The appearance of blood clots during menstruation is a significant factor contributing to infertility or difficulty in conceiving. We often wonder, why do blood clots occur in menstrual blood? In normal circumstances, menstrual flow should not contain blood clots. This is because menstrual blood contains prostaglandins, which possess anticoagulant properties. However, when a significant number of blood clots are present, it may suggest that the menstrual flow is excessive. Prostaglandins might not be sufficiently effective in preventing blood coagulation, leading to the formation of clots.
Excessive menstrual flow is often associated with various underlying conditions. However, the increased menstrual flow is not the name of the disease itself; rather, it is a clinical manifestation. For instance, the presence of residual tissue in the uterine cavity, incomplete expulsion of embryonic tissue after induced abortion, or inadequately cleared contraceptive devices like intrauterine devices (IUDs) can all contribute to excessive menstrual flow. Moreover, hormonal imbalances, such as those occurring during puberty or menopause, can lead to significant uterine bleeding and clot formation due to abnormal hormone levels.
However, this type of bleeding should not be simplistically labeled as just menstruation. The volume of blood loss exceeds that of a normal menstrual cycle and is typically accompanied by blood clots. In some cases, these clots might even obstruct the cervical canal, exacerbating the bleeding and forming a vicious cycle. Therefore, accurate diagnosis is pivotal in effective treatment. Initial steps involve examining hormone levels through a hormonal profile and conducting diagnostic uterine scraping to address the issue and halt excessive bleeding.
In cases of severe bleeding, patients might require endometrial ablation to completely remove the functional layer of the uterine lining, thereby achieving hemostasis. However, excessive ablation could lead to overtreatment, necessitating a careful balance during the treatment process.
Excessive menstrual flow accompanied by blood clots is a severe clinical symptom that demands early medical attention. Beyond impacting fertility, severe cases might even pose a threat to life. Milder instances can result in anemia, cardiac issues, and more. As a specialized hospital for infertility treatment, Beijing Antai Hospital employs unique diagnostic and therapeutic approaches and embraces a comprehensive treatment program. Emphasizing the importance of prompt medical intervention, early diagnosis, and treatment can prevent potential severe consequences when dealing with issues of excessive menstrual flow and blood clots.