Causes of discharge during menstruation of large blood clots

Excessive bleeding with thick black bloody pieces may indicate the onset of inflammatory processes in the genital organs. If treatment is not started in time, serious complications are possible: iron deficiency anemia, large blood loss, aggravation of diseases of internal organs, infertility. Cases of death are also possible if the cause was an ectopic pregnancy or the remains of a fetal egg in the uterus.

If pathologies are not found, but menstruation is still heterogeneous, tests should be done for the degree of blood coagulation and the content of B vitamins in the body. Their excess can lead to an increase in blood coagulation, which increases the risk of uterine vein thrombosis and requires correction.

White clots on sour-smelling laundry may be a symptom of candidiasis. To restore normal microflora of the vagina, you should consult a doctor who will choose the best option for therapy.

Endometrium is the functional membrane of the uterus that regulates the production of hormones necessary for the formation and development of the fetus. When it grows, caused by diseases such as hyperplasia and endometriosis, cells can go beyond the body and stand out in large pieces.

Endometrial pathologies have similar symptoms:

  • heavy menstrual bleeding lasting more than a week;
  • severe pain in the lower abdomen;
  • intermenstrual bleeding with clots;
  • lack of vaginal lubrication, which leads to discomfort during intimacy;
  • difficulties with conception.
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This disease is the occurrence of benign formations inside the uterus, which in advanced cases can go into a malignant form. In gynecology, in addition to fibroids, fibroma and fibromyoma are isolated. If you notice clots during your period, the reasons may be hormonal imbalance. At risk are women after 40 years, close to menopause, but the disease can occur in childbearing age.

The disease can be almost asymptomatic, giving out only unusual discharge with clots. Due to the tumor, the blood is unable to freely exit and coagulates. Myoma can grow or disappear after a while. Amenable to hormone therapy. With growth, surgical intervention may be required.

Endometrial polyposis

The main cause of the disease is abortion, childbirth in adulthood. But at present, cases of the appearance of polyps in young women who did not interrupt pregnancy are increasingly common. In this case, the pathology can be triggered by a hormonal failure. Polyps are small neoplasms that grow on the walls of the uterus. They cause pain, heavy bleeding with clots.

Most often, impurities in the discharge appear for natural reasons. This is due to the fact that on “critical” days, special substances are produced in the girls’ bodies that slow down blood coagulation. With insufficient or excessive production of anticoagulants in the menstrual flow, lumps appear.

Lumps are observed in the following categories of women:

  • under the age of 18;
  • who gave birth to a child less than 1 year ago;
  • having undergone gynecological surgery, miscarriage or curettage.

Abundant discharge during “critical” days is noticed by ladies after a night’s sleep or long sitting in one place. Blood clots in this case do not indicate any pathological conditions. If, in addition to this symptom, pain is observed in the lower back or lower abdomen, then a woman should visit a gynecologist.

Consider the main causes of menstruation with clots without pain:

  1. A sharp change of position: from sedentary to standing or from lying to sitting. Mucus in the menstrual blood is caused by stagnation of blood in the uterine cavity.
  2. Access to the toilet. Most of the ladies on the forums write that they have bloody lumps after the first visit to the toilet in the morning.
  3. The postpartum period. The uterine cavity can be cleaned of residues of the placenta for 2 months. After 1-2 months, the work of the ovaries is normalized.
  4. Monthly after childbirth with large blood clots. This should not scare a woman. A change in the nature of menstruation is observed due to active endometrial rejection.
  5. Congenital malformations of the genital organs, in which the outflow of menstruation from the genital tract is slower.
  6. Postpartum deformation of the intrauterine septum, bending of the uterus, the presence of a single paramezonephral duct (congenital in nature) – all these features lead to a change in the nature of menstrual bleeding.
  7. Puberty. Gynecologists consider normal the appearance of thick menstruation within 1-2 years after the first menarche. In adolescence, an increased amount of the hormone estrogen is produced. Progesterone is produced less. Under the influence of estrogen, the endometrium of the uterus grows stronger and thickens. Its detachment during the “critical” period provokes heavy bleeding with the presence of clots.

Disorders of menstrual function can be symptoms of both gynecological diseases and other disorders.

Possible causes of clots and their symptoms are described in the table.

Hormonal imbalanceNervousness, insomnia, dark scarlet clots, cycle disturbance
Postpartum periodLarge scarlet clots lasting about 2 weeks
Taking oral contraceptivesClots of dark brown color, small, in a small amount
Genital infectionsDischarges with small blood clots, have an unpleasant odor, fever
Ectopic pregnancySmall brown blotches, intense abdominal pain
Abortion, miscarriageAching pain in the lower abdomen, large pieces of baked blood

If clots that look like a liver come out during menstruation, this causes women to panic. They really believe that parts of an organ leave the vagina in this way. But this is fundamentally wrong. Dark burgundy, consistently reminiscent of jelly, of various sizes (from several mm to 7 – 10 cm), clots are coagulated venous blood, possibly with areas of rejected endometrium or fetal egg (in case of miscarriage).

To normalize menstrual function, teenage girls are given about two years. During this period, critical days can occur at different, sometimes quite long intervals, and this is not considered a pathology. Still unripe organism sensitively reacts to a microclimate in a family, school. Stresses, any psycho-emotional stress, whether it is a deuce for a lesson or failure in an exam, is perceived by many girls excessively close.

Excessive obsession with learning negatively affects. As a result, the reproductive system reacts, and this is often manifested by juvenile uterine bleeding. Sometimes it is possible to replace not only an increase in the duration of critical days to 14 or more, but also clots during menstruation, similar to the liver. Rarely, such symptoms can indicate organic pathology in the teenage body, or abnormalities in the development of the genital organs.

Often menstrual lumps like the liver can accompany a woman during pregnancy. Moreover, the fact that the lady is in an “interesting position”, she may not know. The threat of interruption sometimes disappears in the early stages like menstrual flow on the days of the alleged menstruation. In this case, as a rule, together with the clots, the woman feels pulling, even cramping pains in the lower abdomen. If there are a lot of such discharges, the threat may have turned into a miscarriage.

In most cases, large clots in menstruation, similar to the liver, are characteristic of women after 30 and even premenopausal women. This is due to the pathology of the endometrium, which often occurs against the background of concomitant diseases. Women who have risk factors for the development of these conditions:

  • With polycystic ovary.
  • With irregular periods for other reasons. This is due to the fact that with unsystematic “cleansing” of the uterine cavity from the upper layer of the endometrium, its normal growth occurs with the formation of polyps and structural changes (hyperplasia).
  • Overweight. Adipose tissue is hormonally active. Its excess leads to an increase in estrogen levels in the blood, and they directly affect the growth rate of the endometrium.
  • With cystic changes in the ovaries.
  • Having diabetes mellitus and thyroid pathology. An increase in menstrual blood volume will be due to changes in metabolic processes in the body.

The pathology of the endometrium can be expressed in the formation of polyps inside the uterine cavity or in different types of hyperplasia. Clinically, they both proceed the same way – discharge during menstrual clots, like the liver, or simply very plentiful, the number of critical days increases, and spotting may appear in the middle of the cycle.

With violations in embryogenesis during pregnancy, an incorrect formation of the structure of the genital organs occurs. As a result, the body of the uterus can have a saddle shape, consist of two parts – two-horned, etc. As a result, the contractility of the organ may be impaired during menstruation, which leads to increased bleeding and the formation of clots.


Nodules in the uterus can disrupt the process of normal endometrial rejection, deform the organ cavity. This happens especially often with formations of large sizes, as well as submucous fibroids located inside. In such cases, women suffer from heavy bleeding during critical days, note lumps during menstruation, similar to the liver. They can reach large sizes (up to 10 cm in length), appear both day and night.

Uterine fibroids – the cause of abundant discharge in the form of clots


What are menstrual periods and how normally do discharge look?

The causes of clots during menstruation are not always pathologies. An unusual consistency of secretions may be associated with physiological factors. These include:

  1. Increased blood coagulation at high body temperature, for example, during colds.
  2. Hormonal restructuring of the body when the cycle has not yet been established or premenopause has begun. During this period, heavy bleeding can be replaced by scarce and the appearance of clots is inevitable.
  3. Termination of pregnancy for a period of 1-2 weeks. If the fetal egg has not fixed in the endometrium, menstruation may occur with a slight delay, and the remains of the fetal egg in the form of pieces will come out with the blood.
  4. A genetic feature in the form of an altered form of the uterus (bending, dividing the organ cavity by a septum into two parts).
  5. The use of an intrauterine device that disrupts the free flow of blood.
  6. Iron-deficiency anemia.
  7. Low physical activity.
  8. Insufficient fluid intake.
  9. The presence of pathologies of the cardiovascular system, blood diseases.

In any case, the presence of clots, especially large ones, in the menstrual flow should alert the woman and cause an unscheduled examination by a gynecologist. Especially in the following situations:

  • with regular menstruation with clots;
  • if pieces of coagulated blood are large;
  • the exit of clots is accompanied by pain;
  • bleeding for all critical days more than 150 – 200 ml;
  • an unusual unpleasant odor of discharge with clots appeared;
  • The woman began to notice shortness of breath, palpitations, fatigue, weakness, lethargy, pallor of the skin. This indicates a monthly large blood loss that requires treatment.

The mechanism of formation of blood clots lies in the specifics of the menstrual cycle. During the first period of the cycle, the hormone estrogen prepares the woman’s reproductive organs for fertilization. Under its action, a thickening of the uterine endometrium occurs.

If fertilization does not occur, the upper layer of the endometrium begins to exfoliate. In the process of detachment, the integrity of the blood vessels is violated, so blood is released. Normally, the discharge is red or light burgundy. An unfertilized egg, small clots of clotted blood, and mucus are separated along with blood.

On the first day or two, little blood is released. It has a dark color. In the following days, the intensity of blood output increases. By day 5-6 there are only spotting. It is considered normal if menstruation is not accompanied by severe pain, and the secreted clots are small in size and appear several times during menstruation.

Hypermenorrhea can occur in every woman with the influence of a provoking factor. Risk factors:

  • Frequent abortions.
  • Miscarriages
  • Hard birth.
  • Acceptance of emergency contraception.
  • Subcooling and overheating.
  • Random sex without the use of barrier means of protection.
  • Anemia.
  • Excessive physical activity.

Severe bleeding with clots often occurs in women in the following situations:

  • After childbirth. Abundant blood flow is normal if it lasts no longer than 5 days. Then the discharge should decrease and acquire a brownish tint. Normalization of the cycle occurs within 2-3 months. At this time, menstruation can also be plentiful. If bleeding with clots does not stop, this indicates the occurrence of postpartum problems requiring treatment.
  • After cesarean. Contraction of the uterus after cesarean is slower than after natural birth. Therefore, heavy bleeding is not uncommon. However, the appearance of clots a week after surgery is an alarming symptom. Perhaps the uterus contracts badly. In this situation, curettage or the use of drugs that reduce the uterus is required.
  • After curettage. Curettage of the uterine cavity is carried out in order to terminate the pregnancy, after a miscarriage. Gynecological curettage is also prescribed to stop uterine bleeding in order to remove the damaged mucosa. Normally, discharge lasts up to 10 days. If an infection gets into the uterine cavity after curettage, new bleeding with clots may open. This is accompanied by abdominal pain, fever.
  • With menopause. After 45 years, the woman’s reproductive functions begin to fade. This happens gradually. At first, the cycle becomes irregular, then the periods come less and less until they completely stop. In the first year of menopause, menstruation with clots is possible, since there is a hormonal adjustment. If they are not accompanied by pain and other unpleasant symptoms, do not worry. The danger is abundant bright red discharge, lasting more than 7 days. This indicates neoplasms in the uterine cavity.


To identify the cause of severe bleeding, the following diagnostic procedures are prescribed:

  • General analysis of blood and urine. Allows you to detect the inflammatory process, a decrease in blood coagulability, anemia.
  • Blood test for hormones. Examine sex hormones and thyroid hormones.
  • Blood test for tumor markers. Oncomarkers can be increased in tumors of various etiologies.
  • Ultrasound Diagnoses tumors, cysts, fibroids, changes in the ovaries.
  • Hysteroscopy. The uterine cavity is examined using special equipment. Thus, the doctor reveals a change in the structure of the endometrium.
  • Diagnostic curettage. If it is not possible to find out the cause of heavy periods, gynecological cleaning is prescribed. The biomaterial is sent for histology.


Abundant periods are a symptom of some kind of disease. Therefore, treatment is prescribed depending on the cause.

First of all, you need to decide whether emergency care is required. An urgent stop of bleeding is needed if the menstruation lasts more than 7 days, accompanied by severe pain, fainting, weakness.

Under these conditions, there is a risk of large blood loss.

Hemostatic. Usually prescribed Dicinon. It stimulates the formation of a blood coagulation factor. Bleeding decreases after 2-3 hours. Contraindications: thromboembolism, blood diseases, intolerance to the components. Side effects: headache, nausea, diarrhea, allergy. The price in pharmacies is from 400 rubles.

Increasing the contractility of the uterus. Often use oxytocin. It helps to reduce the smooth muscles of the uterus. Contraindications: intolerance to components. Side effects: dizziness, nausea, headaches. The price is 500-600 rubles.

Strengthening vascular walls. An effective remedy is Ascorutin. It reduces the permeability of capillaries, strengthens blood vessels. Contraindications: hypersensitivity, tendency to thrombosis. Side effects: headache, allergy. The price is 30-50 rubles.

Iron preparations. Sorbifer normalizes the level of hemoglobin in the blood. Contraindications: high iron content, stomach ulcer, hypersensitivity. Side effects: nausea, vomiting, constipation, allergies. The price is 300-400 rubles.

Hormonal drugs. Usually prescribed for endometriosis, ovarian dysfunction. Preference is given to combined birth control pills, for example, Lindinet 20.

They normalize the hormonal background, due to which the abundance of menstruation decreases. Contraindications: tendency to thrombosis, diabetes, liver pathology, lactation, hypersensitivity to hormones.

Side effects: dizziness, acyclic bleeding, varicose veins, swelling, allergies. The price is 300-350 rubles.

Folk remedies

To reduce bleeding, folk remedies are successfully used.

These are decoctions of medicinal herbs that have a hemostatic effect.

  • 20 grams of nettle leaves are steamed with boiling water, drink 30 ml three times a day before meals.
  • 1 tablespoon shepherd’s bag pour a glass of boiling water. After cooling, take 50 ml twice a day.
  • Brewed tea from yarrow and oak bark. Drink infusion of 200 ml per day.

What to do with heavy painful periods with clots?

The treatment for blood clots depends on the underlying cause of the symptom. If the cause of clots is uterine fibroids, surgical treatment is recommended in most cases. If the size of education is up to 10 weeks of pregnancy and there is no pain, conservative treatment is prescribed. It is aimed at inhibiting the growth of the tumor, reducing blood loss during menstruation. Hormonal drugs are prescribed: Norkolut, Orgametril.

The main treatment for polyps is surgical removal, since in 20% of women, after drug therapy, they recur. After the operation, drugs are used to align the hormonal background: Duphaston, Norkolut.

Endometrial hyperplasia in the early stages is treated with hormonal drugs (Duphaston, Utrozhestan), it is possible to use the Mirena drug uterine spiral. If the disease proceeds with frequent relapses, curettage of the cavity is used.

Uterine displacement is eliminated by performing special exercises that strengthen intimate muscles. In most cases, the organ returns to normal after childbirth.

Antihemorrhagic agents (hemostatic) must be prescribed: Etamsylate, Vikasol. Reduce the amount of bloody discharge, strengthen blood vessels.

To treat anemia, which inevitably occurs when a large volume of blood is lost, medications are used to normalize the level of iron: Maltofer, Totem.

On average, the female cycle lasts 28 days. Of these, 7 are for menstruation. During this time, the total amount of blood loss is about 150 ml.

Small clots come out with blood, which are delaminated pieces of the epithelium. If a woman with menstruation is worried about severe bleeding with clots, then the cause can be a serious illness.

Therefore, such a symptom can not be ignored.

In healthy women, menstruation occurs on average once a month, if pregnancy does not occur. In this case, the endometrium exfoliates and is gradually expelled from the uterus along with an unfertilized egg. This process is accompanied by small blood loss. Normal consider red discharge with a characteristic metal odor.

If a woman has no health problems, menstruation is painless. It is normal if the discharge lasts from 2 to 7 days. In this case, the peak of intensity falls on 1-3 days, then gradually the blood loss decreases.

The cause of clots during menstruation is blood coagulation. The appearance of characteristic lumps is noted closer to the end of the menstrual period. At this time, the intensity of blood loss decreases, and the color of the discharge changes to a darker one. If there is no soreness or other disturbing symptoms, no need to worry. This is considered a physiological norm.

The appearance of clots, copious discharge or soreness always indicates the presence of a disease in the female reproductive organs. This condition is caused by the following reasons:

  • prolonged exposure to stress;
  • acclimatization;
  • hormonal imbalances;
  • endometriosis;
  • the formation of a hematoma on the internal genital organs;
  • inflammatory or infectious processes in the uterine cavity;
  • trauma
  • abortion
  • lack of vitamins in the body;
  • premenopausal condition.

The greatest danger of painful periods with clots is neoplasm. The severity of this condition is determined by the nature of the process. Benign neoplasms in the form of fibroids or polyps, a woman’s body tolerates more easily than a malignant tumor. In the latter case, it is very important to detect the pathology in time and begin early treatment.

Types of pathology

Depending on the cause that provoked heavy periods with large clots, several types of bleeding are distinguished:

  1. Hormonal disturbances, spontaneous or surgical termination of pregnancy, menopause provoke dysfunctional bleeding. In the latter case, with heavy blood loss anemia develops.
  2. Juvenile occurs in women of reproductive age or in the first stage of menopause. In this case, ovulation does not occur for an objective reason, and untimely bleeding indicates a tumor.
  3. Breakthrough profuse and painful bleeding is the body’s response to certain drugs. Sometimes this condition occurs when the IUD is installed incorrectly.
  4. Profuse bleeding is very similar to simple menstruation. It differs from it in that the blood loss is plentiful and begins regardless of the day of the cycle.
  5. During pregnancy, small spotting or massive blood loss is a serious threat to the baby and speak of the threat of miscarriage. You need to be alert if a bloody daub appears in the second or third trimester. In the first weeks, this phenomenon is considered the norm and passes very quickly.

In women at the age of forty, the body is gradually being rebuilt and begins to prepare for menopause. Although ovulation still persists. as well as the possibility of pregnancy, a gradual change in the cycle occurs:

  • menarche become more scarce;
  • the duration of the discharge decreases;
  • failures in a cycle are observed.

If at this age a woman has heavy menstruation with clots, but the examination does not reveal pathology, there is no reason for concern. Over the course of several years, a gradual decrease in the number of secretions will occur until the ovaries cease to function. Usually this stage occurs at the age of 45-50 years.

Most often, abundant menstruation in women who have crossed the forty-year milestone occur due to cancer. The main danger of cancer is that this disease is asymptomatic for a long time. The tumor is easier to treat with early diagnosis. Therefore, such women must regularly undergo examinations with the aim of prevention.

A woman can not always independently determine that severe blood loss occurs. It is especially difficult to do this at the beginning of the period. In this case, other symptoms are considered:

  • during the day the blood comes, as from a bucket, blood loss exceeds 80 ml;
  • menstruation exceeds 1 week;
  • the menstrual cycle is unstable;
  • the girl has not yet reached puberty;
  • menopause

The reason for going to the doctor is continuous bleeding for several days without loss of intensity.

Self-medicating or waiting for everything to go away by itself is very dangerous in this state. In this state, the female body loses many important elements. Iron deficiency is especially acute.

Therefore, with regular severe blood loss, it is recommended to take iron preparations.

Also in this state, the body intensively gets rid of the fluid. Therefore, they maintain a normal water balance so that the kidneys, heart and other organs do not suffer. To do this, you need to drink a lot of water.

If heavy blood loss begins suddenly after a small discharge, then there is a high probability of an inflammatory or infectious process. In this case, it is recommended to rest more, and also undergo examination by a gynecologist.

If there are very abundant periods with large clots, various health problems can be suspected. For an accurate diagnosis, you must consult with a gynecologist. The specialist prescribes an additional examination, after which the exact causes will be established and treatment will be prescribed.

This disease most often causes severe blood loss with clots and pieces of flesh. With myoma, nodules form on the walls of the uterus, gradually growing towards the outer membrane. They fill the uterine cavity and disrupt the cycle, squeezing and stretching the organ. This causes vascular damage.

A tumor blocks the entrance to the uterus and causes blood clots to form. Usually, myoma provokes postoperative complications. Also, heredity and irregular sex life play a role. With myoma, painful sensations appear and the stomach increases.


Due to the disease, the endometrium grows very much. Its thickness is up to 20 mm. Then during menstruation bleeding, he exfoliates and comes out in large pieces. Severe vascular damage occurs, causing significant blood loss. Outgoing clots with hyperplasia have a very dark, brown or burgundy color.

With this disease, the duration of the female cycle is reduced to 25 days. Menstrual flow lasts at least 10 days and passes with pain in the lower abdomen and lower back. The patient constantly feels tired. Due to a strong drop in hemoglobin levels, health deteriorates and the uterine wall becomes thinner.


This disease is characterized by the formation of foci of ulcerative destruction on the cervical mucosa. The disease is provoked by abortion, an incorrectly installed spiral, hormonal failure, miscarriages. In the area of ​​the cervical canal, due to permanent damage, small cracks and ulcers form.

Due to the penetration of bacteria and infection, inflammation develops in the internal genital organs. The menstrual cycle is broken and after a delay menstruation with large clots strongly goes. Often the initial stage of erosion occurs without any symptoms. This disease can be suspected by heavy menstruation with lumps.

An infection that enters the uterine cavity always provokes inflammation that violates the structure of the organ.

Any disease accompanied by high body temperature can worsen the state of the organs of the reproductive system.

In this condition, even regular menstruation can lead to serious blood loss with lumps. In addition, pathological microorganisms that worsen the condition negatively affect the blood composition.


Polyps are growths on the mucosa of the internal genital organs. The reason for their formation is hormonal changes, the use of birth control pills, a hereditary factor, infectious infections, manipulations in the uterine cavity, and excess weight. The location of the polyps are the fallopian tubes and the body of the uterus.

After an abortion, miscarriage, childbirth

The intrauterine device is a type of hormonal contraceptive. It is made of plastic or copper, placed inside the uterus around its neck. The installation of the product is not considered a traumatic procedure, but after it there may be spotting, which should normally disappear after 3-5 days.

Bleeding with clots can be a reaction of the body to physical intervention. A similar condition is also the result of incomplete removal of the embryo, the onset of the inflammatory process. Part of the fetus may remain in the uterine cavity due to mini-abortion using tablets without repeated expert advice or vacuum aspiration. It is possible to get injuries of the body during curettage.

After childbirth, the woman’s monthly cycle does not recover immediately. There are delays, violation of the duration of menstruation. In some cases, there is heavy bleeding, clots are present. If there are monthly blood clots, the causes of which are unknown, it is necessary to consult a gynecologist in order to exclude the presence of pathological processes.

Spontaneous abortion often occurs during the first 12 weeks after conception. A woman may not be aware of her position. After a short delay of 1-3 weeks, more abundant than usual discharge begins, heterogeneous in consistency. To make sure that the uterus is completely cleansed and there is no need for additional procedures, you need to undergo an ultrasound.

Possible diseases

The appearance of thick blood clots that are larger than 25 ml, indicates the presence of health problems. This can be a benign tumor, abnormal development of the endometrium, hormonal failure, etc. To accurately establish the diagnosis, you need to see a doctor. The woman will be prescribed an additional examination, which will clarify the picture.

Most often, such pathologies lead to the appearance of hypermenorrhea.

  1. Uterine fibroids are a benign mass concentrated in the muscle walls of an organ.
  2. Endometrial hyperplasia – a disease is a violation of the structure and development of the mucosa.
  3. Cervical erosion – ulcers located in the cervical canal are easily infected, which violates the duration and amount of blood secreted, as well as its consistency.
  4. Various infections – diseases and inflammation caused by infection, violate the structure of the uterus, enter the bloodstream, changing its viscosity and acidity.
  5. The presence of polyps in the uterus and cervix – growths are localized on the inner walls and are damaged during the removal of the overgrown endometrium, due to which there are periods with clots, which are destroyed tissues.
  6. Endometriosis – a disease leads to disruption of the entire cycle. This is caused by an increase in the volume of the endometrium, which eventually gets into the neck, tubes and even the peritoneum.

The main reason for heavy bleeding with lumps or clots is uterine fibroids. On the walls, nodes grow that “creep” towards the outer shells. When the uterine cavity is full, the cycle is broken, as it is compressed and stretched, and as a result, the vessels are damaged.

One or more tumors block the exit from the uterus to the cervix, causing blood clots to form. The main causes of fibroids are considered complications after surgery, a hereditary factor, irregular sex, and concomitant diseases. The disease is accompanied by pain and an increase in the abdomen.


If the endometrium grows too much and reaches a thickness of up to 20 mm, it unevenly exfoliates and separates along with menstruation in the form of dense particles. Due to the destruction of blood vessels, blood loss is more profuse and prolonged. The color of the clots is darker than blood, often it is burgundy or brown.

With the disease, the cycle becomes shorter and lasts up to 25 days. Menstruation lasts more than 10 days and is accompanied by pain in the lower abdomen and lower back. A woman feels tired, her hemoglobin level drops, which worsens her health, and also depletes the uterine mucosa.


Erosion is a focal, ulcerative destruction of the neck mucosa. The disease occurs due to abortion, improper installation of the contraceptive spiral, miscarriage, hormonal imbalances. Permanent damage to the entrance to the vagina and cervical canal leads to the development of small cracks and ulcers in this area.

Bacteria and infections are very easy to get into the internal genital organs, where they cause an inflammatory process. Severe bleeding during menstruation with clots appears against the background of a menstrual cycle. Erosion is often asymptomatic, and as doctors say, its first sign is heavy menstruation with lumps.


Diseases of an infectious origin always lead to inflammation, which provokes a violation of the structure of the uterus, that is, its cavity. An ordinary cold with a high temperature or venereal pathology negatively affects the state of the reproductive system. Even with previously normal menstruation, elevated body temperature can provoke profuse secretion with clots. In addition, pathological microorganisms change the blood, which becomes the cause of violations.


  • copious regula accompanied by soreness and the presence of large brownish lumps;
  • long periods (longer than 10 days);
  • heavy periods with clots after 45 years, that is, with menopause;
  • the presence of discharge outs >

Growths adversely affect the cycle, women often become infertile, and sometimes get cancer. The outgoing endometrium regularly injures polyps, due to which the amount of blood increases and particles of destroyed tissues can be seen in it. They must be treated, the treatment is to remove polyps.


Pathology is an overgrowth of the mucosa (endometrium), against which normal discharge becomes pathological. With the disease, the cycle becomes shorter, and menstruation is lengthened. In the blood, you can find many lumps or seals that are composed of endometrial cells.

The main symptoms include:

  1. worsening of well-being;
  2. decrease in hemoglobin in the blood;
  3. discomfort in the lumbar and lower abdomen;
  4. violation of the cycle;
  5. menstruation is intensive, they contain many large seals.


A woman who noticed a very abundant period with clots should definitely visit a gynecologist. The doctor will conduct the necessary studies.

  • Blood test – necessary in order to determine the amount of hormones;
  • Colposcopy – a procedure involves the insertion of a colposcope into the vagina, with which you can examine the vagina and neck;
  • Smear – the obtained material allows you to determine the presence of infectious inflammation;
  • Cytology – in the process, part of the uterine cells is taken in order to detect cancer cells or metastases.

A thorough diagnosis allows you to accurately determine the cause of bleeding and eliminate it. In some cases, it is enough to undergo drug therapy.

Disorders of the genitourinary system are handled by a gynecologist. The specialist examines the patient on a gynecological chair, then prescribes the necessary tests. In some cases, you may also need to consult a therapist, oncologist, endocrinologist.

In addition to examination, to identify the reason why large clots appeared during menstruation, the following diagnostic methods are used:

  • liver and kidney tests;
  • study of the hormonal background;
  • blood test – biochemical and general;
  • study of the endometrium by diagnostic curettage;
  • hysteroscopy – taking material from the uterine cavity;
  • oncocytology – taking a smear from the cervical canal;
  • determination of coagulability, the level of red blood cells, white blood cells;
  • Ultrasound, MRI of the pelvic organs.

If constant thick blood appears during menstruation, a woman should consult a doctor. This is especially true for ladies with a steady menstrual cycle. Gynecological examination will include 4 main components:

  1. History taking. Women tell the doctor about their symptoms and the duration of their manifestation. The doctor asks the patient about recent illnesses and taking medications.
  2. General inspection. The specialist draws attention to the presence of inflammatory processes near the genitals and anus. The doctor performs an examination of the vagina and cervix using a special mirror. The doctor evaluates the nature of the mucous secretions, their consistency and profusion.
  3. Bimanual examination, including an assessment of the location of the cervix and patency of its pharynx.
  4. Hardware research. An ultrasound scan is used to identify pathologies of the ovaries and uterine cavity. If oncology is suspected, the patient may be prescribed tomography.

Medications to cause menstruation

Information posted on the network often encourages women to self-medicate. At the same time, many factors are not taken into account and the body’s reaction to taking the drug is unpredictable. Women who do not understand why the cycle has gone astray are trying to restore it by taking Norkolut, Dufaston. These tablets contain a significant amount of progesterone.

What to do

Menorrhagia is required treatment. If the case of abundant regulation with clots is single, you can use alternative recipes in the absence of contraindications. Usually, menorrhagia can be cured with medication, but if tumors are found, surgery may be necessary.

To stop heavy periods, you must visit a gynecologist to determine the causes of bleeding. It is impossible to independently terminate the pathological menstruation, especially if it is caused by serious diseases.


Before treatment with drugs, you must always consult a doctor. For emergency stopping of bleeding, such medications are often used.

  1. Ethamsylate – the drug is administered intravenously in the conditions of therapy in a hospital.
  2. Tranexam – the drug is sold in the form of tablets and a solution for injection into a vein. In case of emergency, patients are prescribed a dropper with this agent.
  3. Vikasol – tablets and solution stop the blood for 4-5 days.
  4. Dicinon – is available in the form of tablets and a solution for input into the muscle and vein. The tool is intended to increase the stability of capillaries. If you make an injection, the substances begin to act after 10 minutes.

Hormonal drugs for endometriosis and other diseases requiring restoration of hormone levels:

  • Duphaston – is intended for the treatment of infertility and normalization of the cycle;
  • Oxytocin – the drug reduces the uterus and is prescribed in special situations;
  • Rigevidone – a contraceptive for oral use.

Other drugs to restore the menstrual cycle.

Folk remedies

Women suffering from a large amount of spotting are interested in what to do at home in order to alleviate their condition as soon as possible. Some herbs stop pathological menstruation very well and practically do not harm health.

  1. Cherry branches – the prepared broth in the form of ordinary tea stops the blood well and normalizes the level of hormones, and the berries of this tree saturate the body with copper and iron.
  2. Nettle with heavy periods – to prepare a decoction, you need to take 2 tbsp. fresh leaves of the plant and pour 1 tbsp. hot, but not boiling water, so that the useful substances that increase hemoglobin are not lost.
  3. Horsetail – you need to take 1 tsp. chopped plants, add 2 tbsp. boiling water, take 1 tbsp. every 3 hours until blood loss decreases.

If, together with bleeding, a woman suffers from pain or deterioration of health, self-medication is forbidden, this threatens not only health, but also life.

If violations are detected, the doctor will select the appropriate treatment. However, the treatment of menstrual pathologies is strictly individual. In some cases, you need to drink pills, in others, surgery is required.


To avoid health problems, you need to pay attention to your lifestyle. Compliance with the following rules will help:

  • balance the daily diet, to replenish iron in the blood it is useful to eat red meat, buckwheat, fish, veal, apples, eggs, liver (pork, beef);
  • eliminate or minimize bad habits (nicotine, alcohol);
  • go in for sports: hiking, jogging, swimming, doing exercises in the morning;
  • sleep for at least 8 hours, avoid stress.

A healthy lifestyle helps maintain vitality, stabilize the hormonal background, and facilitate the flow of the menstrual cycle. Normally, menstruation can be with clots and if the discharge is not too plentiful, there is no temperature and severe pain, then do not worry. When the duration of critical days exceeds 1 week, a lot of lumps are released, the temperature rises, a strong malaise appears – you need to see a doctor. This condition can be a sign of serious pathologies that require medical intervention.

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Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.

Detailed information about Detonic is located on the manufacturer’s page

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.