Virtually every woman is faced with the phenomenon of the appearance of clots during menstruation. Often this problem go to the doctor, especially when clots appear regularly. As a rule, there are clumps in the background of heavy menstruation and indicate any pathology. To avoid possible problems, you should promptly consult a gynecologist and pass the necessary examinations. Causes of clots are different, they may be associated with gynecological disorders and diseases of the general body.

Causes of clots during menstruation

As noted above, the cause of clots during menstruation is very diverse. These include:

• Endometriosis uterus (adenomyosis)

Endometriosis of the uterus - is a disease characterized by the growth in the myometrium (muscle layer of the uterus) lesions on histological structure similar to the endometrium (lining of the uterus). Most often adenomyosis in women aged 40-50 years. The causes of the disease are pathological childbirth, abortion, curettage of the uterus and other intrauterine intervention.

Also, patients complain of painful periods and aching pain in the abdomen Abdominal pain: when to sound the alarm?   outside the period of menstruation, which is associated with the development of adhesions in the pelvis. For the disease characterized by a long, and often progressive course. Treatment of adenomyosis is the appointment of hormonal drugs.

• Hysteromyoma

Uterine cancer refers to a benign hormone-dependent tumors. Fibroids increase the size of the uterus, and therefore the area of ​​the endometrium. The main symptoms are: enlarged, firm and bumpy uterus, various violations of the menstrual cycle, heavy, clotted menstrual period, sometimes patients complain of pain in the abdomen, especially during urination and defecation.

Complication submucosal uterine fibroids is the birth of a node, which is accompanied by massive bleeding with clots. Treatment of the disease depends on the size and associated symptoms, and can be both conservative and operative.

• Endometrial Diseases

Diseases of the endometrium (endometrial hyperplasia and polyps) are also accompanied by heavy menses with clots. Endometrial hyperplasia - is an excessive growth of the uterine mucosa, and polyps - is the formation of cilia in the endometrium (polyps). Due to the overgrown endometrium menses are profuse and clotted (pieces of hyperplastic mucosa). Treatment of endometrial pathology Endometrial pathology - what the consequences might be   It is to carry out curettage of the uterus Curettage - how dangerous it is?   or hysteroscopy followed by the appointment of hormonal therapy.

• Abnormalities of the uterus

Abnormalities of the uterus, such as the intrauterine septum, horned uterus, double uterus and other most commonly associated with hereditary chromosomal abnormalities, but can be produced in the fetus by smoking and alcohol abuse the mother, the presence of her occupational exposures, ingestion of certain drugs during pregnancy .

• Violation of the blood coagulation system

Very often, the presence of clots in the menstrual blood is associated with various disorders of the coagulation system. This is because the factors that prevent blood clotting (anticoagulants) can not cope with their role and menstrual blood begins to clot in the uterus.

Anna Sozinova

Woman's menstrual cycle is different specific duration of bleeding. In a normal menstrual bleeding lasts no more than seven days. If the woman has spotting after a month, it could be one of the symptoms of gynecological diseases. To establish the nature of the pathological condition allows clinical and laboratory examination of women as violations associated with hormonal, inflammatory factors and other factors.

The changing nature of discharge in inflammatory diseases

Diseases of the genitalia, which are inflammatory in nature, are quite common. In reproductive age smearing brown allocation Brown allocation - what do they say?   after a month is a clinical manifestation of endometritis. Inflammation of the inner lining of the uterus often occurs in the chronic form without the presence of distinct symptoms. Menstrual dysfunction is often one of the complaints of patients who go to the doctor gynecologist.

As a result of inflammation of the uterus mucous membrane can not completely cut off in menstruation. For this reason, there are long-spotting after the next menstruation. Inflammation often affects several layers of the uterus (endomyometritis), which indicates the progression of the process and the development of more severe complications. Quite often as a primary pathogen appears trivial or opportunistic flora of the female organism. She gets pathogenic properties under certain favorable conditions.

It is proved that a long-lived inflammatory process may be a predisposing factor for the development of polyps in the uterus. Spotting Spotting - it is important to rule out pathology   after a month are characteristic clinical symptom of pathological changes in the endometrium. In addition to changing the menstrual function in patients with polyps in the uterus may be impaired reproductive function.

Hormonal dysfunction as a possible cause abnormal discharge

Only the normal ratio of hormones in a woman's body is a key to its women's health. Spotting after monthly reasons connected with a possible hormonal imbalance. Confirm the presence of abnormalities in hormone levels to normal values ​​based on possible hormonal research. It is recommended to conduct a survey multiple times during one menstrual cycle. Only this approach allows us to estimate the dynamics of the production of hormones in the female body.

Violations of the functional activity of the thyroid gland, metabolic syndrome, and other pathological conditions lead to changes in the reproductive system. These systems should be seen as links in a single system. Hormonal ovarian activity is restored by the correction of the endocrine system, so the treatment strategy should be coordinated with doctors related disciplines (eg, endocrinologist).

If a woman gets a combined hormones for therapeutic purposes, such as polycystic ovary syndrome Polycystic ovaries - watch their menstruation , Then it can also be spotting. These disorders are more common if there was an appointment of low-dose preparations. During the first few months of hormone therapy spotting conventionally considered normal, so there is no need for a special therapy.

What cases spotting after menstruation require treatment

If spotting are the result of inflammatory diseases, it is impossible to delay treatment, it should be the detection of the disease. In such a case shall be conducted and anti-inflammatory therapy, followed by rehabilitation. In the complex therapy of chronic inflammatory processes that occur with menstrual dysfunction, should be included methods of physiotherapy effects.

Hormonal correction can be assigned with proven hormonal dysfunction. The incidence of hormone production may be different, so the period of therapy each patient is an individual. One important aspect of treatment is considered to be the immediate elimination of the causes of violations. Appointment of hormone therapy helps to normalize hormone levels. If a woman passes a medical examination, it will prevent hormonal failure in the future.

Confirm the presence of a pathological process in the uterus allows ultrasound scan. In the case of polyposis as a treatment strategy should be chosen for a separate diagnostic curettage Scraping - heavy and unsafe procedure . If you do not remove the mucosal changes, then spotting from the genital tract on their own will not stop. Endometrial polyps require surgical removal, followed by a choice of medical tactics by histological findings.

It can not be excluded in case of violation of the menstrual cycle pregnancy. Spotting can be a clinical manifestation of the threat of interruption at an early period. For this reason, women of reproductive age should be carried out tests in order to exclude or confirm the fact of pregnancy. If the cause of the pathological nature of the discharge from the genital tract associated with the threat of interruption, the woman should be hospitalized for pregnancy preserving treatment in hospital.

Marina Solovyov