What if there is continuous bleeding and blood clots below

Abnormal vaginal bleeding accompanied by blood clots may be caused by endocrine disorders, uterine fibroids, endometrial polyps, miscarriage, or coagulation dysfunction. Drug treatment, surgical intervention, or lifestyle adjustments should be taken according to the specific cause.

1. Endocrine disorders:

Hormonal disorders such as polycystic ovary syndrome and luteal insufficiency can lead to abnormal shedding of the endometrium. Manifested as prolonged menstrual period, increased menstrual flow with blood clots, it can be diagnosed through six tests of sex hormones. Short acting contraceptives such as ethinylestradiol and cyproterone acetate tablets can regulate the menstrual cycle, while traditional Chinese medicine Yimucao granules can assist in improving symptoms.

2. Uterine fibroids:

Muscle wall or submucosal fibroids may cause uterine cavity deformation, leading to the retention of menstrual blood and the formation of blood clots. Often accompanied by symptoms of dysmenorrhea and anemia, ultrasound examination can clarify the location and size of fibroids. When the diameter exceeds 5 centimeters or causes severe anemia, uterine fibroid removal surgery or uterine artery embolization should be considered.

3. Endometrial polyps:

Polyp tissue can interfere with uterine contractions, leading to continuous bleeding and dark red blood clots. Hysteroscopy is the gold standard, and outpatient hysteroscopic polypectomy is minimally invasive. Oral administration of progesterone after surgery can prevent recurrence.

4. Pregnancy related bleeding:

During natural miscarriage or ectopic pregnancy, mixed blood from the decidua tissue is expelled to form blood clots. Blood HCG testing is required to determine pregnancy status. For complete miscarriage, fresh motherwort capsules can be taken to promote uterine contractions, while incomplete miscarriage requires curettage surgery. 5. Coagulation dysfunction: Blood diseases such as thrombocytopenia and hemophilia can lead to coagulation disorders, prolonged bleeding, and loose blood clots. The four coagulation tests can confirm the diagnosis, and vitamin K1 injection combined with tranexamic acid tablets can improve coagulation function.

It is recommended to record the start and end time of bleeding, the size of blood clots, and accompanying symptoms, and avoid vigorous exercise and baths. During menstruation, brown sugar ginger tea can be consumed to warm the uterus, and iron rich foods such as animal liver and spinach can be supplemented daily. If the bleeding persists for more than 7 days or if a single amount of bleeding penetrates one sanitary pad per hour for more than 2 hours, immediate emergency treatment is required. Women over 40 years old who experience sudden large blood clots need to rule out the possibility of endometrial cancer. It is recommended to undergo annual gynecological ultrasound and HPV screening.