If there is heavy bleeding during menstruation. How do you stop bleeding? Basic ways to stop heavy menstruation

Menorrhagia is heavy and prolonged menstrual bleeding that can occur several times during a woman's life. Prolonged and heavy uterine bleeding during menstruation has a negative impact on daily life, including physical and emotional health, as well as social life. It can also lead to serious health problems such as iron deficiency anemia. To stop heavy menstrual bleeding, you can use home remedies. You will also need to make some changes to your diet.


From the last section of this article, “When Should You Use Natural Methods?” You will learn when to use natural remedies.

Steps

Using Herbal and Home Remedies

    Use herbs to reduce bleeding. Many herbs have astringent properties and are used to treat menorrhagia. Herbs also help normalize hormonal levels.

    Drink tea from the cuff. Mantle is a herbaceous plant that is often used to treat menorrhagia. Brew tea using this herbal remedy to reduce unpleasant symptoms.

    • Cuff is called a woman's herb because it helps in the treatment of many gynecological diseases.
    • The leaves of this plant are used to make medicines. Medicines from the cuff have an astringent, wound-healing and hemostatic effect. Due to the above-mentioned properties, cuff is an excellent herbal remedy for the treatment of menorrhagia.
    • Pour 30 g of dry cuff leaves into 0.5 liters of boiling water to make tea.
    • Drink the tea three times a day until symptoms decrease.
    • You can buy a cuff at a herbal pharmacy.
  1. To reduce the symptoms of menorrhagia, use the herbal plant shepherd's purse. Shepherd's purse stops bleeding. Therefore, use this herbal remedy for menorrhagia.

    • This plant is also known as shepherd's bag.
    • You can purchase this herbal remedy at a herbal store or pharmacy. Drink two cups daily.
    • Shepherd's purse helps reduce postpartum bleeding.
  2. Use Abraham tree to improve hormonal levels. Abraham's tree helps improve progesterone production. Use this herbal remedy to normalize hormonal levels and prevent the development of menorrhagia.

    Use cinnamon. Cinnamon is a famous spice that is used in cooking. In addition, it helps reduce heavy bleeding. Include cinnamon in your daily diet. It relaxes the muscles of the uterus and prevents the development of heavy bleeding.

    Drink red raspberry leaf tea. Red raspberry leaves relax the muscles of the uterus. Like cinnamon, red raspberry leaves contain substances that help relax the muscles of the uterus. Brew tea from raspberry leaves. This is a good remedy for treating menorrhagia.

    Take black cohosh (lat. Black cohosh) and juniper (lat. Sabina). These homeopathic remedies can relieve the symptoms of menorrhagia. According to research, black cohosh normalizes estrogen and progesterone levels. Juniper reduces the severity and duration of bleeding.

    Apply an ice pack to reduce blood loss. Ice helps reduce bleeding. In addition, an ice compress reduces pain and swelling.

    Take non-steroidal anti-inflammatory drugs that have a strong analgesic effect. If you have heavy bleeding, take non-steroidal anti-inflammatory drugs. These medications will not only help reduce bleeding, but also relieve pain.

    • Follow the instructions included with the medication.
    • Nonsteroidal anti-inflammatory drugs can be purchased at the pharmacy.

Diet change

  1. Eat a healthy, well-balanced diet. Include foods in your diet that will provide your body with the nutrients it needs. If you follow a nutrient-rich diet, your menstrual cycle will be regular and you will also prevent the development of menorrhagia.

    Include foods rich in vitamin B in your diet to reduce cramps. Green beans contain high amounts of fiber and vitamin B, which help reduce cramps.

    Eat foods that are rich in iron and vitamin C. Such products promote blood clotting. Iron in the human body plays an important role in the formation of red blood cells. Iron deficiency leads to anemia. Vitamin C promotes the absorption of iron. Include foods rich in iron and vitamin C in your diet. This will significantly reduce the symptoms of menorrhagia.

    Increase your magnesium intake. Magnesium helps reduce estrogen levels. Magnesium is an important mineral that restores the balance of estrogen and progesterone in a woman's body. If you consume more magnesium, your hormonal levels will normalize and the symptoms of menorrhagia will decrease.

    Take iron supplements. If you are anemic, take an iron supplement. Thanks to this, you will not only cure anemia, but also normalize the duration of the menstrual cycle.

    • Follow the instructions that come with the medication you choose.
    • Iron supplements can be purchased at most pharmacies.
  2. Try acupressure and acupuncture techniques. Research has shown that acupressure and acupuncture can reduce the symptoms of menorrhagia. A needle at the right point activates sensory nerve fibers that transmit a signal to the part of the brain that controls the menstrual cycle. Acupressure and acupuncture sessions should only be performed by a certified professional.

When should you use natural methods?

    Treat menorrhagia if symptoms negatively affect daily life. Prolonged and heavy uterine bleeding during menstruation negatively affects a woman’s quality of life. If you find it difficult to cope with daily tasks due to symptoms of menorrhagia, take medications that help stop or slow down heavy bleeding.

    Use herbal remedies unless you are pregnant or breastfeeding. Most herbal remedies affect hormonal levels. This can negatively affect the development of the fetus and the pregnancy itself. If you think you may be pregnant, do not use herbal treatments. When using herbal preparations, the risk of miscarriage increases. Likewise, taking herbal medicine during breastfeeding puts the baby's life and health at risk.

    Take herbal remedies only after you have done thorough research about the natural remedy you choose. "Natural" does not necessarily mean "safe." Although herbal remedies are generally quite effective and safe for menorrhagia, it would be a good idea to do more research as some herbal remedies should not be used for certain conditions.

    Consult your doctor before using natural treatments. As a rule, most herbal remedies do not pose a risk to women's health. In addition, many of them are quite effective for menorrhagia. However, your doctor can give you useful recommendations related to taking these medications.

    Use herbal remedies if they give the desired results. In most cases, herbal remedies have a positive effect in the treatment of menorrhagia. If you see positive results, you can continue using herbal remedies. However, consult your doctor regularly.

  • Hypothyroidism is a common cause of menorrhagia. If you suffer from heavy and prolonged bleeding, consult your doctor who can determine the cause of your condition.

Typically, menstruation lasts from three days to a week. During this time, a woman loses from 50 to 150 ml of blood.

If this amount increases to 250 ml or more, then we can talk about bleeding. This means that a visit to a gynecologist is inevitable, who will not only prescribe treatment, but also determine the cause of this pathology.

Causes of bleeding during menstruation

  • infectious diseases of the genital organs;
  • presence of uterine polyps;
  • formation of myomas, fibroids;
  • development of malignant tumors;
  • impaired blood clotting;
  • hormonal imbalance (estrogen and progesterone levels fluctuate);
  • exposure to severe stress;
  • excessive physical activity;
  • incorrectly placed intrauterine device.

How to get rid of spotting during menstruation?

Discharge differs from menstruation in appearance and consistency. They may have occurred after prolonged sitting or lying down. Then there is no reason to worry. The reason is that when the blood is stationary, it coagulates and turns into clots. If bleeding is observed during all periods, you should contact a gynecologist who will determine the cause and prescribe therapy.

Bloody clots during menstruation may indicate the presence of a pathological bend of the cervix, a tendency to thrombus formation, fibroids, endometriosis, and polyps. Among the causes is also a deficiency of B vitamins.

To stop bleeding during menstruation, hemostatic agents should be used. And after your period ends, consult a gynecologist.

How to stop heavy bleeding during menstruation

There are many medications that can stop heavy bleeding. You just need to familiarize yourself not only with their action, but also with contraindications and side effects. It is necessary for the doctor to select the medicine that is right for you.

Water pepper tincture

This is an old and proven remedy, but it does not work as quickly as we would like. If you have constant heavy bleeding during menstruation, it should be taken starting from the first day of menstruation - three times a day, 5-10 drops.

Dicynone

This is an effective hemostatic drug. It should not be taken regularly, but only during heavy bleeding. It is contraindicated in thrombosis.

Vikasol

It is not as effective as Dicynon, and not every woman can help. It is only suitable for first aid. It is taken 1-2 tablets per day.

Trinixan

This is a drug of the latest generation, and is able to quickly stop heavy bleeding during menstruation. It can be taken in tablets or injected. Daily dose - 250 mg. The main thing is not to exceed it.

Askorutin

This remedy is also used for heavy bleeding. It strengthens the walls of blood vessels, normalizes blood clotting, and reduces blood loss.
  • drink more water. If mineral, then without gas;
  • get plenty of rest, don’t run, don’t lift weights;
  • refuse to visit the bathhouse;
  • do not drink alcohol, coffee;
  • Apply an ice heating pad to the lower abdomen for 15 minutes from time to time;
  • take ascorbic acid, vitamins A and B, and iron supplements, since loss of blood causes a lack of iron in the body.

How to stop bleeding during menstruation with folk remedies

How to stop bleeding during menstruation? Traditional healers answer this question: use nettle. To do this, you need to drink half a glass of nettle decoction five times a day. It reduces blood loss and normalizes the monthly cycle. It can also be consumed fresh, as well as drink its juice: 1 tsp. Take ¼ glass of water 20 minutes before meals. However, nettle is not for everyone because it increases blood clotting.

There is no bleeding between periods. The term "irregular uterine bleeding" or "intermenstrual bleeding", "metrorrhagia" is bleeding that occurs between menstruation. Heavy menstruation is an important symptom of many diseases, in which the menstrual cycle can be either regular or irregular. As a rule, heavy bleeding occurs after a missed period. These terms apply to menstruating patients and should not be used to refer to women who have postmenopausal bleeding.

Heavy menstruation is a subjective symptom, since menstrual flow consists not only of blood, but also of tissue and other secretions. Objectively, menstruation is considered heavy if blood loss is more than 80 ml of blood per month, and this leads to iron deficiency anemia. Heavy menstruation is a diagnosis made by the woman herself, although even mild anemia (hemoglobin<120 г/л) - подтверждают избыточную потерю крови во время менстуации. Сгустки крови и маточное кровотечение, нарушение сна, указывают на обильные менструации. Обильные менструации - вторая распространенная причина направления в стационар. К врачу общей практики по поводу этого симптома обращаются до 1/3 женщин.

Excess menstrual loss in women without signs of pathology is sometimes called dysfunctional menorrhagia, or dysfunctional uterine bleeding, or unexplained heavy menstruation. Acute gonococcal or pyogenic endometritis tends to heal on its own due to endometrial shedding during menstruation. Tuberculous endometritis is a rare cause of infertility in the UK. The disease occurs due to the spread of infection from the fallopian tubes, and therefore it is accompanied by menorrhagia due to tuberculous salpingoophoritis. If tuberculosis is suspected, it is necessary to perform curettage of the uterus, followed by examination for the presence of tuberculous granulomas and isolation of pathogens during culture.

Causes of heavy menstruation

Unexplained or dysfunctional menorrhagia

Anovulatory

  • During puberty
  • In adulthood, without objective reasons
  • In connection with menopause and in previous years

Ovulatory heavy menstruation

Diseases that cause heavy menstruation

Myomas

  • Chronic pelvic infections
  • Endometriosis
  • Adenomyosis
  • Intrauterine contraceptives
  • Hemorrhagic disorders
  • Thyroid diseases
  • Tuberculous endometritis

Heavy menstruation with irregular cycles

In perimenopausal women, heavy menstrual bleeding occurs due to the cessation of regular ovulatory cycles. A menstrual cycle with a complete absence of progesterone in the second half is considered anovulatory, which means the absence of ovulation and the formation of the corpus luteum. The endometrium may thicken in a polyp-like manner with a typical microscopic appearance known as “Swiss cheese” endometrium or “complex hyperplasia.” Episodes of amenorrhea for several weeks are followed by prolonged irregular and heavy bleeding.

Heavy menstrual bleeding due to pathology

Heavy menstrual bleeding may be associated with fibroids (benign leiomyomas), pelvic infections, endometrial polyps, endometriosis, and the presence of an intrauterine contraceptive device. Of all the causes of normal heavy menstrual bleeding, uterine leiomyomas (fibroids) are the only important tumors associated with this symptom and, as a rule, they are detected during routine bimanual examination. The size and shape of the uterus depends on the number and size of fibroids. The uterus is dense, often mobile, and often irregular in shape.

The only difficulties arise in the differential diagnosis of uterine fibroids and ovarian tumors. Sometimes this is difficult, since it is not always possible to say that the tumor is truly an enlarged uterus. Ultrasound is useful for diagnosing fibroids, which determines the source of the tumor in the pelvis and its density. There are submucosal, intramural, subserous fibroids. Deformation of the uterine cavity with an increase in the surface of the endometrium leads to menorrhagia.

Chronic pelvic infection in the form of pyosalpinx, hydrosalpinx, tubo-ovarian abscess or chronic interstitial salpingitis and ovarian endometriosis lead to heavy menstrual bleeding due to inflammation. However, the most common symptoms are dysmenorrhea, pelvic pain, dyspareunia and low back pain. In any case, a two-handed examination reveals a dense, painful tumor in the pouch of Douglas. In these cases, intermenstrual or irregular bleeding is observed.

Adenomyosis is a disease that is manifested by heavy menstrual bleeding and pain during menstruation; upon examination, the uterus is painful. The diagnosis is confirmed only histologically when invasion of the endometrium into the myometrium is detected. The disease is more common in women who have given birth, and essentially the pain and tenderness is caused by bleeding into the myometrium.

When using intrauterine contraceptives (copper-containing), there is always a slight increase in menstrual blood loss, sometimes reaching the level of heavy menstrual bleeding. This occurs as a result of an inflammatory reaction in the myometrium to the IUD inserted to prevent implantation of a fertilized egg. Replacing intrauterine contraceptives with progesterone-containing intrauterine devices usually improves the situation.

Blood clotting disorders

Certain bleeding disorders cause excess blood loss during menstruation - thrombocytopenic purpura, von Willebrand disease and Christmas disease. These women experience excessive blood loss requiring surgical intervention. In thrombocytopenia, blood loss is related to the platelet count, and in some cases, splenectomy performed to treat the underlying disease reduces blood loss.

Long-term anticoagulation therapy in women with artificial heart valves, a history of pulmonary embolism and antiphospholipid syndrome often leads to menstrual irregularities such as menorrhagia.

Thrombocytopenia is sometimes complicated by heavy menstrual bleeding. Once platelet levels return to normal, blood loss usually normalizes.

Endocrine pathologies

Thyroid and adrenal function influence menstrual blood loss, although the mechanism is unknown. Heavy menstrual bleeding is more common in hypothyroidism than in thyrotoxicosis and is not uncommon in Cushing's disease.

Heavy menstrual bleeding without obvious pathology

Heavy menstrual bleeding without obvious pathology is sometimes called dysfunctional bleeding. It occurs at any age from puberty to menopause, at the age of 40-50 years - 50% of cases, during puberty - about 10% and the remainder is distributed between other ages. The occurrence of bleeding in combination with prolonged menstrual cycles is most characteristic of anovulation, and therefore it is more often observed in adolescents, during perimenopause and in women with polycystic ovary syndrome. If the bleeding is preceded by amenorrhea that lasts several weeks, the bleeding will last longer.

Histological examination of any scraping from the uterine cavity is absolutely normal, although endometrial hyperplasia is observed in women with an increased body mass index, polycystic ovary syndrome, or in perimenopausal patients. Endometrial hyperplasia occurs as a result of excess production of estrogen. The presence of complex hyperplasia with atypia is classified as precancerous conditions. This pathology rarely causes heavy menstrual bleeding, but it must be excluded in overweight women and in perimenopausal patients. The conditions described are histological diagnoses, and treatment of the woman depends on age and fertility status. Women with complex hyperplasia with atypia are at risk of endometrial cancer, and hysterectomy is usually recommended in such cases.

Contraception and heavy menstrual bleeding

With contraception, heavy menstrual bleeding occurs in three cases.

  • IUDs containing copper cause heavy menstrual bleeding. Sometimes a minor inflammatory reaction of the endometrium to the coil leads to uneven endometrial detachment. Treatment primarily involves removing the coil.
  • Contraception with progesterone mini-pills, the Mirena coil or Depo-Provera usually leads to amenorrhea. Many women experience irregular bleeding that is completely unpredictable, although the bleeding is usually light.
  • Taking combined oral contraceptives usually provides good control of the menstrual cycle. However, due to gastrointestinal distress, problems with absorption and metabolism of certain drugs (for example, antibiotics and antiepileptic drugs), the effect of diet on the enterohepatic circulation of hormones, or doses that are too low for a given woman, sudden bleeding occurs.

Bleeding associated with ovulation

It is not uncommon for women to experience light bleeding in the middle of their menstrual cycle during ovulation. When it is accompanied by pain in the lower abdomen (mid-cycle pain syndrome), the diagnosis is easy to make.

Bleeding due to granulosa cell tumor

Granulosa cell tumor of the ovaries causes irregular bleeding. The nature of the tumor is determined by histological examination after its removal. The presence of an intrauterine lesion and a nonsecreting ovarian tumor should not be missed.

Heavy discharge, which is accompanied by pain and has blood clots, is considered a sign of various diseases. A thorough examination and timely treatment are necessary to avoid serious consequences and complications.

Physiological norm of blood loss during menstruation

Every woman should know the norm of monthly bleeding in order to identify pathologies in time and begin treatment if necessary. The volume must be considered individually, based on the physiological characteristics of the body.

On average, this value ranges from 25 to 50 g per day. This means that in 5 days a woman normally loses up to 250 g.

Blood has a dim burgundy color and a specific odor. The composition of menstruation also includes: mucus, parts of the endometrium, and the remains of the egg.

Sometimes a small amount of clots can be found in monthly discharge. If this phenomenon is not accompanied by heavy bleeding and pain, then this is a normal option. These clots are particles of an unfertilized egg or blood that has coagulated in the vagina. Clots may also appear when using an intrauterine device.

At the initial stage of menstruation or in the last days, there may be light discharge of a darker color with a milky smell; this is also a variant of the norm if it does not last more than 2 days. Discharge that lasts longer than this period or occurs outside of menstruation can be a symptom of a serious illness and is a reason to visit a gynecologist.

It is important to know! Excessive discharge, especially with blood clots, uncharacteristic of normal menstruation, and aching pain in the lower abdomen are symptoms of intrauterine bleeding that cannot be stopped. It happens both with an ectopic pregnancy and with excessive stress on the body, for example, during active physical exercise.

Causes of menstruation with blood clots

When heavy periods with blood clots begin, only a doctor can answer how to stop them without resorting to gynecological operations and taking strong drugs every time, based on the results of examinations and tests.

It is necessary to regularly attend consultations and undergo examinations, to exclude diseases that may cause abnormalities:

  • Disturbances in the hormonal system– cause monthly discharge with clots. An endocrinologist will help solve this problem. An examination is ordered and, in case of violations, the doctor prescribes hormonal medications to normalize hormone levels.
  • Endometriosis– endometrium grows outside the uterus and causes menstruation, which last longer than normal, are much more abundant and are accompanied by painful sensations. In cases of late detection, endometrial diseases can also grow into the walls of neighboring organs, for example, the intestines. The way out of this situation is surgical intervention.
  • Polyps can also cause heavy periods with blood clots. The doctor will tell you how to stop further growth of the polyp in the uterine cavity. A simple removal operation will help with this.
  • Abnormal development of the uterus– due to the abnormal structure of the uterus, it may be difficult for blood to escape during menstruation, and some of the discharge coagulates in the cavity of the organ. Typically, women with this pathology have heavy and painful periods.
  • Infections– Abundant clots during menstruation occur due to various infections. These include sexually transmitted diseases and common colds, which are accompanied by high fever.
  • Blood clotting problems also cause this phenomenon . Such bleeding can be stopped with special drugs, which are produced both in the form of tablets and in solutions for intramuscular or intravenous administration.

A benign tumor, fibroids, can cause pathologically heavy periods and cycle disruption. Blood clots can be large. A gynecologist can explain how to stop this process. After passing the tests and based on the results of the ultrasound, he will prescribe treatment. The indication for surgery is considered to be fibroids of a uterine size greater than 13 weeks of pregnancy.

How to stop periods with blood clots

It is easy to distinguish monthly discharge with a normal content of clots from pathology (heavy periods with blood clots). If such periods bring inconvenience, pain and decreased performance, up to the inability to perform normal daily activities and duties, it is necessary to study the reasons as best as possible and influence their stop.

It is important to know! Uterine bleeding cannot be stopped at home. Therefore, if there is a suspicion of excess discharge, self-medication can be harmful.

To independently determine blood loss during heavy discharge, it is enough to observe how long it takes for a pad or tampon to be changed.

If in 1.5 hours or less, then you need to take a hemostatic agent, and at the end of your period, take a hemoglobin test. Normally it should be 120 and above. If it is lower, we can talk about iron deficiency in the body. The reason for this may also be the pathological course of menstruation. The danger of such blood loss and iron deficiency is the development of hypothyroidism.

How can you stop heavy periods with blood clots?

Medicines

Note! Only a qualified gynecologist, after a thorough examination, will be able to select treatment with pharmaceutical drugs that will correspond to the characteristics of menstruation individually for each woman.

As first aid, every woman's first aid kit should include:

Folk remedies to stop heavy periods

Be careful! You can use folk remedies when menstruation does not cause dizziness, severe pain, or small blood clots, then such bleeding can be stopped with the help of herbs.

Cherry twigs They are a good remedy for heavy periods with blood clots. How to prepare to stop bleeding: cut branches should be washed, poured boiling water and left to infuse for several hours, the broth should be diluted with water and taken 2 times a day, half a glass.
Infusion of acorns It will also have a good effect on stopping heavy periods.
Willow bark and wormwood Brew a few tablespoons of 1 liter of water and drink 100 g 3 times a day on an empty stomach.
Horsetail It has a good anti-inflammatory effect and is recommended for use as prophylaxis and treatment.

An infusion of acorns is considered an effective remedy for stopping heavy menstruation.

How to distinguish menstruation from other types of bleeding

The main distinguishing feature of menstruation from bleeding is discharge, which began exactly on time and does not raise doubts in the woman.

A sign of bleeding can be considered heavy periods during which blood discharge is possible, both with and without clots, which cannot be stopped on your own, and they do not coincide with the normal menstrual cycle. Next, you need to compare the volume of blood released with the usual volume; if the amount of blood released is normal, there is no reason for concern.

It is also worth paying attention to the duration and color of the discharge.. Regular periods last on average 5 days and are dark in color. The bright scarlet color usually occurs with bleeding. The presence of severe pain, poor health, duration of more than 10 days, liquid consistency of discharge, fatigue and weakness indicate a pathological development of the situation.


Heavy periods with blood clots can cause pathology. You can stop the discharge with both medications and folk remedies. However, you should consult a doctor as soon as possible.

When a doctor's help is needed

You should seek the help of a doctor if:

  • Heavy periods become regular and have a lot of blood clots. Such phenomena can cause a malignant tumor, and prolonged delay in examination can lead to death.
  • When monthly bleeding is so strong that you have to change the gasket every 30 minutes. This is a very alarming symptom that requires immediate consultation with a doctor.
  • If your period is accompanied by severe pain, which even painkillers do not relieve, and are accompanied by vomiting and fever.
  • Seeing a doctor is necessary if when a woman suffers from anemia. Large blood losses every month can cause irreparable damage to health.
  • An immediate indication to see a doctor is bleeding after a long delay menstruation, especially if large clots are released. Possible ectopic pregnancy, cyst rupture or miscarriage.
  • Abundant discharge during menopause, which is accompanied by pain and fever, should also be a reason to see a doctor.

Only regular visits to the gynecologist, ultrasound examination and passing the necessary tests can prevent heavy periods and the consequences they can bring.

Useful videos about menstruation with blood clots. What is important to know

Heavy periods with blood clots - reasons:

How to STOP YOUR PERIOD. Bleeding during menstruation. If they have already started. Blood clots:

About all the features of very painful periods:

Heavy periods are normal for some women. Severe bleeding is considered a feature of physiology, the structure of the genital organs and blood vessels. But most often they occur in pathologies due to metabolic or hormonal imbalances. Even if there are no painful sensations, and the cycle is regular, it is advisable to visit a doctor to understand how serious the deviation is and how you can make blood loss during menstruation less noticeable.

Content:

What is the normal volume of menstrual flow?

It is considered normal if menstruation appears no earlier than 11 and no later than 16 years, lasts 3-7 days, and its total volume is 40-100 ml. The color and consistency of menstrual blood also matter. Usually it is dark red, mucous, and does not contain large clots.

How to measure blood loss

A convenient way to determine blood loss and whether it is normal is to count the number of absorbent sanitary pads that a woman has to use every day during her period. By summing up the number of pads used per day, you can find out approximately how much blood is lost over all days:

  1. Blood loss is considered “very light” if pads need to be changed 1-2 times a day (this corresponds to 6-9 g of discharge containing blood and mucus).
  2. For “light discharge”, it is necessary to use 3-4 pads per day (change every 6-8 hours, which corresponds to approximately 10-12 g).
  3. With “moderate” blood loss, pads need to be replaced once every 4 hours (13-15 g/day is released).
  4. “Heavy” discharge is considered to be such that the pads need to be changed every 3 hours (up to 18 g of blood is lost per day).

“Very large” blood loss is when the pad leaks every 1-2 hours. In this case, medical attention is already required, since obvious pathology is observed.

Factors that can increase menstrual flow

The amount and consistency of discharge is individual for each woman. They depend on hereditary and congenital features of the structure of the uterus, blood clotting, metabolism, temperament, lifestyle, nutritional system, physique, age. The following factors can affect the nature of the discharge:

  1. Use of hormonal contraceptives. They are taken to suppress egg maturation and ovulation according to a strictly defined pattern. Violation of the dosage regimen leads to the appearance of heavier than usual menstruation.
  2. Installation of an intrauterine device. In the first 3 months, periods may be longer and more abundant until the body gets used to the new hormonal levels.
  3. Use of duphaston and other hormonal medications. Stopping their use leads to a sharp increase in progesterone levels and the onset of copious bleeding after a few days.
  4. Taking anticoagulants and other medications that can reduce blood clotting.

The intensity increases if during their course the body is subjected to increased physical stress, if the woman experiences emotional stress.

Menstrual bleeding increases after an abortion or uterine surgery, as well as after childbirth. This is to blame not only for changes in hormonal levels, but also for disruption of the internal surface, which stimulates more intensive development of the endometrium. The occurrence of adhesions or scars in the uterine cavity leads to the appearance of clots of coagulated blood in the menstrual flow, formed as a result of its stagnation.

In adolescents within 2 years after the onset of puberty, as well as in women during the onset of the first menopausal changes, as a result of hormonal instability, heavy bleeding alternates with scanty bleeding during menstruation. Menstruation comes late or, conversely, too often.

Video: Causes of heavy menstrual flow

Causes of pathological heavy periods

Severe bleeding with clots can occur during menstruation if a woman has hormonal imbalances in her body or diseases of the uterus and appendages.

Hormonal disbalance

An increased content of estrogen leads to excessive growth of the endometrium and increased bleeding during menstruation. The cause of hyperestrogenism is a violation of the production of hormones of the pituitary gland, thyroid gland and other endocrine organs, the use of contraceptives and hormonal drugs, metabolic disorders and other factors.

Pathologies of pregnancy

Sometimes during pregnancy, due to a lack of progesterone, menstruation does not disappear. If your period comes with a slight delay, and the bleeding afterwards is heavy and painful, this may mean that a miscarriage has occurred at a very early stage.

Menstrual-like bleeding can also be heavy when an ectopic pregnancy occurs.

Diseases

Increased abundance and pain of blood discharge occurs with endometriosis, the presence of uterine tumors (fibroids and cancer), the appearance of tumors in the ovaries, polyps in the endometrium or cervix. Inflammation of the endometrium also causes changes in its structure and increased bleeding during menstruation.

Often, with diseases and hormonal disorders, menstruation turns into uterine bleeding, which also appears between them. The danger of excessive blood loss is that the hemoglobin level decreases due to loss of iron. Sometimes, to stop bleeding, urgent medical attention is required, even complete removal of the endometrium (uterine curettage).

Signs of anemia are nausea, vomiting, weakness, dizziness, headache, fainting, and drop in blood pressure.

Treatment

If there is excessive bleeding, leading to a deterioration in general health and loss of ability to work, it is necessary, first of all, to consult a doctor and find out the cause of this anomaly. An examination is carried out using ultrasound and hysteroscopy to study the condition of the endometrium and detect diseases of the uterus and ovaries. A blood test can reveal hormonal disorders and the presence of inflammatory processes.

Based on the examination results, treatment is prescribed and general recommendations are given on how to reduce the amount of menstrual bleeding. In case of hormonal disorders, oral contraceptives (Mersilon, Rigevidon) or progesterone preparations (Duphaston, Utrozhestan), drugs that suppress the production of estrogen in the ovaries (Pregnil) are prescribed. Homeopathic remedies (mastodinon, remens) are used to regulate hormonal levels.

Hemostatic medications are used that regulate blood clotting and strengthen the walls of blood vessels, such as etamsylate, dicinone, vikasol (a synthetic analogue of vitamin K - a natural coagulant). To strengthen blood vessels, it is necessary to take vitamin preparations containing vitamins C, K and group B.

Drugs that enhance uterine contractions (oxytocin, pituitrin) are used. They help make your periods shorter. To increase hemoglobin levels, iron supplements (maltofer) are prescribed.

Warning: All these drugs are used only as prescribed by a doctor. Failure to comply with the dose leads to vascular thrombosis. Instead, you can take decoctions of nettle, shepherd's purse, water pepper (1 tablespoon of herb is infused in 1 glass of boiling water). They are consumed 3 times a day, 50 ml.

If there is heavy bleeding during menstruation, it is recommended to avoid drinking strong tea and coffee and staying in the hot rays of the sun. To ease bleeding and pain, a cold heating pad is briefly applied to the lower abdomen.

Video: Examination in the presence of heavy, painful periods