There are many conditions that can cause someone to have abnormally large blood clots or experience a heavier flow than normal. Some include:. If you have heavy menstrual bleeding, it can be serious. But Dr. Zanotti says it depends on each situation. Doctors will consider the size and frequency.
You may be having a miscarriage or an ectopic pregnancy, which can be life-threatening. Period blood clots are a normal part of your menstrual cycle.
But when you notice any changes to the size and amount, it could point to an underlying condition. When speaking to your doctor, be prepared with the following information:. Expect your doctor to do a pelvic exam.
They may also want to do a blood test, a pap test or an ultrasound during your visit. After an exam and testing, your doctor may prescribe the following based on the results, how severe the clots are and your other symptoms:.
Overall, Dr. If you have bleeding such as this, and your gynecologist has not found any problems during your routine visit, you should be tested for a bleeding disorder. Usually, menstrual bleeding lasts about 4 to 5 days and the amount of blood lost is small 2 to 3 tablespoons.
However, women who have menorrhagia usually bleed for more than 7 days and lose twice as much blood. If you have bleeding that lasts longer than 7 days per period, or is so heavy that you have to change your pad or tampon nearly every hour, you need to talk with your doctor. To find out if you have menorrhagia, your doctor will ask you about your medical history and menstrual cycles.
Your doctor may also ask if any of your family members have had heavy menstrual bleeding. He or she may also have you complete this questionnaire Cdc-pdf [PDF — KB] to help determine if you need to be tested for a possible bleeding disorder. You might want to track your periods by writing down the dates of your periods and how heavy you think your flow is maybe by counting how many pads or tampons you use.
Do this before you visit the doctor so that you can give the doctor as much information as possible. Above is a picture of a chart that is used by some doctors to track your period.
You can make your own chart based on the one shown. Your doctor also will do a pelvic exam and might tell you about other tests that can be done to help find out if you have menorrhagia.
Click here to view a larger image. Your doctor might tell you that one or more of the following tests will help find out if you have a bleeding problem:. The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs.
For example, some women do not want to have a period, some want to know when they can usually expect to have their period, and some want just to reduce the amount of bleeding. Some women want to make sure they can still have children in the future.
Others want to lessen the pain more than they want to reduce the amount of bleeding. Are you using Clue to track your bleeding patterns? Download the app and start today. Other studies state menstrual blood clots are red cell aggregations to mucus-related substances, and claim mucosa found in premenstrual phase is meant to liquify menstrual blood 2, 3. Although there is inconsistency on what exactly causes period clots, they're a common and a normal characteristic of period blood on heavy flow volume days.
If you have multiple blood clots larger than the size of a quarter that can be an indication of heavy menstrual bleeding HMB. Large and greyish clots may be from an undetected miscarriage. If you take oral anticoagulants—medication to prevent blood clots—you may experience heavy and prolonged menstrual bleeding 6, 7. According to UpToDate , up to 15 to 24 percent of women with menorrhagia may have some type of bleeding condition, such as von Willebrand disease, immune thrombocytopenia, or platelet function defect.
Bleeding from other parts of your body occurs from injury or illness, so menstrual bleeding can appear differently, as it's an unrelated process. Don't always expect period blood to be a consistent and pure red fluid. Know your body.
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