Sometimes your period comes with lumps, which are blood clots, but this situation is usually normal because it arises due to an imbalance in the woman's hormones. When this hormonal imbalance occurs, the lining of the walls of the uterus may thicken, causing more extensive bleeding and clot formation, which may range from 5 mm to 3-4 cm.
However, although menstruation with lumps is normal in most cases and does not require treatment, in other cases it can be caused by diseases such as anemia, endometriosis or fibroid. For this reason, it is important to consult a gynecologist to assess the cause of the blood clots and guide the proper treatment.
Causes for period with clots
Period with lumps is generally not a cause of concern and does not require treatment. However, it may also be a sign of some inflammation or diseases such as endometriosis and so it is important to consult a gynecologist to do a blood clotting test after menstruation or an ultrasound.
When the woman has more than 2 menstrual cycles with menstruation with pieces, this can mean:
Blood clots during menstruation may indicate miscarriage in the first trimester of pregnancy, especially if the color is slightly yellowish or grayish.
What to do: To confirm if an abortion has occurred, it is very important to go to a gynecologist, but if the bleeding is very heavy, you should go to the hospital quickly to start the appropriate treatment and prevent the loss of too much blood. In most cases, abortion occurs in the first weeks of pregnancy and bleeding lasts only 2 to 3 days.
Endometriosis is characterized by the growth of endometrial tissue outside the uterus, which can lead to heavy menstruation, intense pain and clot formation. Although this disease is more frequent in women between the 30 and the 40 years, can appear at any age.
What to do: You should consult your gynecologist to perform tests such as transvaginal ultrasound or blood test and confirm the diagnosis, starting treatment that usually depends on the woman's desire to become pregnant, and can be done with the use of medication, hormones or surgery.
Myoma is a benign tumor on the inner wall of the uterus, which usually causes symptoms such as pain in the uterus, heavy menstruation with formation of clots, and bleeding outside the menstrual period.
What to do: It is important to consult a gynecologist to make a pelvic ultrasound and confirm the presence of the myoma. Treatment can be done with medication, surgery to remove the fibroid or fibroid embolization.
4. Iron deficiency anemia
Iron deficiency anemia may be one of the causes of a period with clots, since iron deficiency can alter blood clotting, leading to menstrual clots.
What to do: It is recommended to consult a general practitioner to request a blood test so as to confirm the presence of anemia. When confirmed, anemia can be treated with an iron supplement, prescribed by the physician, and the intake of iron-rich foods such as lentils, parsley, beans, and meats.
5. Other diseases that affect the endometrium
Other endometrial diseases such as endometrial hyperplasia, which is the overgrowth of the endometrium, or endometrial polyps, which is the formation of polyps in the endometrium, can cause you to have a period with clots due to the growth of the uterus.
What to do: You should consult your gynecologist to identify the problem correctly. Treatment can be done with curettage of the endometrial tissue or with the use of progesterone.
6. Vitamin and mineral deficiency
The vitamin and mineral deficiency lead to the formation of clots, such as vitamin C or K deficiency, because they alter blood clotting, causing the formation of clots during your period.
What to do: In these cases it is important to increase your intake of foods like spinach, orange, strawberry, broccoli or carrot, for example.
7. Gynecological examinations or childbirth
Period with lumps may also occur after gynecological exams, when complications occur during childbirth, or after an abortion.
What to do: usually your period stops showing changes in 2 or 3 days, returning to normal in the next cycle. Therefore, if clots continue to appear, it is important to consult your gynecologist.
When your period comes with skin
Your period can also come with small pieces of skin and this does not mean that the woman has had an abortion. These pieces of skin are little bits of the woman's own endometrium, but they are colorless. Just as the blood has the red cells and the white cells, the endometrium can also have this coloration.
If the woman presents menstruation with pieces of skin in 2 consecutive cycles, it is recommended to go to the gynecologist for an observational examination and ask for tests if necessary.