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Abundant menstruation with clots - causes and treatment

Normally, for the entire period of menstrual bleeding, a woman should have 150-160 ml of blood. Excess of this volume gynecologists call hypermenorrhea or menorrhagia. According to statistics, about 35% of women suffer from abundant monthly blood clots, but this is only a fixed number of patients.

Not everyone turns to the doctor for help, so in reality there are many more. In addition to exceeding the volume of bleeding, hypermenorrhea is also characterized by other side effects:

  1. Pain during menstruation. These are mainly pulling and cramping sensations in the lower abdomen. They are connected with the fact that too thick endometrial layer exfoliates from the walls of the uterus. As a result, the wound surface is quite extensive.
  2. Weakness , in some cases, disability. The symptom is a consequence of anemia, which occurs during a heavy period of menstruation.
    Vertigo that occurs when abruptly changing the position of the body, turning or bending. With particularly severe blood loss, dizziness may be felt even when lying down.
  3. The feeling of heaviness , pressure in the pelvis. Arises due to increased blood flow to the uterus. Feelings intensify if a woman stays for a long time without movement and disappears if she lies down.


Causes of hypermenorrhea

Causes of heavy periods

To find out why there are heavy periods you need to conduct a survey of the endocrine system and reproductive system organs. Typically, several factors contribute to the appearance of hypermenorrhea:

Endometrial hyperplasia is an overgrowth 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).

A cervical polyp is 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 is a 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 - implies 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 failure - 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 with clots

Abundant periods with clots Abundant menstruation caused by the intrauterine device or hormonal failure, are bleeding with a uniform consistency. But some women have abundant periods with blood clots and mucus, the cause of which is the rejection of the endometrium, which has a thickness of more than 16 mm.

The mucous layer, separated from the walls of the uterus, accumulates and is formed in the form of lumps of different sizes (up to 25 mm). This condition is not dangerous, so treatment is not carried out. Clots may form when the temperature rises.

But in this case, they are only coagulated blood, not endometrium. They are small in size and do not become a permanent phenomenon with every heavy menstruation.

, то это повод насторожиться и обратиться к врачу. If the clots exceed the size of 25 mm in diameter , then this is a reason to be alerted and consult a doctor. Often, this symptom indicates the presence of endometriosis, which must be treated, especially if pregnancy is planned in the future.

Large clots can block the exit of mucus and blood from the cervical canal - this is fraught with inflammatory processes in the uterus.

Abundant periods after childbirth

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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 discharge 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 it is necessary 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.

Copious discharge after delayed menstruation.

Delay of menstruation can occur due to hormonal failure. However, the monthly after it should go in the normal amount. Scanty discharge will indicate too thin endometria 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 identified 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.

, потому что в таком случае любые кровоостанавливающие препараты для прекращения обильных месячных нужно принимать с осторожностью. 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.

Drug therapy

  • Tranexam is 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.
  • Ditsinon - 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.

Treatment of heavy periods There are other medications 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

  • Forest Strawberries - Pour 1.5 tablespoons of boiled water over a tablespoon of crushed strawberry leaves and leave for 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 at the 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 field - a teaspoon of crushed raw materials pour two cups of boiling water. Drink every 2-3 hours in a tablespoon until menstrual bleeding becomes less abundant.

What not to do with heavy periods

  1. Avoid washing in the bath or hot shower. Any increase in body temperature during a period of heavy menstruation affects the woman’s condition negatively: blood loss will not only increase, but also become painful.
  2. With hypermenorrhea, one should avoid active sports, not only during the menstruation itself, but also a few days before it, as well as 2-3 days after its completion.
  3. A few days before the start of menstruation, it is necessary to stop taking blood-thinning drugs.

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 determine the causes of hypermenorrhea and the appointment of a treatment regimen.

Ekaterina Evseeva
2017-09-25 05:49:12
Thank you for the good and informative article.

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