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Many people have clots in their menstrual blood on the heaviest bleeding days, which is normal. The body usually releases anticoagulants that keep menstrual blood from clotting. However, when you have a heavier period and blood is rapidly expelled, the anticoagulants don't have enough time to work, which causes large blood clots to form. Large blood clots are mainly the result of heavy bleeding, then, so to address large clots, you need to address the issues of heavy bleeding.
Steps
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Look for blood clots. One of the main signs of heavy bleeding (also called menorrhagia) is having blood clots in your flow. For this diagnosis, blood clots the size of a quarter or larger are considered to be connected to heavy bleeding. Check your pad, tampon, and the toilet for blood clots. [1] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
- Blood clots will look like regular menstrual blood, except they will be more solid, almost jelly-like.
- Smaller blood clots are normal, and you don't need to worry about them.
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Notice how often you change your pad or tampon. If you're changing your pad or tampon more often than every 2 hours, you have what's known as heavy bleeding. Heavy bleeding can prevent you from doing things you love, if you're constantly worried about overflow. [2] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
- For instance, if you're changing your pad or tampon every hour (for several hours in a row) and its soaked each time, that's considered heavy bleeding. [3] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Pay attention to the length of your period. Generally, periods last 3 to 5 days, though 2 to 7 days is also fairly normal. If your period is lasting longer than 10 days at a time (that is, if you're bleeding for that long), that is a sign that you're having heavy bleeding.
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Look for cramps. Cramping can also be a sign of heavy bleeding. As noted, large blood clots are a symptom of heavy bleeding. These blood clots can be difficult to pass, causing heavier cramping. Therefore, if you notice heavy cramping, that could also be a sign of heavy bleeding.
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Watch for the symptoms of anemia. Anemia is when you don't have enough iron in your blood. It often occurs in people who lose large amounts of blood. Usually, the main symptoms are tiredness and lethargy, as well as feeling weak. [4] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
- "Anemia" can actually refer to any type of vitamin deficiency, but generally, low iron is the most common when it comes to menstruation problems. [5] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Make a list of symptoms. When you're going into a doctor, it's always best to be prepared. Make a physical list of the symptoms you've been experiencing. Try to be as specific as possible. Don't be embarrassed; your doctor has heard it all. [6] X Trustworthy Source Go Ask Alice Medical advice site with content written by health promotion specialists affiliated with Columbia University Go to source
- For instance, you might write down, "heavier flow (on heavy days, bleeding through a pad every hour for 3 or 4 hours in a row), more cramping, blood clots the size of quarters, feeling weak and tired, blood flow lasting 12 to 14 days." It can help to count the number of pads or tampons you use while you're bleeding.
- It's also important to note any major changes in your life, such as big events that have caused you stress and sudden weight gain or loss.
- Ask around in your family to see if anyone else has similar problems, as menstrual problems can be genetic. [7] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Ask about a blood test for anemia. If you think you may be suffering from a anemia, ask your doctor about having a blood test. A blood test can determine the level of iron in your blood. If you have low iron, your doctor will likely recommend increased iron in both your diet and the supplements you take. [8] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Expect a physical examination. Usually, to help diagnose the problem, your doctor will want to conduct a physical examination, including taking a pap smear. A pap smear is when your doctor takes a small scraping of cells from your cervix to test for any problems. [9] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
- Your doctor may also take tissue from your uterus to biopsy.
- You may also need an ultrasound or a hysteroscopy. With a hysteroscopy, a tiny camera is threaded into your uterus through your vagina, allowing the doctor to look for problems. [10] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Ask about taking NSAIDs. [11] X Expert Source Rebecca Levy-Gantt, MPT, DO
Board Certified Obstetrician & Gynecologist Expert Interview. 3 April 2020. NSAIDs are a class of pain medications that include ibuprofen and naproxen. They can help with the pain associated with heavy bleeding. However, they can also decrease the amount of blood you lose during your period, which may help with clots. [12] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source- However, when taking an NSAID, watch for an increase in bleeding, as it can be a side effect for some people. [13] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
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Consider getting on oral contraceptives. [14] X Expert Source Rebecca Levy-Gantt, MPT, DO
Board Certified Obstetrician & Gynecologist Expert Interview. 3 April 2020. Doctors often prescribe oral contraceptives in cases where patients are having periods with heavy bleeding. Oral contraceptives can make your periods more regular, but they can also decrease the amount you bleed overall, which in turn can decrease blood clots. [15] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source- Oral contraceptives can help because heavy bleeding and blood clotting is sometimes caused by hormonal imbalances. Oral contraceptives help balance out the hormones in your body.
- Other types of hormone pills can also be effective, such as a progesterone-only pill, as well as some intrauterine devices that release hormones. [16] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Talk about tranexamic acid. This medication can help reduce the blood flow while you are on your period. You only take it when you're bleeding, not the rest of the month like contraceptives. With less bleeding, you'll get fewer blood clots. [17] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Discuss surgery if other options don't work. If medications don't help your problem, surgery may be an option. In a dilation and curettage, commonly known as a D&C, your doctor takes away the top layer in your uterus, part of the lining, which can help with bleeding and clots. In an endometrial ablation or resection, more of the uterine lining is removed. [18] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source
- Another option is an operative hysteroscopy, where your doctor will view the inside of your uterus with a small camera, then take out any small fibroids and polyps, as well as work on any other problems, which can also decrease bleeding.
- Finally, you can have a hysterectomy, where your uterus is removed completely.
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References
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/expert-answers/blood-clots-during-menstruation/faq-20058401
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/expert-answers/heavy-periods/faq-20058365
- ↑ http://goaskalice.columbia.edu/answered-questions/ive-had-my-period-three-straight-months
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/basics/preparing-for-your-appointment/con-20021959
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/expert-answers/blood-clots-during-menstruation/faq-20058401
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/basics/tests-diagnosis/con-20021959
- ↑ Rebecca Levy-Gantt, MPT, DO. Board Certified Obstetrician & Gynecologist. Expert Interview. 3 April 2020.
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/basics/treatment/con-20021959
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ Rebecca Levy-Gantt, MPT, DO. Board Certified Obstetrician & Gynecologist. Expert Interview. 3 April 2020.
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/basics/treatment/con-20021959
- ↑ http://www.mayoclinic.org/diseases-conditions/menorrhagia/basics/treatment/con-20021959
- ↑ https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html
About This Article
Article Summary
X
While it’s normal to have some clots in your menstrual blood during your heavier days, you can prevent large blood cloths by addressing your heavy bleeding. Talk to your doctor about ways to control your bleeding. Your doctor may recommend that you take NSAIDS, like ibuprofen or naproxen, which can help with pain as well as decrease the amount of blood you lose during your period. Another option is to start taking an oral contraceptive, which can make your periods more regular and decrease the amount of bleeding overall. If you don’t want to take an oral contraceptive, you can also talk to your doctor about tranexamic acid, which you only take while you’re actually bleeding, not the rest of the month. To learn how to find out if you are suffering from anemia, keep reading!
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- "Greatly informed by this article. Recently started having large clots. Four or 5 things suggested here I sincerely need to try, like pineapples, love them. To avoid vitamin K during periods, take an aspirin, etc. Many of these can help and also, if larger than a quarter, the doctor needs to be notified. I'm going to try all of these. Thank you. " ..." more
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"Greatly informed by this article. Recently started having large clots. Four or 5 things suggested here I sincerely need to try, like pineapples, love them. To avoid vitamin K during periods, take an aspirin, etc. Many of these can help and also, if larger than a quarter, the doctor needs to be notified. I'm going to try all of these. Thank you. "
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