the problem. You only need to come to the hospital for an appointment.
The bend of the uterus provokes thick periods. In the picture on the left, the normal position of the uterus, on the right - the bend
The abortion procedure often affects the change in the consistency and color of the menstrual flow. After it, changes in the hormone level occur in the woman’s body, the menstrual cycle is gradually stabilized, and the endometrium structure is restored. Such changes are often characteristic of gynecological operations.
A variety of infections in the genital area often affect the structure of menstruation. The appearance of additional symptoms will help identify the true cause. Abrupt cessation of oral contraceptive use, decreased iron levels in the blood (anemia), vitamin deficiency, kidney and liver disease can also have an effect.
Increased blood clotting often becomes the cause of thick periods: the blood is longer in the genital tract, resulting in time to undergo oxidation and darken.
Do not forget about the factor of heredity. If the mother has this feature, then it can also be present for the daughter.
Rather serious causes of thick menstruation can be: ectopic pregnancy, benign or malignant neoplasms of the ovaries or uterine cavity. It must be remembered that a sharp and prolonged change in the nature of bleeding most often has a cause and may be the first sign of a disease that needs to be treated promptly.
Increased blood clotting gives monthly thickness and dark color
Any woman respecting herself and her health should visit a gynecologist every year. Especially this rule applies to the category of women who have had inflammation of the endometrium or adenomyosis. Such diseases can be asymptomatic for a long time, and only regular visits to the doctor will help to avoid serious consequences.
Careful attention to your body will help notice in time certain signs that may be the cause of certain diseases in the gynecological field. These include:
- irregularity of the menstrual cycle
- the presence of large clots in the monthly discharge,
- painful feelings of a whining character throughout the month,
- change of dark, thick discharge to bright and abundant,
- the allocation of permanent lubricating character is not in the period of menstruation,
- general weakness and sudden change in body weight
- an increase in the duration of menstruation over seven days,
- pain in the lower abdomen or lower back,
- appearance of persistent cough for no apparent reason
- an unpleasant smell that is different from the usual in the days of the menstrual cycle.
Often such periods depend on simple causes, such as dehydration and heavy exercise. Such menstruation is often observed in healthy women on the first day. The duration of the menstrual cycle, the amount of bleeding and other features characteristic of each woman may vary with age. This is a variant of the norm. But significant and dramatic changes should not go unnoticed.
But if a woman notes that her period has suddenly become thick, which she has not had before, and other symptoms appear, then you should consult a gynecologist for consultation. Do not hesitate to ask questions or postpone a visit to the doctor for another time. It is better to find out the reasons for such changes and sleep well than to suffer from anxiety, which can be quite reasonable.
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Menstruation with clots (chunks) - causes of a frightening phenomenon
Menstruation is accompanied by many processes in the body of a woman. Coordinates the entire monthly cycle of the central nervous system, regulate sex hormones. If one of the links is malfunctioning, the nature of the discharge, the duration of menstruation, changes. If the monthly go with blood clots - the norm or deviation? What does this picture indicate?
Clots - normal
From the first day of menstruation the next monthly cycle begins. A new egg is being born, which will have to develop before and after ovulation. In parallel, the uterus is prepared for the adoption of a fertilized egg. Under the influence of hormones, the formation of an additional layer of the uterus - the endometrium. If fertilization does not occur, the uterus begins to dispose of it. He makes cuts, pushes all the excess out. Along with the blood out the remnants of the endometrium of the uterus. Hence the monthly blood clots.
In addition, during the critical days, the woman tries to lie more, sit, move less. This slows down the process of blood out. Being inside the vagina it folds. On the gasket, you can notice discharge with clots. Usually they appear in the middle of menstruation, or at the end. Evidence that the blood ceases to stand out strongly, the uterus of the epithelium is cleared completely.
If the discharge of blood does not differ from previous periods, does not bother the pain, unusual discomfort, there is no reason to worry. Discharge with blood clots is normal.
Sometimes heavy periods with blood clots accompany a woman due to pathological abnormalities. For this state, this is the norm, but in general it is a deviation. These include the structure of the uterus with septa. Blood during menstruation is delayed inside, quickly collapses, there are discharge with blood clots. And also uterus bipedalism. This abnormal phenomenon causes heavy periods with clots, accompanied by severe pain. The problem is solved by surgery.
If the discharge during menstruation is very different from the usual, you can suspect pathological processes in the body or gynecological disease.
Hormones are responsible for the entire process of the menstrual cycle. In the first phase, the development of the egg provides the hormone estrogen. Under his influence, the uterus forms the endometrium. In the second phase, progesterone takes precedence. The hormone helps to strengthen the fertilized egg to the walls of the uterus - prepared endometrium. If fertilization does not occur, progesterone provokes menstruation. Hormonal imbalance leads to a failure of the entire reproductive system. The situation may arise in different ways. The uterus forms an extra layer of the endometrium, the onset of menstruation is delayed. The result is profuse or scanty menstruation with blood clots. In the first case, the main cause of a large number of clots and heavy menstruation is the layer of the endometrium. In the second - coagulated blood.
Hormonal imbalance does not mean that the cause of the failure is disruption of the reproductive system. For the production and normal functioning of hormones are responsible:
- adrenal glands
The level of hormones is determined by blood test, which is given on certain days of the monthly cycle. With hormonal imbalance, monthly discharge with blood clots is always dark, accompanied by lower abdominal pain, fever, nausea. With an insufficient amount of progesterone, menses are scarce. With excess - copious menstruation. Violation of hormonal balance occurs during menopause. Then the monthly cease to be regular, and the discharge is accompanied by blood clots. The problem is solved by taking hormonal drugs.
Diseases of the reproductive system are often accompanied by symptoms of varying severity. But sometimes a violation of the menstrual cycle and discharge with blood clots are the only sign of a pathological process in the body.
A fairly common disease among women of any age. The main cause of pathology is hormonal failure. Endometriosis refers to diseases of the uterus. The body produces an excessive layer of the endometrium that extends beyond the borders of the uterus. All this is accompanied by aching pain on the eve of menstruation or during menstruation. Discomfort during intercourse. Endometrial detachment causes heavy menstruation with blood clots. After menstruation, the aching pain remains. The situation can occur once, or be repeated every month. What is a serious reason to consult a doctor. The disease may become chronic, will make itself felt periodically. Endometriosis is one of the causes of infertility.
The disease of the penis, characterized by the presence of benign formations. Gynecologists share myoma, fibroids, fibroids. It depends on the location of the tumor, and the tissues that are involved in the formation. In severe cases, the tumor can turn into a malignant form. Often the cause of the disease is a hormonal failure. Very often, fibroids appear in women after 40 years before menopause. But may be present in women of childbearing age. The main danger of the disease is the absence of symptoms. In addition to the unusual discharge with blood clots, the woman at first does not bother. Myoma can disappear with time, or grow in size. Amenable to hormonal treatment. In the case of overgrowth, the tumor is surgically removed. It is very important to identify the disease in a timely manner. Then the treatment will be much more effective. The tumor interferes with the free flow of blood during menstruation. It collapses even inside the penis. Discharge appears on the pad with blood clots.
More recently, the cause of the disease, doctors believed abortion, childbirth in adulthood. Currently, cases of polyps in young women who have not had an abortion have become more frequent. Small neoplasms grow on the walls of the uterus. They provoke profuse bleeding, the formation of clots. In addition, there is pain in the lower abdomen, daub with brown secretions throughout the entire monthly cycle. One of the causes of the disease is a hormonal failure, but the most important is the mechanical effect.
The disease can develop at an early age. Sometimes suspect health problems allow heavy periods with clots. There are no more accumulations of blood, but the presence of mucus. At a young age, menstruation is abundant. As they grow older pain is added.
The reasons for the appearance of menstruation with clots are many. Recognize yourself at home is impossible. It is necessary to undergo examination, diagnosis, a long course of treatment.
The presence of intrauterine device
Not all women are hormonal contraceptives. And some deliberately do not want to use them, for fear of changing the appearance and state of health. The intrauterine device is a common contraceptive among women who have given birth. It is recommended to install it 6 months after delivery, but some ladies put the helix after 2 months. The spiral is installed in the uterus, does not cause discomfort, is not felt when moving. But it is perceived by the body as an alien object.
Spiral affects the nature of the discharge during menstruation. The first 3 months there is an adaptation of the body and the reproductive system to the contraceptive. At this time, the monthly become abundant with clots. Duration more than 7 days. Special pain is not felt, there is a general weakness, malaise. In some cases, dizziness is observed. In the period between the monthly can be observed brown discharge, a small amount of clots. Within 3 months, menstruation returns to normal. Sometimes the amount of blood released and the duration of critical days become the same.
If the situation with clots and heavy bleeding recurs, you should consult a doctor. The presence of other painful sensations along with copious secretions may indicate inflammation. The cause of the disease and discharge with the presence of a large number of clots is a spiral.
Abortion, childbirth, miscarriage - monthly chunks
The reason for the abundant discharge with the presence of clots may be an abortion, made previously. This may be the body's response to hormonal failure and physical intervention. IL ilk to indicate incomplete removal of the embryo, the presence of the inflammatory process. A similar situation with the rest of the fetus can occur due to a vacuum abortion, or a mini-abortion with the use of tablets. Обильные месячные с наличием сгустков и с кусками при выскабливании – следствие травмирования органа.
После родов женщине предстоит пройти путь восстановления месячного цикла. All sorts of abnormalities are possible with delayed menstruation, violation of the duration of menstruation. Possible and profuse bleeding with clots. The situation should not be ignored. It is necessary to visit a gynecologist to exclude diseases and pathological processes.
Miscarriage or arbitrary termination of pregnancy often occurs in the first 12 weeks after conception. Sometimes a woman does not realize at all about pregnancy, and after a short delay of 1-3 weeks her period begins. In this case, the selection is more abundant than they were before. The consistency is not uniform with blood clots. It is advisable for a woman to undergo an ultrasound scan to make sure that the uterus has cleansed itself. In other cases, an additional curettage.
Preparations for calling menstruation
Free access to the Internet made it possible for a modern woman to solve her problems without the help of a doctor. The situation with the delay of menstruation is discussed on the forums. In the same place, women give each other advice on how to cause menstruation. It is not difficult to guess that menstruation can linger for many reasons. The solution to the problem is purely individual. Meanwhile, women go to the pharmacy, buy drugs to call monthly.
Menstruation with clots - the result of using Duphaston, Norcolut. This is the most common remedy for women. It is necessary to take pills 2 times a day for 10 days. At the end of the period come monthly. In some women, this happens after 3-5 days of drug use. Similar tablets contain a large amount of progesterone. If the body is disturbed by the balance of hormones, and the delay is not associated with a lack of progesterone, the drugs will cause heavy menstruation and clots (pieces of blood).
Menstruation with blood clots should not be overlooked. A woman should analyze the situation, the amount of discharge, to assess the general state of health. If the situation is a concern, you should visit a gynecologist. In most cases, the problem is solved by qualified treatment. Independent efforts will not bring results.
WHAT TO DO IF YOU HAVE DETECTED MYOMO, CYST, INFERTILITY, OR OTHER DISEASE?
- You are worried about sudden abdominal pain.
- And long, chaotic and painful periods are already pretty tired.
- You have insufficient endometrium to get pregnant.
- Highlight brown, green or yellow.
- And the recommended drugs for some reason are not effective in your case.
- In addition, constant weakness and ailments have already firmly entered your life.
There is an effective treatment for endometriosis, cysts, fibroids, unstable menstrual cycle and other gynecological diseases.. Follow the link and find out what the chief gynecologist of Russia recommends.
Abundant periods with clots can occur at any time during the life of a woman, regardless of her age, place of residence or race. In the hot season, the risk of bleeding increases significantly, due to the increased load on the cardiovascular system. Also, the influence of atmospheric pressure drops on the development of menstrual disorders.
Causes of heavy periods with clots
Etiological factors for the occurrence of heavy menstruation are:
- Stress, strong psycho-emotional shock,
- Eating disorders such as obesity, hypo-and avitaminosis, fasting,
- Chronic diseases of the liver, cardiovascular system, etc.,
- Disruption of hormonal levels,
- Postponed gynecological surgery,
- Infectious diseases of the pelvic organs,
- Radiation exposure,
- Congenital malformations of genital organs.
Various adverse factors affect the female body in different periods of development, formation, formation and extinction of reproductive function. Most often during the periods of greatest vulnerability - puberty and menopause. The main risk factors for uterine bleeding are:
- Excessive physical activity
- Malnutrition, vitamin deficiencies,
- Mental stress and stress
- Acute and chronic diseases of infectious genesis.
In reproductive age:
- History of abortion
- Complicated childbirth,
- Inflammatory diseases of the pelvic organs,
- Neuroendocrine diseases
- Disruption of hormonal levels,
- Occupational hazards
- Mental and emotional stress.
- Acute and chronic infectious diseases
- The formation of the pelvic organs,
- The presence of prolapse of the pelvic organs,
- Diseases of the cardiovascular system and endocrine glands.
Normally, menstruation is a regular, cyclical, painless uterine bleeding that occurs when the functional layer of the endometrium is rejected due to a decrease in the level of progesterone and estrogen and does not exceed 80 ml of total blood loss over the menstrual period.
In medicine, the following concepts are used:
- Hyperpolymenorrhea is a violation of the menstrual function, which manifests itself with regular heavy bleeding, exceeding the total blood loss of 80 ml per menstruation.
- Acute menorrhagia is an unforeseen abundant uterine bleeding not related to the cycle.
- Metrorrhagia is profuse, prolonged, irregular bleeding between menstruation.
Abundant menstruation may indicate such violations of women's health as: the presence of uterine fibroids, cervical neoplasms, pathological menopause, complications of pregnancy, etc.
The main pathogenetic aspect of the development of uterine bleeding is the imbalance of the main hormones against the background of changes in the function of the most important parts of the hypothalamic-pituitary and ovarian systems.
The reproductive system of a woman is built according to a hierarchical type, the main links in which are: the cerebral cortex, hypothalamus, pituitary, ovaries, uterus and other target organs (mammary glands, thyroid gland). So in the cerebral cortex, the main regulators of the menstrual cycle are dopamine and norepinephrine, which control the hypothalamic gonadotropin - releasing - hormone (GnRH), and serotonin, which controls the luteinizing hormone (LH). The hypothalamus is one of the main structural formations of the brain that produces releasing - hormones that release the pituitary hormones and statins that suppress their secretion. GnRH is the main hypothalamic hormone involved in the menstrual cycle. It is released into the bloodstream 1 time in 60 minutes and the maximum frequency of its release is recorded in the preovulatory period, and the lowest - in the second phase of the cycle. Direct participation in the regulation of the menstrual cycle are gonadotropins - pituitary hormones such as: prolactin (PRL) - lactation hormone, follitropin (FSH) - growth hormone and follicle maturation, and lyutropin (LH) - yellow body hormone. The ovaries synthesize estrogens, gestagens and androgens - hormones that have a vegetative (development and livelihood of the genitals) and a generative (hormonal) effect on the female body. Thus, if any of the links - regulators of the cycle fall out or are disturbed, the hormonal background will fail and the uterine endometrium will proliferate. Excessive stimulation of the uterus with estrogens will lead to an increase in the thickness and hypoxia of the endometrium, which, due to the increased contractility of the uterus, will be permanently and non-simultaneously rejected, one section after another, which in turn is accompanied by abundant uterine bleeding with long clots.
Symptoms of heavy periods with clots
Depending on the cause of bleeding from the genital tract, a woman can be disturbed by various symptoms, ranging from pain to dizziness and loss of consciousness. More details on the cause of the onset, a detailed description of the symptoms, first signs and complaints are presented below.
Copious periods with clots after a delay
Sometimes, after a delay in menstruation, a woman experiences profuse bleeding with clots from the genital tract, and there may be painful feelings of a whining character in the lower abdomen with irradiation to the anus. The cause of this symptom can be a broken pregnancy, taking an oral contraceptive. Determining the cause will help determine the level of chorionic gonadotropin in the blood. Even with a complete spontaneous abortion, his numbers, for a while, remain at a high level. This is due to the fact that a non-viable embryo is rejected by a prepared endometrium and is accompanied by a large amount of blood loss. In this case, the woman experiences weakness, dizziness, nausea, sometimes vomiting. In the presence of such symptoms, you must immediately call an ambulance for hospitalization in a specialized hospital.
Abundant periods with clots during pregnancy
The appearance of bleeding from the genital tract in a pregnant woman usually indicates spontaneous abortion. In this case, the first symptom is a pulling pain in the lower abdomen, which gives into the rectum, in the second half of pregnancy, the pain can be cramping. Spotting, however, in a significant amount with clots of varying intensity. Depending on the gestational age, vacuum - aspiration of the uterine contents is carried out in the first trimester; after the sixteenth week of pregnancy, the fertilization product is evacuated under adequate anesthesia and hemodynamic control. In the absence of contraindications, the appointment of uterotonics is permissible to accelerate the expulsion of uterine contents.
In later pregnancy, vaginal bleeding may indicate placenta previa. In this case, the bleeding is of different intensity and absolutely painless. If a woman has a condition for more than 20 weeks of pregnancy, this condition should be called immediately.
Abundant periods with clots after childbirth
Usually, immediately after childbirth, a woman has a physiological bleeding - lochia. It can be of different intensity and will continue until the postpartum uterus is completely reduced to normal size. After that, if the woman in labor is breastfeeding the newborn, she has no menstruation. This phenomenon is called lactational amenorrhea and, as a rule, it continues until the introduction of infant foods in the diet. And so after 6-12 months, the woman recovers the menstrual cycle. Due to the physiological changes that have occurred in a woman's body, such as shortening of the cervix, widening of the cervical canal, an increase in the size of the uterus, an increase in the volume of the endometrium, menstrual flow becomes more intense and abundant.
Immediately after 2-4 weeks after childbirth, profuse bleeding with clots may occur, due to the presence of placenta residues in the uterine cavity. At the same time, bloody discharge of a bright scarlet color with an unpleasant odor and accompanied by pain in the lower abdomen radiating to the lower back. In this case, you need to seek qualified medical assistance, as it is possible infection of residues of the placenta and the development of endometritis - inflammation of the uterus.
Abundant menstruation with clots after cesarean section
Often, copious bloody discharge with clots is observed after a cesarean section. This is due to the presence of a scar on the uterus, reduced contractility of the uterus and unchanged cervical canal and cervix, which is an obstacle to the free passage of lochia, as after normal delivery. As a consequence, the bleeding becomes longer with more clots. Over time, the menstrual cycle will improve and the amount of released menstrual blood will become more normal.
Abundant menstruation with clots after curettage of the uterus
Abundant menstruation with clots after curettage of the uterus can be the result of an instrumental abortion. At the same time, curettage of the uterus cavity is performed with a curette, removing endometrium with layers of the ovum in layers. If during the procedure the surgeon missed any part of the cavity, for 2-4 days bleeding with scarlets of scarlet color may develop, accompanied by aching pain in the lower abdomen. In this case, you must contact the medical institution where the abortion was carried out.
If bleeding occurs on the 7-10th day after uterine curettage, you should also seek medical help, as this condition may be due to the presence of a placental polyp, which occurs at the site of the remnants of the fertilization product. In this case, a woman may have bleeding of varying intensity, lower abdominal pain, subfebrile body temperature and nausea. To eliminate this symptom complex in the stationary gynecological department, on the background of adequate antibiotic therapy, re-curettage of the uterus cavity is performed, with further administration of oral contraceptive preparations.
Copious periods with clots after hysteroscopy
Hysteroscopy is a gynecological procedure using an optical device, with which the doctor has the opportunity not only to visualize the inside of the uterus, but also to take a material without traumatizing the entire uterine cavity, as if scraping. Hysteroscopy is carried out both for the purpose of diagnosis and for therapeutic purposes. In this case, in the case of diagnostic hysteroscopy, no changes in the menstrual cycle occur. As for surgical hysteroscopy, the cycle is lengthened here, often the periods become more abundant than ever. But sometimes bleeding changes the smell, clots appear in them and their color changes, which may indicate about the addition of infection. If abundant bleeding has become black in color with marked pain syndrome, this may be a symptom of the disease - endometriosis. Endometriosis is a complex hormone-dependent disease, in which endometrial tissue is located not only in the uterus, but also outside it. In this case, the woman is worried about severe pain in the first days of menstruation. The doctor will make an accurate diagnosis after additional diagnostic examinations.
Abundant periods with clots in myoma
Uterine fibroids - a benign formation, which consists of connective tissue or muscle elements. If muscle fibers predominate in the structure of the formation, we are talking about fibroid, if connective tissue prevails, fibromyoma. One of the first symptoms of uterine fibroids is copious menstruation. The nature of the discharge depends on the location in the uterus myoma node. So with its location in the submucosal layer from the very beginning of its formation, the woman is concerned about abundant, prolonged menstruation with clots, which is also associated with impaired uterine tone.
Sometimes the growth in the uterus of the submucous myoma node is directed towards the cervical canal, which eventually leads to its exit from the uterus. This process is accompanied by abundant uterine bleeding, cramping pain in the lower abdomen, general weakness, a drop in blood pressure and loss of consciousness. In this state, the provision of assistance is possible only in the conditions of a medical institution. The main goal of treatment in this case is to stop uterine bleeding, anesthetize and surgical removal of the nascent myomatous node, followed by curettage of the uterus.
Abundant periods with clots after 45-50 years
During the premenopausal period, women often have heavy uterine bleeding. This is due to the aging of the hypothalamus, in which hormones are disturbed in the direction of hyperestrogene on the background of a reduced level of progesterone, which leads to an excessive growth of the endometrium and a violation of its transformation and is manifested by long, copious monthly clots. In this case, the cyclicality is violated, and the time interval between the monthly periods is extended. The treatment of this category of patients is mainly surgical and is presented in the form of curettage of the uterus and cervical canal. In the future, in order to suppress menstrual function, hormone therapy is prescribed.
Abundant menstruation with clots during menopause
The appearance of postmenopausal bleeding can be a symptom of malignant formation of the pelvic organs. Therefore, if there is such a symptom, you should immediately contact a gynecologist for the necessary examinations. Such bleeding occurs without a cause and may be of varying intensity and duration.
Another cause of bleeding in menopause may be senile colpitis, which occurs due to a decrease in the level of estrogen in the blood, which leads to a thinning of the vaginal mucosa and its increased vulnerability. Such bleeding occurs after exercise, lifting of gravity or sexual intercourse. In any case, with the appearance of bloody discharge from the genital tract, you must seek medical advice from a gynecologist.
Abundant long periods with clots
Menorrhagia or prolonged abundant menses, may occur in the presence of a pathology of uterus development, endometriosis, endometrial hyperplasia, diseases of the endocrine genesis and blood clotting disorders. Also, the cause of this symptom can be an intrauterine contraceptive or an incorrectly chosen oral contraceptive. The disease can occur at any age and not be cyclical. Such a condition is dangerous in that, against the background of prolonged heavy bleeding, anemia, as a rule, develops, which is difficult to correct due to the presence of a genital cause of bleeding. If recurrent episodes of prolonged menstruation occur, it is necessary to contact a gynecologist, who will prescribe the necessary diagnostic procedures and treatment.
Abundant painful periods with clots
Algomenorrhea is a disease that haunts a large number of women and is manifested by painful abundant cyclic menstruation. The causes of this disease are many. Painful periods can disturb women with uterine myoma, endometriosis, intrauterine contraceptive, abnormal development of the genital organs, as well as inflammatory diseases of the pelvic organs and diseases of the endocrine and nervous systems. Pain usually occurs a couple of years after menarche and begins on the first day of the menstrual cycle or the day before it. Pain cramping spastic character radiating to the rectum, lower back, ovarian region. Sometimes with severe pain and bleeding a woman has nausea, vomiting, dizziness. Such a symptom complex leads to temporary disability and requires medical treatment.
Complications and consequences
The main complication that occurs due to heavy periods with clots is anemia. Due to a significant amount of blood loss, the blood supply to hematopoietic cells is depleted, erythropoiesis is disturbed, which leads to persistent anemia with all the attendant symptoms: weakness, dizziness, nausea, loss of appetite. In addition, this condition reduces the effectiveness of hemostatic therapy. When profuse bleeding often develops hemorrhagic shock, which requires the immediate introduction of blood products.
In the absence of anti-relapse treatment, there may be a resumption of heavy periods with clots, with the exception of conditions after hysterectomy.
Diagnosis of heavy monthly with clots
Abundant menstruation with clots is a disease that requires immediate medical and sometimes surgical treatment. But in order to proceed with its treatment, it is necessary to make a diagnosis and establish an accurate clinical diagnosis.
The diagnosis of this disease is carried out by an obstetrician-gynecologist during the initial treatment of him with complaints of heavy periods with clots. First of all, the doctor collects a detailed somatic history (history): the presence of liver diseases, cardiovascular and endocrine systems, injuries and surgery on the female genital organs. Then the menstrual and gynecological history: the age at which menarche began, the quality of the cycle, the beginning of sexual life, sexual activity, gynecological diseases and methods of contraception. A lot of important is the intake of drugs, such as estrogen, antidepressants, anticoagulants, corticosteroids, digoxin and propranolol, which could cause excessive bleeding from the genital tract.
After a detailed survey, the doctor conducts functional diagnostics tests, such as: basal temperature control, hormonal colpocytology, estrogen saturation tests, which make it possible to determine the hormonal background.
A pregnancy test or determination of chorionic gonadotropin is conducted to exclude the pathology of pregnancy, or trophoblastic disease, or ectopic pregnancy.
Complete blood count, biochemical blood test, coagulogram are performed to determine the degree of anemization of the body for further correction of anemia.
Hormonal examination in dynamics is recommended for all women suffering from heavy periods to determine the hormonal status. To do this, determine in the dynamics of the level of serum FSH, prolactin, LH, testosterone, progesterone and estradiol. The examination of thyroid and adrenal hormones is also important.
Recommended to carry out the determination of tumor markers CA 19-9, CA 125.
Why the monthly go clots: the main reasons
Regular periods without severe pain and bleeding are a sign of a woman’s health and indicate that the body is ready to bear a child.
If the color changes, the intensity of discharge increases, the cause may be an inflammatory disease that requires urgent treatment.
The most common question with which women turn to a gynecologist is: why do menstruations go in clots and what causes such a condition?
During menstruation, there is detachment of the endometrium lining the uterus. Tissue rejected and with the blood out through the vagina.
If the girl is in a horizontal or sitting position for a long time, the blood is retained in the uterus and coagulates. After the rise, clots of darker color than usual may come out.
Women who spend critical days in bed often notice this condition.
Another reason for the accumulation of clots may be retroflexion of the uterus. This is a congenital or acquired pathology in which the cervix is bent. Normal outflow of blood is also delayed and leads to clotting.
If the period comes with clots after a long sitting or lying down, this is not a pathology and does not require any treatment. In the case when the bleeding increases, there are pains in the lower abdomen, the discharge changes color or has an unpleasant smell, the body temperature rises, it is necessary to consult a doctor.
Clots may also appear on the background of gynecological diseases of an inflammatory, infectious or oncological nature. These include:
- uterine fibroids,
- polycystic ovaries,
- endometrial polyposis,
- hormonal imbalance.
The provoking factors include the installation of the intrauterine device, the violation of the menstrual cycle, prolonged delay of menstruation, postponed childbirth and medical abortions, treatment with hormonal drugs and taking oral contraceptives.
Sex hormones androgens are responsible for the reproductive function of women. Under their influence, the follicle, which contains the egg cell, matures, ovulation occurs.
Progesterone and estrogens are produced in the ovaries, these hormones prepare the uterus for the attachment of the ovum. If conception occurs, gonadotropin is synthesized by the membranes, responsible for the growth of the uterus and the cessation of spasms.
In the case when fertilization does not occur, the level of hormones is reduced before the start of menstruation.
Disruption of hormonal balance leads to the fact that the menstrual cycle gets off, there are problems with ovulation, it is difficult for women to get pregnant and bear a child. Symptoms of pathology include:
- weight gain
- delayed menstruation,
- menstruation with blood clots
- irritability, aggressiveness,
- chronic fatigue,
- decrease in sexual desire
- hair growth on the face and body of the male type,
The cause of hormonal imbalance can be menopause, oral contraceptives, malignant tumors of the ovaries, uterus, adrenal glands. An important role is played by lifestyle, proper nutrition and overweight.
The special analysis helps to determine the level of hormones. The endocrinologist, gynecologist or oncologist treats the pathology. After the course of therapy, the menstrual cycle is normalized, the discharge acquires a normal consistency, volume and color.
Signs of endometriosis
In endometriosis, the cells of the inner layer of the uterus grow beyond the limits of the organ. The new tissue maintains the function of the endometrium, which causes bleeding every month that cannot come out. There is an inflammatory process, there is a sharp pain in the lower abdomen, the uterus significantly increases in size. Difficulties may occur when urinating and emptying the bowels.
Clinical signs may vary depending on the location of the lesions. Endometriosis is genital and extragenital. In the first case, the growth of the endometrium occurs within the uterus and ovaries. When the extragenital form of the tissue goes into the abdominal cavity. The cause of the disease is a violation of hormonal levels.
- sharp pain in the lower abdomen, extending into the intestine, lower back,
- with monthly blood clots, longer bleeding,
- spotting after menstruation,
- painful intercourse,
- premenstrual syndrome,
- pain during urination and defecation.
The disease leads to infertility, it is often with this problem that women go to a doctor. During examination, endometriosis is diagnosed. For treatment, hormonal drugs are used, at the severe stages surgical intervention is indicated. Pathology has a favorable prognosis, women can become pregnant and give birth to a healthy child.
This is a benign growth that occurs in the uterus myometrium as a result of impaired cell division. A tumor is a collection of nodes of smooth muscle tissue of various sizes. The disease is most often diagnosed in women of pre-menopausal age.
The reasons for the formation of fibroids include hormonal disorders, abortions, late onset of menstruation, too heavy menstruation, transferred inflammatory, infectious diseases of the sexual sphere. Provocative factors are: obesity, sedentary lifestyle, frequent stress.
Typical symptoms of uterine fibroids:
- profuse, prolonged menstruation,
- during menstruation blood clots come out,
- feeling of heaviness, tearing in the lower abdomen,
- anemia on the background of prolonged menstruation,
- colic pains,
- in difficult stages, urination and defecation are difficult.
In the initial stages of the disease is asymptomatic, later there is severity and discomfort in the groin area. Characteristic features are heavy periods with clots that can cause anemia. After the end of the critical days, the spotting of brown color persists, there are intermenstrual bleeding.
Women feel weakness, apathy, the integuments and mucous membranes turn pale, dizziness appears, fainting can happen. Acute pain occurs in case of torsion of the fibroids, located under the peritoneum. The blood supply to the tumor stops, the tissues begin to die.
The treatment is carried out conservatively and surgically. Medically slow down the growth of the tumor, normalize the hormones of a woman. The operation is done with a large amount of education. There are several ways to remove fibroids, which of them is most effective depends on the severity of the disease, the age of the patient.
What is endometrial polyposis?
Polyps of the body of the uterus are formed from endometrial tissues. These are benign growths that can have a thin stalk or broad base and reach several centimeters in diameter. There may be several polyps.
Polyposis develops on the background of hormonal disorders with elevated estrogen levels and progesterone deficiency. The cause of the pathology can be transferred inflammatory diseases, infectious diseases, and medical abortions.
Small scale rifts have no particular manifestations. With a significant growth of nodes appear prolonged bleeding (more than 7 days), cramping pain, after the end of menstruation dark spotting persists.
Uterine bleeding may occur between the regulations. Polyps make it difficult for blood to flow, it coagulates and can go in clots.
In young women, the disease causes infertility due to the impossibility of attaching the ovum to the wall of the uterus.
The treatment is carried out by curettage of the walls of the uterus and the cervical canal. Hormone therapy is prescribed at the discretion of the physician.
Treatment of boron uterus
Borovaya uterus is widely used in folk medicine for the treatment of gynecological diseases and female infertility. The plant contains phytohormones, which normalize the balance of estrogen and progesterone, have antitumor properties.
After taking a boron uterus, the duration of menstruation may increase, blood clots may be emitted, and the chest may hurt. This is due to intensive renewal of the endometrium, hormonal alteration of the body and is considered the norm, with the exception of uterine bleeding.
For the treatment of ovarian cysts, endometriosis, erosion, disorders of the menstrual cycle, use the uterine collection of the red brush and boron uterus. Treatment should be carried out under the supervision of a physician and after testing for hormone levels. Take the grass you need courses on a specific schedule.
In order to understand why clots come out during menstruation, you should visit a gynecologist and conduct an examination, and be tested for sex hormone levels. Self-treatment and a visit to the doctor can lead to complications, the development of infertility.
Why do menstruations go in clots? Possible causes and treatment
Why menstruations go in clots, excites every woman of reproductive age.
Critical days are an integral part of the process of updating the endometrium in the uterus, which further contributes to the attachment and bearing of the fetus during pregnancy.
The secretions consist not only of blood, but also of pieces of glandular secretion. However, not all clots in menstruation are a variant of the norm, there are also deviations.
What are menstrual flow
During the entire menstrual cycle, the uterus is prepared for future pregnancy. Stenochku thicken for subsequent attachment of the fetus. If pregnancy does not occur, then during menstruation, blood and endometrium are released. After the monthly period ends, the growth of a new layer of the endometrium begins, awaiting conception.
Blood discharge has certain characteristics, it is:
- bright red color
- unpleasant smell
- reduced blood clotting.
On average, the menstrual cycle lasts 4-5 days, and during this period a woman's body loses about 250 ml of blood. The first days it goes intensively, and in the subsequent days it decreases and becomes brownish or saturated burgundy.
Why do menstruations go in clots? Possible causes of this phenomenon are more than enough. These may include not only the state of health of the woman, but also the presence of disease. Consider the most common:
- Hormonal disbalance. When an imbalance in the work of the endocrine glands occurs a violation of the cycle, which subsequently has a negative impact on him, so the menstruation goes in blood clots.
- The intrauterine device also contributes to their formation.
- Violation of blood coagulation leads to the fact that the discharge begins to curl back in the uterus.
- The appearance of clots can be observed in the period of infectious and viral diseases, which are accompanied by fever.
- Endometrial hyperplasia. With this problem, the inner layer of the uterus grows. The cause of this condition may be diabetes, hormonal failure. In this case, the monthly go with clots.
- Uterine fibroids, which refers to benign tumors and affects the violation of the frequency of menstruation.
- Features of the development of the uterine structure, such as bend, septum and others, also serve as a prerequisite for the formation of clots.
- Sexually transmitted infections.
- An excess of vitamins of group B.
- Clots with monthly, similar to the liver, require immediate treatment to the doctor. Most often, this phenomenon can be observed after childbirth, if parts of the embryonic organ (placenta) remain in the uterus.
- Ectopic pregnancy can be characterized by severe pain, brown clots and fever.
When is it the norm
This feature of menstruation is not always a pathological process. Monthly clots are sometimes considered a variant of the norm, so excessive anxiety is not always justified.
On the "red" days, endometrial cells die off, which should leave the uterus within 4-5 days. By themselves, bleeding is not liquid, because in addition they consist of glandular and tissue secretions.
In addition, depending on the day of the menstrual cycle, their color, texture and smell change.
You may notice that clots during menstruation most often appear after a woman has been lying or sitting for some time. In such positions, blood stagnates in the uterus and begins to clot.
As soon as the woman gets up, the blood comes out in clots. This phenomenon refers to the norm. There are special anticoagulant enzymes that help block blood clotting.
But if the allocation is abundant, they can not cope with their task fully.
Should I consult a doctor
Обычно большинство женщин не спешит обращаться к доктору, когда месячные идут большими сгустками. Indeed, sometimes this is not a cause for concern. The reasons for unscheduled visits to the gynecologist may be:
- Strong blood discharge. Most often, the gasket is filled completely in 2 hours.
- Severe and cutting pain in the abdomen.
- Clot size greater than 5 centimeters in diameter.
- Sharply changed the nature of the usual menstrual flow.
- Abundant periods with clots for 7 days or more.
- Excessive irritability, fatigue, depression and a feeling of depression.
Sometimes the answer to the question “Why do menstruations go in clots?” Is associated with non-gynecological causes. Most often, these include the pathological structure of the uterus and a violation in the blood coagulation system. Often taking certain drugs, an imbalance of hormones, disruptions in the endocrine system also cause a similar phenomenon.
For example, the female hormone estrogen, which affects the growth of the endometrium, can cause its excessive growth. For this reason, during the menstrual cycle, there will be an abundant discharge of blood with clots.
This problem is not avoided by women who use the intrauterine device as contraception. This is due to the introduction of a foreign body, and its presence can not pass without problems.
What to do if the monthly go blood clots? In order to get rid of pathological secretions, first of all it is necessary to determine the cause. We must consult a doctor, pass the necessary tests and undergo an ultrasound diagnosis of the pelvic organs.
The latter method will confirm or deny the presence of endometriosis. In the treatment of this disease is used hormone therapy. Although sometimes doctors go for drastic measures, solving the problem with the help of surgical intervention.
In addition to the above, the attending physician may prescribe a magnetic resonance examination of the urogenital system in order to exclude the presence of formations.
If the patient finds the infectious nature of the disease, then appropriate medications will be prescribed. Very often, when blood clots appear, Askorutin and Calcium Gluconate are prescribed.
What if menstruation comes with clots? How to restore normal discharge? If an indisposition causes you to be seriously disturbed, immediately consult a doctor. Unfortunately, this condition can sometimes be a symptom of cancer. The doctor will examine you for the presence of all possible causes and pathological conditions, as well as determine further treatment tactics.
The gynecologist understands the nature of the occurrence of clots. It will establish whether this is a natural process or whether it is caused by drugs, whether the bleeding is uterine or vaginal, and so on. A full examination according to the standard scheme in this case includes:
- Hormone testing.
- Pap smear (oncocytology).
- Endometrial examination with diagnostic curettage.
- Hysteroscopy of the uterus.
- Blood test for clotting, bilirubin, hemoglobin and liver enzyme.
- Ultrasound study.
This diagnosis allows you to establish the diagnosis as soon as possible and prescribe treatment as soon as possible. And to cure the disease is much easier at an early stage.
Worry is also in the case when menstruation passes without clots, but have a permanent brown color.
Why do menstruation clots in adulthood? As a rule, menopausal period occurs in women older than 50 years. It is characterized by a decrease in ovarian function, menstrual disorders, followed by the complete cessation of critical days.
Unfortunately, heavy discharge at this age carries great danger and requires immediate medical attention. Self-medication can not be in any case. Only a qualified specialist can give correct recommendations and make a competent treatment plan.
What to do if monthly come with clots of large sizes? Most often, this phenomenon occurs after an artificial abortion. There are abundant blood discharge due to a sharp hormonal jump in the body.
Similar clots may indicate residues of the embryo in the uterus. Pieces of discharge, resembling pieces of the liver in appearance, indicate that the uterus was severely injured and trying to return to its normal size.
A woman who has an abortion must strictly follow the recommendations of the doctor, as well as pass all scheduled examinations in a timely manner.
It is worth noting that this condition is typical for girls after miscarriage and childbirth, they also need to undergo all the prescribed procedures in time.
Small blood clots that can be observed during menstruation are a variant of the norm. If the nature of the discharge has changed (they have become more abundant or of a different color, odor and consistency), then you should immediately contact a gynecologist and undergo a prescribed examination. Moreover, pain and cramps in the abdomen also indicates a pathological component of the problem.
General health and a good hormonal background - a pledge of the regular and correct flow of critical days. Self-medication with drugs and folk remedies can only aggravate the problem.
It is difficult to fight, aimed at heavy periods with blood clots. How to stop and warn them? If the occurrence of blood clots is pathological in nature, then first of all it is necessary to establish the cause of their occurrence.
And it can only be diagnosed by a qualified specialist in the field of women's health.
Causes of hypermenorrhea
To find out why there are heavy periods you need to conduct a survey of the endocrine system and organs of the reproductive system. Typically, several factors contribute to the appearance of hypermenorrhea:
Endometrial hyperplasia - excessive growth of the internal mucous layer of the uterus with a thickness of up to 20 mm. Moreover, the pathologically modified endometrium can be observed both over the entire surface of the mucous membrane and in its individual areas (polypous outgrowths).
Cervical polyp - A bright red tumor with a porous structure. Occurs on the surface of the cervical canal. During menstruation, the polyp increases slightly due to increased blood flow to the pelvis.
Uterine myoma - benign tumor of the myometrium (muscle layer). Hypermenorrhea is characteristic mainly of submucous myomas, as they are injured every time the endometrium is exfoliated from the uterus.
Intrauterine device - involves the implantation of a small copper device in the uterus wall. One of the side effects of this contraceptive is the appearance of heavy menstruation.
Hormonal disbalance - severe bleeding can be caused by a lack or excess of any hormone in a woman’s body. Often, menorrhagia appears on the background of oral contraceptives.
Abundant periods after childbirth
After stopping the release of lohii, the female reproductive system begins to work in the same way as it functioned before the birth of the child. Maturation of the dominant follicle occurs, ovulation and subsequent menstruation.
In some cases, women report the appearance of very heavy periods after childbirth.
The reasons for this condition may be the following:
- The uterus could not shrink to its former size. This is fraught with the fact that in her cavity during menstruation blood stagnates and exfoliated endometrium, which provokes a large blood loss.
- The uterus or cervix during labor was severely injured. Therefore, each time the mucous layer is rejected under the influence of hormones, the injury site begins to bleed again.
- Complicated cervical ectopia. Pathology is formed during childbirth due to the displacement of the cylindrical epithelium of the cervical canal. Normally, ectopia has an asymptomatic course, but if it is burdened by an inflammatory process, it provokes heavy menstruation.
- Infectious inflammation of the uterus and appendages. Pathogenic bacteria can be introduced during labor. They not only cause severe menstrual bleeding, but also provoke the appearance of adhesions. Infection can also be the cause of heavy white secretions before menstruation.
The appearance of hypermenorrhea in the postpartum period is always a reason to consult a doctor.
In this case, it is too dangerous to use folk remedies to reduce blood loss, because you need to find out the cause of heavy discharge.
Self-medication can eliminate the symptoms of dangerous postpartum diseases, but it does not cure these diseases themselves, the course of which can become latent.
Abundant discharge after delayed menstruation.
Delay of menstruation may occur due to hormonal failure. However, the monthly after it should go in a normal amount. Scanty discharge will indicate too thin endometrium and low levels of estrogen in the blood.
But heavy periods after a delay can be a symptom of a more dangerous disease, endometrial hyperplasia.
This pathological condition of the inner mucous layer of the uterus must be detected in time and started to heal. Otherwise, hyperplasia may degenerate into a malignant tumor.
What to do with heavy periods with blood clots?
There are drug and folk ways to reduce bleeding. If menorrhagia is a single case, and all other menstruations have a normal amount of discharge, you can reduce blood loss yourself.
Before embarking on treatment, make sure that you do not have a tendency to thrombosis, because in this case, any hemostatic drugs to stop heavy periods should be taken with caution.
- Tranexam - available in the form of tablets and in the form of a solution for intravenous administration (drip and jet infusion). Moreover, droppers prescribed in cases where blood loss threatens the patient's life.
- Dicynon - available in tablets and ampoules for intramuscular and intravenous administration. Increases the stability of the capillaries. If injected directly into the blood, the effect of the drug begins after 10 minutes.
- Vikasol - exists in the form of tablets, and in the form of a solution for intramuscular administration. Reduces blood loss within 5 days after the start of use of the drug.
There are other drugs to stop uterine bleeding: Tugina, Calcium Chloride, Epsilon-aminocaproic acid.
But they are intended only for intravenous administration and are used in the hospital, mainly to stop bleeding immediately after diagnostic curettage or in cases where the first menstrual periods after curettage are very abundant and the woman is forced to go to the hospital under the supervision of doctors.
The use of medicinal herbs
- Wild strawberry - A tablespoon of crushed strawberry leaves pour 1.5 cups of boiling water, and insist 5-6 hours. Take 1 tablespoon 1 time per day since the onset of menstruation.
- Nettle - 2 tablespoons of fresh leaves (or 1 bag of dried, purchased in a pharmacy) pour a glass of hot water. Boiling water in this case can not be used, because otherwise nettle will lose substances that increase hemoglobin. The resulting infusion to drink during the day in small portions.
- Horsetail - A teaspoon of crushed raw materials pour two cups of boiling water. Drink every 2-3 hours in a tablespoon until the menstrual bleeding becomes less abundant.
What not to do with heavy periods
- Avoid washing in the bath or hot shower. Any increase in body temperature during the period of heavy periods affects the woman’s condition negatively: blood loss will not only increase, but also become painful.
You can stop copious periods at home.
But if severe bleeding is repeated over several cycles, then you should not self-medicate. You need to consult a gynecologist to establish the causes of hypermenorrhea and the appointment of a treatment regimen.
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Blood clots during menstruation - is this normal?
Any woman at least once in their lives was disturbed by periods with clots. At this point, women are divided into two groups. Some people think that this is normal, others are puzzled and ask themselves the question: “Why do they appear?”.
If a small spotting is found on the gasket, you should not be upset, although you still need to go to an appointment with a doctor as a prophylaxis. After a gynecological examination, passing some tests, the doctor will find out the cause and nature of the abnormalities and prescribe a course of treatment.
Why do clots appear?
During menstruation, clots come out and a small amount is acceptable. So where do they come from?
During the menstrual cycle, the woman's body prepares for the reception of a “putozhitel”. A placenta forms on the walls of the uterus, which, after the appearance of the ovum, becomes indispensable to the embryo. Through the placenta, it breathes and feeds.
In addition, there are eggs waiting for fertilization, and if it does not occur, all the neoplasms are derived along with the monthly. It should be concluded that blood with clots is normal.
There is the only "BUT": every woman must know exactly what kind of discharge is a cause for excitement. Abundant periods, the causes of which are unknown, should, at least, alert. For the female body, they can be much more dangerous than it seems. Especially if such discharge is painful and continues for a long time in the form of large blood lumps.
What is the norm? Normal clots of small size (150 - 250 ml) are considered the norm for women. They contain endometrial tissue and the rest of the matter, which are subject to renewal.
Causes of Menstruation with Clots
If there are suspicions of problems with women's health, you certainly need to contact a gynecologist. For example, if there are large inclusions of burgundy or brown in the blood. Often, this is the first symptom of endometriosis. The growth of the tissues of the uterus mucosa may well cause abundant discharge during menstruation. Large clumps are a detached endometrium. Endometriosis is accompanied by:
- painful "critical days"
- pressure drops
In this case, the bleeding may be longer than usual.
If the average monthly lasts 4-6 days, in the case of endometriosis, everything can be delayed up to 7-10 days. Run endometriosis is not worth it. Sometimes this leads to infertility and cancer of the uterus.
There is no definitive answer to the question “why endometriosis happens”. Doctors identify several reasons.
The first is circumstances independent of the woman (mutations at the gene level), and the second is standard, changes in hormonal levels.
However, blood clots during menstruation may have other reasons:
- Birth women know that in the postpartum period there are problems not only with lactation, but also with menstruation. Discharge after childbirth is not too strong, painless, but how long they go, no one can say for sure. Monthly can last from a month to two. Often, normal only 10-15 days, the rest of the time worried ordinary daub. Clots in this period of time are permissible, but if there is pain, fever and bleeding with large inclusions, you should immediately call an ambulance. Perhaps you need special drugs, injections or cleaning (curettage).
- If chunks of blood are excreted during menstruation, it may be a consequence of gynecological diseases, hormonal drugs, antibiotic treatment.
- After a decrease or increase in the level of hormones (progesterone or estrogen), a significant change in endometrial tissue and bleeding during menstruation with clots are observed. Such deviations can be caused by any disturbances in the balance of female hormones.
- Abundant periods are characteristic if surgery has recently taken place. For example, abortion, curettage after miscarriage, ectopic pregnancy, surgery of the genital organs. In the uterus with operable intervention, incisions are formed in which blood enters. Then it coagulates, and the bleeding washes away all residues.
Every woman should remember that if there are concerns about health, worry about too much discharge, pain, the inclusion of different sizes, you should immediately contact the experts. Why not self-medicate? Yes, because only doctors, professionals with great experience, can diagnose the disease.
Alarms of the body
Allocation during menstruation may deviate from the norm. Menstruation, clots, pain, heavy bleeding.
В большинстве случаев это грозит анемией (железодефицитом), поэтому стоит прислушаться к сигналам организма.
Основными симптомами могут быть:
- unpleasant smell
- потемнение менструальных выделений.
If there are none, the gynecologist will make a standard diagnosis - adenomyosis. Such a conclusion is made only after ultrasound or colposcopy. Sometimes you can get a gynecological examination on the chair.
It is believed that this is the norm for women in a certain period of their life, for example, after giving birth. But if you start the disease, it will be aggravated with new painful symptoms and will lead to infertility, at best.
At worst, to oncology.
Women are more often disturbed by dark brown discharge, with large clots. But! Do not worry much if these manifestations occur only at the beginning or end of menstruation. A dangerous signal is considered if the symptoms are disturbed throughout the whole menstruation or instead. As a consequence, there may be a violation of the cycle.
Why menstruation with lumps or bleeding appears during pregnancy, the topic is quite jaded. To say that this is normal, it is impossible, but in some cases there are exceptions to the rules.
- Late ovulation. The phenomenon is quite rare, but it happens. An elementary example: as a result of stress and hormonal changes, ovulation shifts by 2 weeks. So what comes out? A woman’s standard menstrual cycle is 28 days, the ovulation period begins 12–16 days after menstruation. Take the average number 14, 28-14-14 = 0, that is, until the monthly remained nothing at all. Sexual intercourse should take place a few days before menstruation. Thus, it reaches the uterus, fertilization occurs simultaneously with menstruation. Of course, the option of instant miscarriage is possible.
- The human body has a memory. That is why some pregnant women have a stable monthly period during pregnancy for the first few months. In other words, endometrial renewal and leaching of dead tissue continues. Some doctors call it “washing the fetus.” There is nothing good about it. This deviation can be considered a pathology, but the fact that the female body copes with this phenomenon indicates a good bearing and reproduction.
- Some exceptions in female physiology - this is normal and explainable. But how much do not look for the answer in the Internet, it is still safer to consult a doctor. 99% of 100% of the monthly with clots during pregnancy indicate fetal dying. Monthly pieces themselves - these may already be parts of the embryo. In the early stages, women rarely agree to scraping, so often everything comes out naturally, and there is no sense in injuring the uterus.
There are forums and blogs in the world wide web. Some girls post there information about the state of health, attach photos, ask questions, share experiences. From such sources you can learn a lot of cognitive and interesting, however, to clarify the diagnosis and there are rooms gynecologist and uzist. Menstruation with clots is still a reason to visit them.
Why do menstruations go dark clots?
Why menstruation go dark clots, a question that worries girls who have not previously had special problems with critical days. And rightly so. And for someone it can be a fairly normal phenomenon.
In others, the abundant and weak critical days with blood clots can be a sign indicating the formation of a gynecological disease. Therefore, it is impossible to overstep such an important question.
So, when monthly discharges are dense (there are huge pieces) and a lot of them, what can it mean?
Critical normal days meet the following criteria:
- their course is regular,
- bloody secretions have equal color,
- the discharge is not aggravated by pain,
- not delayed in duration.
Continuing menstruation is not obliged to change the ordinary course of the girl’s life by the main role.
Terms of the beginning of critical days in adolescence are personal and fall at different times. Menstruation can begin in the period between 11-14 years. When critical days do not appear when they reach 18 years of age (at this time the individual finishes his own sexual development), then we can talk about significant disruptions in development.
Critical days can be incomprehensible in relation to their constancy. However, in order to talk about the presence of oddities, it is necessary to understand the rate of time of the monthly cycle. Perfectly, the course cannot last less than 21 days and be longer than 35 days.
The monthly course in itself is the period between the initial day of one menstruation and the initial day of the next. In 30% of women the course is set so that he must be perfect. Although with a huge proportion of women (70%), the development of the deadlines for critical days takes about a year, and sometimes even more.
Other problems are referred to as pathologies. However, failures associated with critical days can be noted not only in their terms. Differences can be found in the nature of the discharge.
For example, instead of the usual bleeding, menstruation with clots can be noticed, when simultaneously with bloody mucus are huge pieces of dark or dark brown tone.
Breakdowns in monthly bleeding
The girl is obliged to notice the attention to their own women's well-being, when:
- the color of the discharge from the ordinary has changed to a more bleak,
- during the monthly go clots with coffee secretions,
- dark brown "daub" is marked,
- there is an unpleasant aroma.
Tighten up will flow out and when some symptoms are marked, which are not characteristic of ordinary menstrual.
Considered to be a good discharge with a scarlet color of discharge and a little sour flavor. By the number of discharge should be any day near many 10 ml s.
Therefore, another of the flowers of a hopeless tone (black or brown) instead of bleeding is impossible to read as a norm. Differences in the monthly will be noticed in this that:
- discharge modest in the version of “daub” of hopeless tone,
- abundant discharge with clots.
In order to establish what damage has appeared in the female body, what its root cause and how to rehabilitate it, it is necessary to know more detail about any of the deviations.
Modest Dark Brown Monthly
Why find out modest monthly? For tied up will emerge to clarify that modest monthly clicks, at which less than 50 milliliters are separated. In this case, the secret to be shaded buys the consistency of “daubing” of an obscure gloomy tone.
In accordance with the root cause of pathology, other signs can be noted:
- leading disease
- perversion in the loins,
- cramped emotion in the region of the sternum,
- powerful disease in the pectoral triangle of the tummy.
Such signals appear to be restless messengers and may be associated with:
- with a terrible endometrial service due to abortion with a scraped abortion or due to the inflammatory process or tuberculosis in the girl’s sexual system,
- with malfunctioning of the pituitary or ovary,
- with the introduction of inappropriate oral contraceptives,
- with the last gynecological surgery or with the acquired trauma of sexual organizations,
- with depressed capital, stress and mental problems,
- with endocrine disorders (with obesity in particular),
- with extra physical overload,
- with hormonal imbalance, developed on the background of endocrine pathologies,
- with pregnancy (ordinary or ectopic).
Blood clots during menstruation may appear for a number of reasons related to abnormalities in the urogenital system, but may be normal if this condition is not regular. In order to understand what is pathology and what is normal, it is important to understand what the discharge during menstruation looks like.
Normally, menstrual flow looks like this:
- in the first days the blood is scarlet, and in the last it darkens, and turns brown,
- the blood does not clot, because it has other inclusions,
- per one menstruation from the body, goes up to 200-250 ml,
- blood clots may appear in the period of heavy discharge of discharge for 2-3 days, but this should not be regular.
Blood clots in menstruation or blood clots are quite normal, but can speak of a number of disorders in the reproductive organs or the endocrine system.
With monthly blood clots can reach 3.5-4 cm, their occurrence is associated with the action of certain enzymes. Anticoagulants do not cope with clotting with heavy menstrual bleeding. The blood coagulates even in the cavity of the vagina and during monthly periods monthly clots come out.
To know exactly what such a phenomenon does not threaten the health of a woman, you need to consult a doctor, as well as undergo a full examination, as sometimes clots talk about serious violations. If blood clots come out during menstruation, it is impossible to delay, and as soon as menstruation stops, it is necessary to go to the gynecologist.
One of the causes of heavy menstruation, as well as the appearance of blood clots, is endometrial hyperplasia, that is, excessive proliferation of the uterine mucosa. In this condition, an excess of the endometrium, comes out in clots during menstruation. The reason for this pathology lies in the untreated diseases of the genitourinary sphere, hormonal imbalance, as well as postponed childbirth, abortion or surgical interventions.
By the form of exfoliation of the hyperplastic endometrium does not differ from thickened blood, but it is accompanied by pain in the lower abdomen, and the duration of menstruation increases by several days. Clots during menstruation continue throughout the days of menstruation. In advanced cases, blood clots after menstruation become normal.
After childbirth, the hormonal background of the woman is rebuilt and may cause the appearance of unusual secretions, including blood clots, as well as endometrial particles. Menstruation after childbirth does not occur immediately, and the cells of the endometrium, accumulating, come out in different masses.
But also in the form of clots after childbirth, remnants of the placenta come out, and this process is not related to menstrual bleeding. They can get out from the first days after birth, but they can linger longer.
The most common cause of menstruation in the form of clots are hormonal disorders. They can be a temporary phenomenon, but they can talk about the development of serious pathologies and disorders on the part of not only the reproductive system.
The menstrual cycle is regulated by hormones produced by the ovaries, adrenal glands, hypothalamus, pituitary gland and thyroid gland. Disruption of these organs, the occurrence of tumor processes lead to the appearance of heavy menstrual dark color. In addition, there is pain in the lower abdomen, as well as in the lower back.
In addition to the excessive growth of the endometrium or tumor processes, benign polyps can change the consistency of secretions. Single growths cause a heavy discharge with blood clots.
And if daub after menstruation or in the middle of a cycle joins this symptom, as well as painful sensations and discoloration of secretions, this indicates the development of endometrial polyposis, when a lot of polyps appear on the endometrial mucosa.
Abnormal development of the uterus
Unfortunately, not every woman, before the appearance of certain problems, suspects about the possible congenital pathology of the structure of the uterus, and this happens more often than we would like. In 20 percent of women, due to chromosomal hereditary pathologies from birth, an intrauterine septum, a double or single-horned uterus can be corrected.
Before planning a pregnancy, a woman may be unaware of the presence of pathology, since, apart from abundant thick menstruations, she is not disturbed by anything. Incorrect structure leads to stagnant processes in the uterus and, as a result, the exit of coagulated blood of different size.
When planning a pregnancy, the appearance of blood clots may indicate a miscarriage. Pregnancy from the first days excludes menstruation, and the presence of bleeding should alert. Blood clots with yellowish or gray inclusions indicate rejection of the ovum by the uterus. Independently, this state does not pass, it is necessary to have a doctor’s intervention here.
Menstruation with clots and its output in large masses may indicate a violation of blood formation. Most often, the cause of iron deficiency anemia and, worse, the nature of menstruation only exacerbates the problem. Large blood loss on the background of anemia leads to a significant deterioration of health.
Diagnosis and treatment
Timely diagnosis of violations prevents the development of possible complications and consequences. At the first signs and the appearance of clots during menstruation, it is important to immediately consult a doctor for a complete examination and exclusion or confirmation of the development of pathologies and diseases.
During the first visit to the gynecologist, a medical history is collected with data on pregnancies, abortions, difficulties in bearing pregnancies and childbirth, past diseases of the genitourinary system and other chronic illnesses.
It is also important to indicate whether the woman is taking any drugs, as they can cause similar disorders and menstruation comes with blood clots. A gynecological examination reveals the presence or absence of an abnormal structure of the internal and external genital organs.
In addition to conversations and examinations, they assign the following list of studies:
- ultrasound examination
- blood sampling for hormone panel tests and infections,
- seeding microflora of the vagina.
If necessary, conduct hysteroscopy and diagnostic laparoscopy with the aim of a complete revision and taking a biopsy of tissues. When diagnosing disorders, treatment is prescribed in accordance with the cause of the disease. Self-treatment is dangerous and can only harm the health of the ladies.
Most of the detected disorders are treated with medical therapy. Preparations for each woman are selected individually according to her physical characteristics and test results.
Diagnoses such as polyposis and myoma are not amenable to drug treatment, surgical intervention is necessary, followed by hormone therapy to prevent a relapse. Minimally invasive methods of removing polyps and fibroids help preserve all healthy tissue, and the process of recovery after laparoscopy or hysteroscopy is minimal.
In inflammatory processes and infectious diseases, antibacterial therapy is carried out. In combination with it, physiotherapy is also used.
When endocrine disorders conduct specific treatment. With a lack of the required level of hormone, synthetic analogues are taken, and to reduce the excess prescribe drugs to suppress the activity of secretion.
Endometriosis and endometrial hyperplasia involves curettage of pathological growth and subsequent hormonal adjustment. For women who are not planning a pregnancy in the near future, taking oral contraceptives and installing an intrauterine device is considered effective. Thus, the endometrium does not increase and, accordingly, blood clots are not collected.
Ultrasound examination of the pelvic organs and hysteroscopy are reliable and affordable methods for diagnosing the pathologies of the female reproductive organs. Sometimes they perform hysterosography (filling the uterine cavity with a physiological solution under the control of an ultrasonic device), which allows to reveal submucous myomatous uterus nodes, endometrial polyps, etc.
Diagnostic curettage of the cervical canal and uterine cavity is performed for all women in menopause if there are complaints of bleeding from the genital tract. In other cases, is carried out in the presence of ultrasound signs of endometrial pathology.
It is also possible to carry out MRI, computed tomography, laparoscopy, hysterosalpingography, and other diagnostic methods in the presence of indications for their conduct.
Differential diagnosis of heavy periods with clots carried out in accordance with the age indicators of a woman, since for each period of a woman’s life is characterized by the occurrence of certain diseases.
So in the pubertal period, the differential diagnosis is carried out with diseases of the hematopoietic system, accompanied by bleeding disorders and bleeding, disorders of the liver and gastrointestinal tract, abnormalities of the genital organs, diseases of the endocrine system (adrenal glands, thyroid gland), foreign bodies of the genital tract and tumors of the vagina .
Differential diagnosis in reproductive age is carried out with ectopic pregnancy, uterine myoma, adenocarcinoma, endometrial hyperplasia, endometrial injury with an intrauterine contraceptive.
In the menopausal period, diagnosis is carried out with endometrial adenocarcinoma, adenomyosis, and hormone-producing ovarian tumors.
Treatment of heavy periods with clots
The method of treatment of heavy periods with clots is prescribed by the doctor in accordance with the patient's age, the cause of occurrence, the amount of blood lost and the duration of bleeding. Но, в любом случае, первым этапом является гемостаз - остановка кровотечения, которая может быть произведена хирургическим или медикаментозным путем.
Как остановить обильные месячные?
Первым что следует сделать, это успокоиться, так как при волнении расширяются кровеносные сосуды и кровотечение может усилиться. If a bleeding occurs in a pregnant woman, it is necessary to take a horizontal position with the raised foot end of the bed, relax, call an ambulance. It is allowed to take the tablet form of etamzilat “Dicynon” 1–2 tablets with water.
For other reasons for the occurrence of heavy periods with clots, pre-medical measures should be as follows:
- Call the ambulance.
- Take a horizontal position with a raised foot end of the bed.
- Put a heating pad, bottle or any other vessel with cold water on the lower abdomen, which contributes to the narrowing of blood vessels and reduce bleeding.
- Drink a large amount of fluid to fill the volume of blood loss.
- Taking drugs that stop bleeding, such as: Dicynone 1-2 tablets, maximum 4 tablets per day 0.25 mg., Water pepper tincture 25 drops 3 times a day, Shepherd's bag extract 25 drops 3 times a day., Calcium gluconate 1-2 tablets 3 times a day.
Further treatment will be prescribed by the gynecologist in accordance with the indications.
- Hemostatic therapy aims to stop bleeding, for which they use fibrinolysis inhibitors - Aminocaproic acid and Tranexam.
Aminocaproic acid is an effective antihemorrhagic agent whose action is aimed at inhibiting fibrinolysis, which provides a hemostatic effect. The effect of the drug occurs 15 minutes after intravenous administration. Assign the drug intravenously 100 ml of 5% solution of no more than 8 g per day or 30 ml orally, 4 times a day. Contraindications to the use of coagulopathy, a tendency to thrombosis, cerebrovascular accidents in history, coronary heart disease. With caution prescribed drug with estrogen-containing contraceptives, which increases the risk of thromboembolism.
Tranexam is an antifibrinolytic drug with a local and systemic hemostatic effect. The effect of the drug occurs 3 hours after ingestion and lasts up to 17 hours. Apply 1 tablet 4 times a day for 4 days. Intravenous tranexam is administered drip 15 mg / kg every 6 hours, not faster than 1 ml / min. Contraindications to the use of subarachnoid hemorrhage, renal failure. With caution prescribed for deep vein thrombophlebitis, thromboembolic syndrome. Side effects occur with increasing recommended doses or with individual hypersensitivity to the active substance of the drug, and may manifest nausea, vomiting, dizziness, development of thrombosis, tachycardia, skin rash, itching, nettle rash.
- Hormone therapy shown for appointment based on age and examination results.
During puberty, hormones are prescribed if there is no effect from the ongoing hemostatic therapy. Preference is given to the combined oral contraceptives: Mikroginon, Lindinet 20, Yarin, 2-3 tablets per day with a gradual reduction of the dose to 1 tablet for 21 days.
Gestagens may be prescribed: Duphaston, Norkolut, Utrogestan, 2 tablets per day with subsequent dose reduction.
In reproductive age, be carried out only to women who did not give birth if the ultrasound M-echo of the endometrium does not exceed 8 mm. The drugs of choice are: 17 OPC 12.5% 2 ml intramuscularly 1 time per day for 7 days, Duphaston 1 tablet 3-5 times a day, Norcolut 1 tablet 3-5 times a day, followed by a gradual decrease to 1 tablet per day .
17 OPK (oxyprogesterone capronate) - synthetic progesterone, gestagenny origin in high doses inhibits the secretion of gonadotropins, which helps to reduce bleeding and has a prolonged gestagenic effect. The drug is injected intramuscularly with 2.0 ml of a 12.5% solution every day before stopping the bleeding and 0.5-1.0 ml on day 21 to prevent the development of rebleeding. After intramuscular administration, the effect of the drug begins after 5 hours and lasts up to 14 days. Contraindications to the introduction of 17OPK are abnormal liver functions, a tendency to thrombosis, malignant tumors of the pelvic organs and mammary glands.
In menopause, women older than 45 years are not recommended for hormonal hemostasis. The prescription of progestogens is acceptable, such as: 17 OPC 250 mg on the 14th and 21st day of the menstrual cycle, Depo-provera 200 mg on the 14th and 21st day.
In the case of bleeding associated with impaired ovarian function, intramuscular administration of progesterone is prescribed at 5-15 mg / day for 7 days, followed by a decrease in dose with a positive trend.
Gonadotropin-releasing hormone agonists, such as Goserelin and Diferelin, are not used so often to relieve heavy menses with clots, but have proven themselves in further treatment schemes for uterine bleeding. The fact is that with the constant administration of drugs, the synthesis of LH decreases and the concentration of estradiol in the blood decreases. This helps to reduce the growth and proliferation of the endometrium, which leads to minimizing the risk of bleeding until the development of menopause. Goserelin should be administered subcutaneously in the region of the anterior abdominal wall 1 time in 28 days, which ensures the maintenance of the effective concentration of the drug in the body. The drug is contraindicated in pregnant, lactating and children. The drug is well tolerated. In rare cases, headaches, mood changes, dry vaginal mucosa, cessation of menstruation, and bone demineralization can occur.
- Vitamin therapy. Prolonged, profuse uterine bleeding, as a rule, leads to the depletion of the resources of vitamins and microelements of the body. First of all, there is an iron deficiency and, as a result, iron deficiency anemia develops. To eliminate it and replenish iron prescribed:
- Vitamin B12 at 200 mcg / day.
- Folic acid at 0.001 g 2-3 p / day.
- Totem 1-5 ampoules per day orally.
- Globiron 1 tablet 1 time per day.
- Sorbifer durules 1 tablet 1 r / day.
- Maltofer 1 tablet 1 p / day.
- Venofer intravenous drip.
The duration of iron supplementation depends on the degree of anemia and is carried out under the control of blood parameters.
Of the vitamin preparations, the prescription of vitamin B6 and B1 with alternation for intramuscular administration is justified. Also recommended the appointment of vitamin E at 200 mg per day and 200 mg of rutin 3 p / day.
- Medical treatments have found wide application in the treatment of heavy periods with clots. herbs and traditional medicine.
- Dry nettle leaves pour half a liter of water and boil for 10 minutes, for 30 minutes. Drink inside of 1 tbsp. spoon 5 times a day.
- Shepherd's grass bag 50g, grass of a highlander bird 50g, grass of mistletoe white 50g. A mixture of herbs pour 200 ml of water, boil for 5 minutes, cool. Drink 1 glass 2 times a day from the 3rd day of menstruation.
- Oak bark 30g, leaves of wild strawberry 20g, raspberry leaves 20g, yarrow herb 30g. Brew in 200 ml of water and drink 200 ml. in the morning and in the evening from the 1st day of menstruation.
- Buckthorn bark 30g and raspberry bark 30 g. Pour boiling water over the boiling water, insist and drink in the morning and 1 cup in the evening.
In folk medicine, for the treatment of heavy periods with clots, they use not only herbs, but also other components for the preparation of therapeutic drugs.
- A decoction of orange peels has good hemostatic properties. Boil the peel of 5 oranges in 1 liter of water for 1 hour on low heat. Add a little sugar and drink 1 tablespoon three times a day.
- Fresh rowan berries and mint leaves mix 1: 1 and brew in the form of tea. Drink this tea 3 times a day to complete menstruation.
- 30g of dried and finely chopped herbs and parsley roots brew with boiling water in 400 ml of water and boil for 15 minutes, then strain. Take half a glass three times a day 15 minutes before meals.
The following types of physiotherapy treatment are widely used in the treatment of heavy uterine bleeding with clots:
- Copper sulfate electrophoresis provides vasoconstrictor effect
- Cervico-facial galvanization increases the contractile function of the uterus myometrium
- Endonasal electrophoresis with vitamin B1 increases the tone of the muscles of the uterus
- Vibrating massage of the paravertebral zones has a complex effect on the uterus vessels and muscle tone, which helps to reduce blood loss.
If functional disturbances are the cause of heavy menstruation with clots, the following drugs are used for treatment:
- Ovarium compositum. It is a complex homeopathic remedy, regulates hormones. It has metabolic, sedative and anti-inflammatory functions. Assigned to 2.2 ml intramuscularly 2 times a week, from the third week 1 time in 5 days. The course of treatment 10 injections. Contraindications - hypersensitivity to the drug, children up to 12 years. Caution is prescribed for pregnant and lactating women. Among the side effects was noted increased salivation, in which case it is recommended to reduce the dose of the drug or cancel it.
- Mulimen is a complex homeopathic drug whose action is aimed at regulating the balance of gonadotropic and steroid hormones, normalizing the autonomic nervous system and stabilizing the mental state of a woman. It has hormone-regulating, antispasmodic, sedative and draining pharmacological properties. Indicated for use in menstrual disorders, mastopathy, treatment of side effects of hormonal contraception, premenstrual and menopausal syndrome. Appointed by 10-12 drops 2 times a day during the intermenstrual period and on menstruation days 10-15 drops 3-5 times a day, depending on the degree of bleeding. Take before meals for 15-20 minutes, delaying briefly in the mouth. Contraindicated at the age of 12 years and with hypersensitivity to the drug. Caution is prescribed for pregnant and lactating women. The drug is usually well tolerated, and occasionally allergic reactions may occur.
With the development of heavy periods with clots on the background of the inflammatory process of the pelvic organs are additionally appointed:
- Ginecoheel is a basic anti-inflammatory agent with vasotonic, anti-edema and anesthetic pharmacological properties. Contributes to the completion of the inflammatory process, the restoration of microcirculation and the formation of new tissue in the inflammation. Reduces the risk of complications. It has a regulating effect on the menstrual cycle. Appointed by 10 drops 3 times a day every day, except for the days of menstruation. The course of treatment is 3 cycles. The drug is contraindicated in persons suffering from allergies to the poison of bees, wasps and bumblebees. Side effects are not revealed.
- Traumel C is the drug of first choice for any damage to body tissues. It has anti-inflammatory, antiexudative, regenerating and analgesic pharmacological properties. The drug is contraindicated for use in individuals with hypersensitivity to the components of the drug, suffering from tuberculosis, leukemia, AIDS. Assigned to 1 tablet 3 times a day. Possible side reactions in the form of redness and skin rash.
- Surgical treatment.
Surgical intervention with heavy menstruation with clots, regardless of the cause, is performed with a hemostatic purpose to stop bleeding.
Therapeutic and diagnostic curettage of the walls of the uterine cavity is carried out under general anesthesia with the subsequent direction of the scraping obtained for histopathological examination, which allows determining the cause of bleeding in 80%. After the operation, the patient is prescribed hemostatic and antibacterial therapy.
Endometrial ablation - a surgical method for treating uterine bleeding that is performed with a laser or electrode under the control of a hysteroscope is to remove the entire endometrial layer.
Hysterectomy is a radical surgical intervention and consists in the removal of the uterus. It is the last stage of uterine bleeding treatment when the condition is not amenable to treatment by other methods.
Monthly with clots of dark tone
In abounding monthly with clots, the root causes may be the most varied. Menstruation reveals a process in which pieces of the endometrium are rejected and come out at once with blood.
Clots, marked with monthly, can be manifested only by similar pieces of endometrial tissue. This situation is considered quite natural.
Although the properties of such that the body will start some disorders in the sexual system of the girl, can be clots, growing in number and size (clots become huge).
Possible underlying causes of such an action can be the following capital:
- Endometriosis disease, manifestations of which appear to be: recurring disease in the pelvic region, weak bowel movements and urination, painful eunuchoidism during sexual intercourse.
- Inflammation with increasing temperature, pain in the lower abdomen, and suppuration in the uterus. Will be able to enroll a permanent temper.
- Endometrial hyperplasia (uterine slippery growth inside). It can not be accompanied by signs, but it can be the root cause of infertility.
- Anemia, for which there is a decrease in hemoglobin.
- Increased blood clotting, in the end that the coagulated blood comes down in the form of huge clots.
- Modifying hormone production.
- Pregnancy, accrued outside the uterus.
Although the doctor will be able to correct the true root cause of clots with abundant monthly and put on a 100% reliable diagnosis, when the girl runs out of the whole certificate and passes the appropriate analysis.
Diagnosing root causes of clots at monthly
There are also quite a few diagnostic methods. The initial thing that the obstetrician-gynecologist will be able to advise is to measure any baseline heat every day and write its schedule. In addition, he will be able to attach blood from a vein to identify the level of hCG. In addition to this, can be recommended such events as:
- study of the sound study of sexual organizations, adrenal glands and kidneys,
- magnetic resonance or computed tomography, which means eliminates the possibility of the formation of tumor-like formations in the area of the pituitary and ovaries,
- giving away
- study of the capital of shield-like shackles.
Therapeutic measures for bleeding with clots
The primary course in the treatment of abundant secretions with the presence of clots is the search for and removal of the root causes that led to this task.
When the beauty cycle is disrupted, the doctor will advise shaking up their own nutritional habits (increase the diet with good foods in the project of finding their protein, healthy trace elements and vitamins), turn off unhealthy habits (smoking and addiction to alcohol), intend to be satisfied with rest and rest.
When any disease is noticed as the primary cause of the appearance of dense monthly, the gynecologist gives the patient installation to other professionals in the field of psychology, nutrition, endocrinology, immunology, etc. (due to severe pathology). They will help bring clarity to the situation of women's health, appointing the appropriate certificate and hydrotherapy.
When the damage of the monthly cycle appears to be an investigation into interruptions in the hormonal background, then the doctor sets a course of treatment with hormonal products.
When it turns out that the cause of the breakdowns is tension, they prescribe special comforting medicines with anti-stress results.
Classical methods of healing are quite likely to be combined with the public ones. A national wisdom collected a lot of recipes for the renewal of character monthly.
Making a regular and good monthly course will not only help hydrotherapy, proper feeding, but also the richness of life with a suitable number of entertainment and frequent walks in a cheerful atmosphere. The girl, who has problems with monthly, will run out of conflict situations and stresses.
Well, when a girl can surround herself with a satisfied and relaxed atmosphere. Otherwise, it is necessary to strive for this in order to fill your own life with sweet feelings and positive.
Blood clots of dark tone in the secretions will be able to focus only on the troubles in women's well-being and the need for a hasty therapeutic facets.