What's wrong with blood clots during menstruation every time

The appearance of blood clots during menstruation is mostly a normal physiological phenomenon, which may be related to factors such as the shedding of endometrium, increased menstrual flow, or prolonged sitting. The main causes include slow menstrual blood discharge, abnormal uterine position, fluctuating hormone levels, gynecological inflammation, and uterine fibroids, among other pathological factors.

1. Slow discharge of menstrual blood:

When menstrual blood stays in the uterine cavity for a long time, fibrinolytic enzymes do not have enough time to completely break down clotting substances, resulting in dark red or purple black blood clots. This situation is common in women who sit for long periods of time in the office and lack exercise. Changing positions or engaging in appropriate activities can promote the smooth discharge of menstrual blood.

2. Excessive forward and backward bending of the uterus:

Abnormal uterine position, such as excessive forward or backward bending, may cause distortion of the uterine cavity angle, leading to poor flow of menstrual blood and the formation of blood clots. This type of situation may be accompanied by dysmenorrhea symptoms. Gynecological examination can clarify the position of the uterus, and adjusting posture such as knee chest position can help improve it.

3. Hormonal imbalance: When the corpus luteum function is insufficient or endocrine disorders occur, the endometrium thickens unevenly and is prone to form large tissue fragments during shedding. This type of blood clot is often accompanied by menstrual cycle disorders. Six tests of sex hormones can help diagnose it, and hormone regulation therapy may be necessary if necessary.

4. Chronic endometritis:

Inflammatory stimulation can lead to abnormal congestion of endometrial blood vessels, increased menstrual bleeding, and easy coagulation. Blood clots are often dark brown and have an unpleasant odor. Patients often experience symptoms such as lower abdominal pain and prolonged menstrual periods, and require antibiotic treatment to control the infection.

5. Effects of uterine fibroids:

Submucosal fibroids can increase the area of the uterine cavity, alter the uterine contraction rhythm, and cause menstrual blood to accumulate and form egg sized blood clots. This type of situation is often accompanied by a significant increase in menstrual flow, which can be diagnosed by ultrasound examination. Depending on the size of the fibroid, medication or surgical treatment can be chosen.

It is recommended to maintain mild exercise such as walking or yoga for 30 minutes every day during menstruation, and avoid staying in the same position for a long time. Add iron rich foods such as animal liver and spinach to the diet, and combine them with vitamin C to promote iron absorption. Pay attention to whether the blood clot continues to exceed the size of a coin, whether it is accompanied by severe anemia or severe abdominal pain. In such cases, timely gynecological ultrasound and hormone level testing are necessary. Daily recording of menstrual cycle, blood clot size, and accompanying symptoms can provide reference for doctors' diagnosis.