What causes blood clots during menstruation?
Blood clots during menstruation are common for many women, but the size, frequency and accompanying symptoms of blood clots may reflect different health issues. This article will analyze in detail the causes of blood clots during menstruation and provide structured data to help readers better understand this phenomenon.
1. Physiological causes of blood clot formation

Blood clots during menstruation usually form when the lining of the uterus mixes with blood after shedding. Here are some common physiological causes:
| Reason | Description |
|---|---|
| normal coagulation mechanism | Menstrual blood contains antithrombin, but when the amount of bleeding is large, the blood may not have time to completely liquefy, forming a blood clot. |
| Sedentary | Staying in the same position for long periods of time can cause blood to accumulate in the vagina and form clots. |
| Heavy menstruation | Women with heavy menstrual bleeding are more likely to develop blood clots, especially at night or if they have not changed sanitary products for a long time. |
2. Pathological causes that require vigilance
While most blood clots are normal, some situations may indicate a health problem:
| Pathological causes | Symptoms | Suggestions |
|---|---|---|
| uterine fibroids | Increased menstrual flow, worsening menstrual cramps, and large blood clots | Gynecological examination and ultrasound diagnosis are recommended |
| endometriosis | Severe dysmenorrhea, dyspareunia, infertility | Requires professional therapeutic intervention |
| Endocrine disorders | Irregular menstruation and obvious mood swings | Recommended to check hormone levels |
| miscarriage or ectopic pregnancy | Abnormal bleeding, severe abdominal pain | seek medical attention immediately |
3. Reference standard for blood clot size
Knowing the size of a blood clot can help determine whether it is normal:
| Blood clot size | Common situations | Suggestions |
|---|---|---|
| smaller than a coin | Most are normal | Just observe |
| coin size | May indicate excessive menstrual flow | Pay attention to anemia symptoms |
| larger than a coin | There may be a problem | It is recommended to seek medical examination |
4. When Do You Need Medical Treatment?
It is recommended to consult a doctor promptly when the following situations occur:
1. Blood clots appear frequently and are large in size
2. Sudden increase in menstrual bleeding (soaking a sanitary napkin within 2 hours)
3. Accompanied by severe abdominal pain or dizziness and fatigue
4. Abnormal color of blood clots (such as gray-white or smelly)
5. Significant changes in menstrual cycle
5. Daily conditioning suggestions
Physiological menstrual blood clots can be improved in the following ways:
1. Maintain moderate exercise to promote blood circulation
2. Avoid sitting for long periods of time during menstruation and get up and move around every 1-2 hours.
3. Keep warm, especially your abdomen and feet
4. Eat a balanced diet and supplement iron to prevent anemia
5. Record menstrual cycles and bleeding conditions for reference when seeking medical treatment
6. Latest research data
According to the 2023 Gynecological Health Survey Report:
| Survey items | data |
|---|---|
| Percentage of women who experience menstrual blood clots | about 70% |
| proportion of which require medical intervention | 15-20% |
| Most common diagnosed causes | Uterine fibroids (accounting for 43% of medical visits) |
Summary: In most cases, small blood clots during menstruation are a normal physiological phenomenon and there is no need to worry too much. However, if it is accompanied by other abnormal symptoms or the blood clot is too large, you should seek medical examination in time. Maintaining good living habits and regular gynecological examinations are effective ways to prevent related diseases.
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