Increased Menstrual Flow and Blood Clots: What You Need to Know

Increased menstrual flow?

Hello, Doctor.
I have a question.
In my last two menstrual cycles, the flow has noticeably increased compared to before, and I have been passing blood clots that are about 2 to 3 centimeters in size.
I'm wondering if this is something to be concerned about.
(P.S.
My menstrual periods usually last about a week and I experience menstrual cramps.)

lanlia, 20~29 year old female. Ask Date: 2001/02/24

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
If there is no significant bleeding, it should be fine.
2.
You can have an ultrasound done once; if you still have concerns, please visit the obstetrics and gynecology outpatient clinic.

Reply Date: 2001/02/24

More Info

Increased menstrual flow and the presence of blood clots can be concerning symptoms for many women. It is important to understand the potential causes and implications of these changes in your menstrual cycle.
Firstly, an increase in menstrual flow, also known as menorrhagia, can be caused by a variety of factors. These may include hormonal imbalances, uterine fibroids, polyps, adenomyosis, or even more serious conditions such as endometriosis or uterine cancer. The presence of blood clots, especially those larger than 1-2 centimeters, can indicate that the uterus is shedding its lining more aggressively than usual. This can occur due to the aforementioned conditions or as a result of heavy menstrual bleeding.

The fact that you are experiencing menstrual pain (dysmenorrhea) alongside increased flow and clotting is also noteworthy. Painful periods can be associated with conditions like endometriosis or fibroids, which can cause inflammation and increased uterine contractions, leading to more significant bleeding and clot formation.

It is essential to monitor your symptoms closely. If your menstrual flow continues to increase, if you experience severe pain, or if you notice any other concerning symptoms such as fatigue, dizziness, or shortness of breath, you should seek medical attention promptly. These could be signs of anemia due to excessive blood loss or other complications.

In terms of management, it is advisable to consult with a healthcare provider, preferably a gynecologist, who can perform a thorough evaluation. This may include a physical examination, blood tests to check for anemia or hormonal levels, and imaging studies such as an ultrasound to assess the uterus and ovaries for any abnormalities.

Treatment options will depend on the underlying cause of your symptoms. For example, if fibroids are identified, options may include medication to help manage symptoms or surgical interventions if the fibroids are significant. Hormonal treatments, such as birth control pills, can also help regulate menstrual cycles and reduce flow.

In the meantime, maintaining a healthy lifestyle can be beneficial. This includes a balanced diet rich in iron and vitamins to help combat any potential anemia, regular exercise, and stress management techniques. Keeping a menstrual diary to track your cycle, flow, and any associated symptoms can also provide valuable information for your healthcare provider.

In summary, while increased menstrual flow and blood clots can be common, especially during certain life stages or due to hormonal changes, they can also indicate underlying health issues that require attention. It is crucial to consult with a healthcare professional to determine the cause and appropriate treatment for your symptoms.

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