What's wrong with blood clots during menstruation?

Blood clots during menstruation may be caused by fluctuations in hormone levels, abnormal uterine contractions, endometriosis, uterine fibroids, abnormal coagulation function, etc., which can be improved by adjusting living habits, drug treatment, surgical treatment, etc.

1. Fluctuations in hormone levels

Drops in progesterone levels during menstruation may cause the lining of the uterus to shed incompletely, causing blood clots to form. This condition is often accompanied by increased menstrual flow or irregular cycles. It is recommended to avoid staying up late and overexerting, and appropriately supplement foods rich in vitamin B6, such as bananas and lean meat, which can help regulate hormone balance. If symptoms persist, you can use progesterone capsules or dydrogesterone tablets as directed by your doctor.

2. Abnormal uterine contractions

Insufficient uterine contractions can cause menstrual blood to stay in the uterine cavity and form blood clots, which is common in women who sit for long periods of time and lack exercise. There may be a feeling of bloating in the lower abdomen. On a daily basis, you can strengthen your pelvic floor muscles by applying hot compresses to your lower abdomen and practicing Kegel exercises. If necessary, use oxytocin nasal spray to promote uterine contractions.

3. Endometriosis

Ectopic endometrial tissue can lead to poor menstrual blood discharge, often dark red blood clots, and severe menstrual cramps. It may be related to factors such as pelvic adhesions and ovarian cysts. After diagnosis, leuprolide acetate sustained-release microsphere injection can be used to inhibit intimal growth, or the lesions can be removed through laparoscopic surgery.

4. Uterine fibroids

Submucosal fibroids will increase the area of ​​the endometrium, increase menstrual blood volume and form larger blood clots, which may be accompanied by prolonged menstruation. Ultrasound examination can confirm the diagnosis. Smaller fibroids can be treated with mifepristone tablets to control their growth. Larger fibroids require myomectomy.

5. Abnormal coagulation function

Low platelets or lack of coagulation factors can cause menstrual blood to clot easily and form loose blood clots. Blood system diseases need to be investigated, accompanied by symptoms such as gum bleeding and subcutaneous ecchymosis. It is necessary to treat the primary disease, such as using tranexamic acid tablets to improve coagulation function.

During menstruation, you should keep warm to avoid catching cold, and drink 1500-2000 ml of warm water every day to promote metabolism. Choose breathable cotton sanitary napkins and change them every 2-3 hours, and avoid strenuous exercise and bathing. Increase iron-containing foods such as lean meat and animal liver in the diet, and reduce spicy, cold and spicy foods. If the blood clot lasts for more than 3 menstrual cycles or is accompanied by severe anemia symptoms, you need to see a gynecologist promptly to check for organic diseases.