Patient's question:
Medical history description: The patient is 26 years old, with a history of normal menstruation. This month, her menstrual period has been much longer than usual, typically lasting 4 days, but this time it has already lasted 7 days and is still ongoing. The amount of bleeding is also greater than usual. Today, she suddenly experienced a large amount of blood clots, which were solid and weighed around 100 grams. She wants to know the possible causes? (Her mother and grandmother have a history of ovarian cyst removal, and she has been under immense work pressure recently, working nearly 10 hours a day last month).Past treatment history and effectiveness: She experienced menstrual cramps during cold winter months, relieved by drinking brown sugar water and occasionally taking Motherwort ointment, with hot water bags providing temporary relief.
Desired assistance: Possible causes? Which department should she visit at the hospital? Does she need to fast? Other precautions?
Doctor's answer:
1. The detached endometrium mixes with blood to form menstrual blood. If there is a significant detachment of the endometrium, resulting in blood clots, this is a normal physiological phenomenon. However, if there is an infection in the endometrium, symptoms such as increased bleeding and abdominal pain may occur.2. Many causes of excessive menstrual bleeding with blood clots should first be considered whether they may be due to menstrual irregularities. Menstrual irregularities are generally characterized by abnormal menstrual cycles or abnormal bleeding amounts, which may be caused by factors such as irregular diet, functional disorders, or organic lesions.