What should I do if my menstrual period is heavy and there are blood clots?

Generally speaking, the amount of menstrual blood for normal women rises to about 80 ml on the 50th, especially from the second to the third day of menstruation, when the amount of water is the largest. So, when our body's daily bleeding volume is more than 80 ml, or when the menstrual volume is significantly increased than before, we call it heavy menstruation. So what exactly is wrong with the body that causes heavy menstruation?

Based on the rough estimate of sanitary napkin usage, the normal usage is to change them four to five times a day on average, with no more than two packs (10 pieces per pack) per cycle. If 3 packs of sanitary napkins are not enough and almost every sanitary napkin is soaked, it means that the menstrual flow is too heavy.

The presence of blood clots in menstrual blood is mainly related to the amount of bleeding and the speed of bleeding. If the bleeding is heavy and there is no time for it to rush out, it will coagulate into a blood clot and be discharged. Often, blood clots may be caused by the amount of bleeding at this time, which forms a clot. When menstrual blood comes out, the endometrium will fall off, but it may be some fragments. The blood clots should still come from the blood vessels that supply the endometrium.

Menstruation with blood clots is regulated by the hypothalamus-pituitary-ovarian axis and undergoes cyclical changes. The shed endometrium mixes with the blood to form menstrual blood. If there is a large amount of endometrial shedding, that is, blood clots, it is a normal physiological phenomenon. However, if the endometrium is infected, there will be increased bleeding, abdominal pain, etc.

If you experience large blood clots, your clothes and bed sheets often get soiled, you need to use extra-large sanitary napkins, and you experience dizziness, it means you are bleeding too much. When there is no ovulation and the menstrual flow is too little or has not come for too long, the endometrium becomes very thick and unstable because it is not completely shed, and when it is shed, it will cause a large amount of menstrual flow.

If the menstrual flow is heavy for a long time and becomes more and more serious as you get older, then we may need to consider whether you have uterine fibroids or abnormalities in the coagulation function. When uterine fibroids grow in the uterine cavity or endometrium, it can easily cause excessive menstrual bleeding.