Can abnormal coagulation function lead to excessive menstrual flow?

Abnormal coagulation function may lead to increased menstrual flow. Excessive menstrual flow may be related to factors such as coagulation dysfunction, endometrial lesions, endocrine disorders, uterine fibroids, and blood system diseases. It is recommended to seek medical examination in a timely manner.

1. Coagulation dysfunction

Abnormal coagulation function or thrombocytopenia can affect the blood coagulation process, leading to prolonged menstrual bleeding time and increased bleeding volume. Commonly seen in hemophilia, vitamin K deficiency, or long-term use of anticoagulant drugs. Diagnosis needs to be confirmed through tests such as coagulation factor four and platelet count. Treatment should be targeted at the primary cause, such as supplementing coagulation factors and adjusting the dosage of anticoagulant drugs.

2. Endometrial lesions

Endometrial polyps, adenomyosis, and other diseases can lead to an increase in endometrial area or a decrease in contraction function, manifested as an increase in menstrual bleeding. This type of condition may be accompanied by dysmenorrhea and prolonged menstrual period, which can be detected through ultrasound examination. Treatment includes medication control (such as levonorgestrel intrauterine release system) or hysteroscopic surgery.

3. Endocrine disorders

Luteal insufficiency, polycystic ovary syndrome, and other endocrine diseases can cause continuous stimulation of the endometrium by estrogen, leading to increased bleeding during proliferation and shedding. Often manifested as menstrual cycle disorders accompanied by excessive menstrual flow, it needs to be diagnosed through six tests of sex hormones. Treatment can use short acting contraceptives or progesterone regulation.

4. Uterine fibroids

Submucosal fibroids can increase the area of the uterine cavity and interfere with uterine contractions, leading to a significant increase in menstrual flow and even anemia. Patients with fibroids may have compression symptoms, which can be detected through gynecological examinations. Treatment options include mifepristone for tumor reduction, uterine artery embolization, or myomectomy.

5. Hematological disorders

Leukemia, aplastic anemia, and other diseases can simultaneously affect coagulation function and platelet production, causing severe uterine bleeding. These patients often have systemic symptoms such as fatigue and bruising, and require bone marrow puncture for diagnosis. Treatment requires blood transfusion, chemotherapy, or hematopoietic stem cell transplantation. During periods of heavy menstrual flow, vigorous exercise should be avoided, the external genitalia should be kept clean to prevent infection, and iron rich foods such as animal liver and spinach should be supplemented in moderation to prevent anemia. It is recommended to record the menstrual cycle and bleeding volume, choose cotton breathable hygiene products, and seek medical attention immediately if soaking a sanitary pad every hour for more than 2 hours or experiencing dizziness and fatigue. Patients with abnormal coagulation function should regularly monitor coagulation indicators to avoid trauma and taking drugs that affect coagulation.