Depending on the cause of bleeding from the genital tract, a woman may be troubled by various symptoms, ranging from painful sensations to dizziness and loss of consciousness. More details on the cause of the onset, a detailed description of the symptoms, the first signs and complaints is given below.
Heavy periods with clots after a delay
Sometimes, after a delay in menstruation, a woman experiences profuse bleeding with clots from the genital tract, and there may be painful sensations of a noisy character in the lower abdomen with irradiation into the anus. The cause of such a symptom complex may be an abnormal pregnancy, the use of an oral contraceptive. Determine the cause will help determine the level of chorionic gonadotropin in the blood. Even with a complete spontaneous abortion, its figures, for a while, remain at a high level. This is due to the fact that there is a rejection of the non-viable embryo by the prepared endometrium and is accompanied by a large amount of blood loss. In this case, a woman experiences weakness, dizziness, nausea, sometimes vomiting. In the presence of such symptoms, it is necessary to immediately call an ambulance for hospitalization in a specialized medical institution.
Abundant period with clots during pregnancy
The appearance of bleeding from the genital tract in a pregnant woman usually indicates a spontaneous abortion. The first symptom is a drawing pain in the lower parts of the abdomen, which gives into the rectum, in the second half of the pregnancy the pain can be cramping. Bloody discharge, in this case, in a significant amount with clots of varying intensity. Depending on the period of pregnancy, vacuum-aspiration of the uterine content is carried out in the first trimester, after the sixteenth week of pregnancy, the fertilization product is evacuated under adequate anesthesia and hemodynamic control. In the absence of contraindications, it is permissible to appoint uterotonics to accelerate the expulsion of uterine contents.
At later stages of pregnancy, vaginal bleeding may indicate placenta previa. At the same time, bleeding can be of different intensity and absolutely painless. If a woman has a period of more than 20 weeks of pregnancy, this condition should immediately call an ambulance.
Abundant period with clots after delivery
Usually immediately after birth, the woman has a physiological bleeding - lochia. It can be of different intensity and will continue until the entire postpartum uterus is reduced to normal size. After this, if the mother gives birth to a newborn, she has no menstruation. This phenomenon is called lactational amenorrhea and, as a rule, it lasts until introduction into the diet of infants breastfeeding. And so after 6-12 months a woman's menstrual cycle is restored. Due to physiological changes in the body of a woman, such as shortening the cervix, expanding the cervical canal, increasing the size of the uterus, increasing the volume of the endometrium, menstrual flow becomes more intense and abundant.
Immediately after 2-4 weeks after childbirth, excessive bleeding with clots, caused by the presence of placental residues in the uterine cavity, may occur. In this bloody discharge bright-scarlet with an unpleasant odor and accompanied by pain in the lower abdomen with irradiation in the lower back. In this case, it is necessary to seek qualified medical care, since it is possible to infect the placenta remnants and the development of endometritis - inflammation of the uterus.
Abundant monthly with clots after cesarean section
Often, abundant spotting with clots is observed after a cesarean section. This is due to the presence of a scar on the uterus, reduced contractility of the uterus and the unchanged cervical canal and cervix, which is an obstacle to loose lochia, as after normal delivery. As a consequence, bleeding becomes more prolonged with more clots. Over time, the menstrual cycle will improve and the amount of menstrual blood will become more normal.
Abundant monthly with clots after curettage of uterine cavity
Abundant menstruation with clots after curettage of the uterine cavity may be as a result of an instrumental abortion. In this case, the curettage of the uterine cavity is carried out by the curette, layer by layer removing the endometrium with the fetal egg. If during any such procedure any part of the cavity was missed by the surgeon, bleeding with clots of scarlet color, accompanied by aching pain in the lower abdomen, may develop on day 2-4. In this case, you must go to the medical institution where the pregnancy was interrupted.
If bleeding occurs on the 7-10th day after curettage of the uterus, it is also necessary to seek medical help, since this condition may be due to the presence of the placental polyp, which arises in the place of the remnants of the product of fertilization. In this case, a woman may have bloody discharge of different intensity, pain in the lower abdomen, subfebrile body temperature and nausea. To eliminate this symptom complex in a stationary gynecological ward against a background of adequate antibiotic therapy, a second scraping of the uterine cavity is performed, with the further administration of oral contraceptive preparations.
Abundant period with clots after hysteroscopy
Hysteroscopy is a gynecological procedure using an optical device, through which the doctor has the opportunity not only to visualize the inside of the uterus, but also to take the material without traumatizing the entire cavity of the uterus, as when scraping. Hysteroscopy is carried out both for the purpose of diagnosis and for therapeutic purposes. In this case, in the case of diagnostic hysteroscopy, there is no change in the menstrual cycle. As for surgical hysteroscopy, the cycle here is lengthening, often monthly ones become more abundant than ever. But sometimes spotting changes the smell, clots appear in them and their color changes, which may indicate an infection. If the abundant spotting gets black on the background of severe pain, it can be a symptom of the disease - endometriosis. Endometriosis is a complex hormone-dependent disease in which endometrial tissue is located not only in the uterine cavity, but also beyond its limits. In this case, the woman is worried about the severe pain in the first days of menstruation. The doctor will prescribe the exact diagnosis after additional diagnostic tests.
Abundant period with clots with myoma
Myoma of the uterus is a benign formation that consists of connective tissue or muscle elements. If the muscle structure prevails in the structure of the formation, it is a myoma, if the connective tissue prevails - about fibroids. One of the first symptoms of uterine fibroids is profuse menstruation. The nature of the discharge depends on the location of the myomatous node in the uterus. So, with its location in the submucosal layer from the very beginning of its formation, a woman is concerned about copious, prolonged menstruation with clots, which is also associated with a violation of the tone of the uterus.
Sometimes growth in the uterine cavity of the submucosal myomatous node is directed toward the cervical canal, which eventually leads to its exit from the uterine cavity. This process is accompanied by abundant uterine bleeding, cramping pain in the lower abdomen, general weakness, a drop in blood pressure and loss of consciousness. In such a situation, the provision of care is possible only in a medical institution. The main goal of treatment in this case is to stop uterine bleeding, anesthesia and surgical removal of the birth of the myomatous node with subsequent scraping of the uterine cavity.
Abundant period with clots after 45-50 years
In premenopausal women often have profuse uterine bleeding. This is due to the aging of the hypothalamus, in which the hormonal background is broken in the direction of hyperestrogenism against the background of a decreased level of progesterone, which leads to excessive growth of the endometrium and a violation of its transformation and manifests itself as prolonged, plentiful monthly with clots. In this case, the cyclicity is violated, and the time interval between the monthly lengthens. The treatment of this category of patients is mainly surgical and is presented in the form of scraping the uterine cavity and the cervical canal. In the future, hormonal therapy is prescribed to suppress menstrual function.
Abundant menstruation with clots at menopause
The appearance of bleeding in postmenopause may be a symptom of malignant formation of the pelvic organs. Therefore, if there is such a symptom, you should immediately contact a gynecologist for the necessary examinations. Such bleeding occurs without a cause and can be of varying intensity and duration.
Another cause of bleeding in menopause can be senile colpitis, which occurs due to a decrease in the level of estrogens in the blood, which leads to thinning of the vaginal mucosa and increased its vulnerability. Such bleeding occurs after physical exertion, weight lifting, or sexual intercourse. In any case, when bloody discharge from the genital tract occurs, you should seek medical help from a gynecologist.
Abundant prolonged period with clots
Menorrhagia or prolonged profuse menstruation may occur in the presence of pathology of the development of the uterus, endometriosis, endometrial hyperplasia, endocrine diseases and disorders of blood coagulation. Also, the cause of such a symptom may be an intrauterine device or an incorrectly selected oral contraceptive. The disease can occur at any age and not be cyclical. This condition is dangerous because, against prolonged heavy bleeding, anemia usually develops, which is hard to correct due to the presence of a genital cause of bleeding. If there are recurring episodes of long periods, you need to contact a gynecologist who will prescribe the necessary diagnostic procedures and treatment.
Abundant painful periods with clots
Algodismenorea is a disease that is haunted by a large number of women and manifested by painful copious menses. There are many reasons for this disease. Painful menstruation can disturb women with uterine fibroids, endometriosis, intrauterine contraceptive, malformation of genital organs, as well as inflammatory diseases of the pelvic organs and diseases of the endocrine and nervous systems. Pain, as a rule, occurs a couple of years after the onset of menarche and begin on the first day of the menstrual cycle or a day before it. Pain cramp spastic character with irradiation in the rectum, loins, ovaries. Sometimes, with severe pain and bleeding, a woman has nausea, vomiting, dizziness. Such a symptom complex leads to temporary loss of ability to work and requires medical treatment.