Patient's question:
I have my menstrual cycle delayed by a few days every month. The amount of blood flow is not very heavy, and occasionally there are one or two blood clots during the period, lasting for about 3 or 4 days. In winter, I am particularly afraid of cold. Is this a case of uterine cold? Will it affect fertility? I just got married.Doctor's answer:
Hello, the presence of blood clots in menstrual blood is related to the amount and speed of bleeding.Advice: If you experience heavy bleeding and it's too fast to be absorbed, it may coagulate into a blood clot and be expelled. Often, the presence of blood clots suggests that the bleeding volume is relatively high, forming a solid mass. During menstruation, the endometrium is shed, but it may be in small fragments. Blood clots typically originate from blood vessels supplying the endometrium.
It is common for menstrual blood to contain blood clots. The fragmented endometrium contains certain activators that cause fibrin to break down into fluid degradation products, turning menstruation into a liquid state. Therefore, menstrual blood does not coagulate. At times, small clots may also fall off, which are considered normal. However, if accompanied by severe menstrual cramps, it is possible that there is an inflammatory condition. It is recommended to consult a doctor for examination.