Bright red menstrual period with blood clots

Menstruation is a physiological phenomenon unique to women compared to men, but many women hate it. Because most women become weak during menstruation, this causes many inconveniences to their lives and work. And menstruation is prone to some abnormal conditions. When menstruating, it is found that the menstrual blood is bright red and there are blood clots. Is this normal?

Heavy menstrual flow with bright red blood clots

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 a lot of blood is lost in an instant, the body will not be able to support it and the person may faint, which is very dangerous.

If you have excessive menstrual flow for a long time and the condition becomes more serious with age, you should consider whether you have uterine fibroids, uterine adenomas, or abnormal blood coagulation function. When uterine fibroids grow in the uterine cavity or close to the endometrium, they can cause excessive menstrual bleeding.

How much menstruation is considered too much

Doctors believe that normal menstrual bleeding should be 20 to 60 ml, and more than 80 ml is considered menorrhagia. Based on the rough estimate of sanitary napkin usage, the normal usage is to change it four or 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.

Causes of heavy menstrual flow

1. Due to excessive secretion of ovarian estrogen, or long-term stimulation of the endometrium causing it to proliferate beyond normal thickness, the amount of bleeding increases during shedding. Such as anovulatory functional uterine bleeding.

2. Caused by organic gynecological diseases. Uterine fibroids, uterine polyps, etc.

3. Systemic diseases. Such as: leukemia, aplastic anemia, thrombocytopenia, pernicious anemia, liver disease, hypertension, etc.

4. Mental factors, fatigue, postpartum period, intrauterine device, etc. can also cause heavy menstrual flow.

5. The abundance of spiral arterioles in the endometrium or increased vascular fragility can also cause heavy menstrual flow.

Therefore, if the menstrual flow is heavy, you need to go to a regular hospital for a gynecological examination before receiving symptomatic treatment.