How to treat menstrual blood clots

Menstruation is a normal physiological reaction of women. Affected by many factors, menstrual abnormalities are also relatively common. A typical example is blood clots during menstruation, and it is often accompanied by other symptoms. This greatly affects women's health, so they are more concerned about treatment methods. So, how to treat blood clots during menstruation? Let’s take a closer look below.

1. General treatment: Do physical exercise to enhance physical fitness. Pay attention to your daily life, combine work and rest, get proper nutrition and adequate sleep. Attach importance to the publicity and education of menstrual physiology, and eliminate patients' fear, anxiety and mental burden through explanation and persuasion. Strengthen menstrual hygiene, avoid strenuous exercise, excessive fatigue and prevent cold.

2. Inhibit ovulation: If the patient is willing to control fertility, oral contraceptive tablets (norethindrone compound tablets or megestrol acetate compound tablets) are the first choice for the treatment of primary dysmenorrhea. With the use of oral contraceptives, more than 90% of symptoms can be relieved, possibly because endometrial growth is inhibited, menstrual volume is reduced, and the amount of PG drops below normal levels, resulting in weakened uterine activity. The treatment can be tried for 3 to 4 cycles. If the effect is satisfactory, it can be continued; if the symptoms do not improve significantly, a PGS synthesis inhibitor can be appropriately added. Since the medication needs to be taken throughout the entire menstrual cycle and its effect only occurs in the last 1 to 2 days of the cycle, it is generally not popular with patients unless contraception is required at the same time.

3. Prostaglandin synthesis inhibitors (PGSI): Fenbid. This type of drug can inhibit the synthesis of prostaglandins, reduce uterine tension and contractility, and achieve the purpose of treating dysmenorrhea. Dosage: Generally, take the medicine continuously for 2 to 3 days before the onset of menstrual dysmenorrhea, 1 tablet/qd. If the pain is severe, 2 tablets/q12h can be given. Because the release of prostaglandins is the highest in the first 48 hours of menstruation, early use of the medicine can correct the excessive synthesis and release of prostaglandins in the blood during menstruation. Taking it when you have pain may not be effective, and it will take at least 3 hours to take effect. Indomethacin is also OK.

Side effects: gastrointestinal reactions and central nervous system symptoms, rarely causing bronchospasm and temporary renal impairment.

4. Calcium channel blockers: This type of drug interferes with the passage of Ca++ through the cell membrane and prevents the release of Ca++ from intracellular stores to relax smooth muscle contraction. It is an important progress in the treatment of cardiovascular diseases. Use nifedipine (nifedipine), trade name: nifedipine, nifedipine 20-40 mg to treat primary dysmenorrhea. 10 to 30 minutes after administration, uterine contractions weaken or disappear, the amplitude, frequency, and duration of muscle contractions decrease, the basal tension decreases, and the pain is relieved, which lasts for 5 hours without any special side effects.

5. Vitamin B6 and magnesium-amino acid chelate: Vitamin B6 is used to promote the permeation of magnesium ions (MG++) through cell membranes and increase the concentration of MG++ in the cytoplasm to treat primary dysmenorrhea. A daily dose of 200 mg can significantly increase the red blood cell magnesium content after 4 weeks. It can also be used in combination with magnesium-amino acid chelate, 100 mg of each, twice a day, for 4 to 6 months of treatment. The severity and duration of dysmenorrhea will progressively decrease.

6. Cottonpol and Chinese patent medicine: 20 mg of gossypol acetate, taken once a day for 3 to 6 months, the efficacy of treating primary dysmenorrhea can reach more than 95%. However, it may cause obvious side effects, such as fatigue, palpitations, nausea, edema, dizziness, hot flashes, anorexia, osmotic diarrhea, etc. In severe cases, thrombocytopenia and hypokalemia may also occur. Chinese patent medicines include Guizhi Fuling Pills or Taoren Chengqi Decoction, 5g per day, taken 30 minutes before breakfast and dinner, for 30 consecutive days. Some people have reported that the remission rate can reach 80%, and no side effects such as gastrointestinal symptoms and rashes have been found.

The above is an introduction to how to treat menstrual blood clots. I hope it will be helpful for women. Menstrual abnormalities, especially those with blood clots, still need to be taken seriously. Do not use medication blindly. It is best to go to the hospital for a comprehensive diagnosis. Only by clarifying the condition can you better treat it and strive for recovery as soon as possible.