Changes in Menstrual Flow and Blood Clots: What to Know

Menstrual flow量

I usually get my period around the 9th of each month, but the flow is not very heavy.
Last month, I had more vaginal discharge, but this month, I suddenly have more blood clots and a heavier flow.
What should I do?

Yoyo, 10~19 year old female. Ask Date: 2016/07/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the amount of menstrual blood in women can be influenced by factors such as hormonal imbalances, emotions, diet, and age.
Since your age is still in a stage of fluctuation, it is advisable to consult a physician for further evaluation if the bleeding continues to be light or if you are uncertain whether the bleeding is part of your regular cycle.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/07/09

More Info

Understanding changes in menstrual flow and the presence of blood clots can be concerning for many individuals. It is essential to recognize that menstrual cycles can vary significantly due to a multitude of factors, including hormonal fluctuations, lifestyle changes, stress, and underlying medical conditions.
Firstly, it is important to understand what constitutes a normal menstrual cycle. A typical cycle lasts between 21 to 35 days, with bleeding lasting from 2 to 7 days. The amount of blood loss can also vary, with an average of 30 to 80 milliliters per cycle. Blood clots during menstruation are not uncommon, especially if the flow is heavy. Clots can occur when the body produces more blood than the uterus can expel quickly, leading to coagulation.

In your case, the sudden increase in blood clots and flow could be attributed to several factors. One possibility is hormonal imbalances. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or changes in estrogen and progesterone levels can lead to heavier menstrual bleeding and clotting. Stress and significant lifestyle changes, such as weight fluctuations or changes in exercise routines, can also impact your cycle.

Another consideration is the presence of uterine abnormalities. Conditions like fibroids, polyps, or adenomyosis can lead to heavier periods and the formation of blood clots. These conditions are often benign but can cause significant discomfort and changes in menstrual patterns. If you have a history of painful periods or have noticed other symptoms such as pelvic pain, it would be wise to consult with a healthcare provider for further evaluation.

Additionally, if you have experienced any recent changes in your health, such as weight loss or gain, changes in diet, or increased stress levels, these could also contribute to changes in your menstrual cycle. It is essential to monitor your symptoms closely. If the changes persist or are accompanied by other concerning symptoms such as severe pain, excessive bleeding (soaking through a pad or tampon every hour), or signs of anemia (such as fatigue or dizziness), it is crucial to seek medical attention.

A healthcare provider may recommend several diagnostic tests to determine the underlying cause of your symptoms. These may include a pelvic exam, ultrasound, or blood tests to check hormone levels and rule out any underlying conditions.
In summary, while changes in menstrual flow and the presence of blood clots can be alarming, they are often manageable and treatable. It is essential to keep track of your menstrual patterns, note any accompanying symptoms, and consult with a healthcare provider if you have concerns. Early intervention can help address any underlying issues and ensure your reproductive health remains optimal. Remember, open communication with your healthcare provider about your menstrual health is vital for maintaining overall well-being.

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