Blood clots during menstruation can be normal because of an imbalance in the woman's hormones which can cause the lining of the walls of the uterus to thicken. This can result in heavier bleeding and the formation of clots ranging from 5 mm to 3-4 cm.
However, although menstruation with clots is normal in most cases and does not require treatment, in other cases it can be caused by diseases such as anemia, endometriosis or fibroids, so it is important to see a gynecologist who will assess the cause of the blood clots and indicate the best treatment.
Causes for period with clots
A period with clots is generally not a cause for concern and does not require treatment. However, it may also be a sign of some inflammation or diseases such as endometriosis, and so it’s important to see 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 clots, 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 you have had a miscarriage, 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, miscarriage 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 disorder is more frequent in women between the ages of 30 and 40, it can appear at any age.
What to do: you should see your gynecologist to get tests done, such as a transvaginal ultrasound or blood test, and to confirm the diagnosis, starting treatment that usually depends on the woman's desire to get 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 the formation of clots, and bleeding between periods.
What to do: it is important to see a gynecologist to do 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 and lead to menstrual clots.
What to do: it is important to see a general practitioner to request a blood test so as to confirm anemia which, when confirmed, can be treated with an iron supplement, prescribed by the doctor, and the intake of iron-rich foods such as lentils, parsley, beans, and meat.
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 see your gynecologist to identify the problem correctly. Treatment can be done with the curettage of the endometrial tissue or with the use of progesterone.
6. Vitamin and mineral deficiency
The deficiency in vitamins and minerals that regulate the formation of clots, such as vitamin C or K deficiency, alters 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, oranges, strawberries, broccoli or carrots, for example.
7. Gynecological examinations or childbirth
Periods with clumps may also occur after gynecological examinations or because of complications during childbirth.
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 see your gynecologist.
When your period comes with tissue
Your period can also come with small pieces of tissue and this does not mean that the woman has had a miscarriage. These pieces of tissue are little bits of the woman's own endometrium, but they are colorless. Just as the blood has red cells and white cells, the endometrium can also have this coloration.
If your menstruation has pieces of tissue for 2 consecutive cycles, see the gynecologist for an observational examination and ask for tests if necessary.