Your thyroid is the gland in your neck responsible for hormone production and distribution. Conditions like hypothyroid producing too little thyroid hormone or hyperthyroid producing too much thyroid hormone can impact the flow and severity of your menstrual cycle. Growths like polyps and fibroids can settle in the uterus and its lining and can cause your period to become heavier and longer than usual. There are many types of benign fibroids, but submucosal fibroids fibroids that grow inside the uterine cavity are the most likely to cause heavy bleeding and large clotting.
Uterine polyps that grow on the cervix or in the lining of the uterus can also be a factor in heavy clotting. If you recently started a new form of birth control and are passing large blood clots during periods, your method of birth control could be a contributing factor. Some forms of birth control, like non-hormonal IUDs, can cause heavier-than-normal periods and clots in some women. If you have an IUD and are experiencing heavy clotting and bleeding, talk to your doctor about your symptoms to find out if this is the right form of birth control for you.
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If your periods seem heavier than usual — for instance, soaking through one pad or tampon every hour for several hours or passing very large blood clots — check with your doctor. Your doctor can determine if there's an underlying problem causing your heavy periods.
Your doctor may recommend a blood test to check for anemia, a blood condition that can cause you to feel weak or tired. Your doctor may also recommend an ultrasound of your pelvis.
Sometimes doctors prescribe hormonal medications to help regulate heavy bleeding. Sandhya Pruthi, M. There is a problem with information submitted for this request. Sign up for free, and stay up-to-date on research advancements, health tips and current health topics, like COVID, plus expert advice on managing your health.
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See your doctor if you regularly have large clots. One of the major complications of heavy menstrual bleeding is iron deficiency anemia. Symptoms include:.
To determine the underlying cause of your menstrual clots, your doctor will likely ask you about things that impact menstruation. Additionally, your doctor may use blood tests to look for hormonal imbalances. Imaging tests, such as an MRI or ultrasound , can be used to check for fibroids, endometriosis, or other obstructions. Hormonal contraceptives can inhibit the growth of the uterine lining. A progestin-releasing intrauterine device IUD may reduce menstrual blood flow by 90 percent , and birth control pills may reduce it by 50 percent.
Hormonal contraceptives also can be beneficial in slowing the growth of fibroids and other uterine adhesions. A dilation and curettage D and C procedure sometimes follows a miscarriage or childbirth.
But it can also be used to determine the underlying cause for heavy menstrual bleeding or as a treatment for various conditions. D and C involves widening the cervix and scraping the uterine lining. The type of surgery will depend on the size and location of the growths. If the growth is large, you may need a myomectomy, which involves making a large incision in your abdomen to access the uterus.
If the growth is small, laparoscopic surgery is often possible. Some women may opt to have their uterus removed. This is called a hysterectomy.
Heavy menstrual periods can affect your daily life. Besides the physical problems they can cause, such as cramping and fatigue, they can also make normal activities, such as being physically active, swimming, or even watching a movie, more challenging. While they may look alarming, small clots are normal and common. If you regularly pass large clots, there are many effective treatments your doctor may recommend to help control heavy bleeding and reduce the clots. You know that feeling when you realize your upcoming camping trip or week at the beach coincides with your next period?
Menstruation can happen at the….
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