Menstruation with clots – what can it be?
At the beginning of each menstrual cycle, the ovaries produce a hormone called estrogen, which causes cells in the endometrium, which is the layer of tissue lining the wall of the uterus, to multiply and increase in thickness. After ovulation, which occurs around the 14th day of the cycle, the ovaries also produce progesterone. Progesterone causes cells to stop multiplying and begins to focus on the production of nutrients for the embryo.
When embryo attachment to the wall of the uterus (pregnancy) does not occur, this layer is unstructured and eliminated.
Therefore, the menstrual blood is nothing more than the desquamation of this inner part of the uterus, the endometrium.
But why do these pieces come out?
According to Dr. Nicole Geovana, in an article written to a Medical website, it is normal to get some small clots during a few days of the cycle, but “large blood clots during menstruation, accompanied by intense cramps, may be a sign of bleeding above normal, which may indicate hormonal changes or problems in the reproductive system”.
Here are 8 reasons for menstrual clots:
1. Beginning of menstruation
In her first menstrual periods, it is normal for the young woman to expel small clots, because her menstrual cycle is still deregulated. But it is always good to observe and report to the gynecologist if something looks out of the ordinary.
2. The presence of polyps or fibroids
The presence of polyps or fibroids affects the contraction of the uterus and can obstruct blood flow by altering the intensity of the menstrual flow and causing small or large clots to descend.
Endometriosis causes the woman to present severe cramps, intense menstruation with the presence of large clots that can last for more than a week. The color of blood is usually darker.
4. Anatomical changes in the uterus
When the organ is altered in size and shape, there may be changes in the menstrual flow and the presence of clots in menstruation.
5. Inflammation or infection of the uterus
The presence of microorganisms, such as viruses and bacteria, also affects menstruation.
6. Thyroid problems
The thyroid interferes with the regulation of menstrual cycles.
With the menopause approaches, the woman’s body undergoes intense hormonal changes, which affect the intensity and frequency of the menstrual flow. At this stage, the appearance of small clots is normal.
8. Spontaneous abortion
When there is a miscarriage, heavy bleeding occurs with large clots.
In short, if only occasional small clots descend in menstrual blood and there are no other symptoms, such as pain, abnormal secretion or bad smell, there is usually no cause for concern.
But if the pieces get bigger and come more often, with or without other symptoms, visit the gynecologist.