Why do menstrual cramps have blood clots?

Patient's question:

Symptom Description: Severe abdominal pain on the first day of menstruation, with no pain on the second day and the following days. There are blood clots during the period.
History of Treatment and Effect: No treatment has been received.
Help Needed: Want to know what is actually going on.

Doctor's answer:

Irregular menstruation caused by endocrine disorders has many manifestations, among which the presence of excessive menstrual clots is a relatively common symptom. What causes menstrual clots? Menstrual clots usually occur due to the shedding of large pieces of the endometrium, which can lead to the formation of clots. If only a small number of clots appear, it generally won't have a significant impact. However, if clots appear in consecutive menstrual cycles and are abundant in quantity, it may be due to blood stasis, and timely regulation is necessary. If the symptom of menstrual clots is severe, it is important to seek medical attention to check for other underlying causes.
Feeling cold during menstruation can lead to the appearance of clots, and prolonged clotting may increase the possibility of uterine fibroids. Menstrual clots are generally rare in young people. If menstrual clots occur, it is advisable to visit a hospital for examination to determine the underlying cause. Under normal circumstances, menstruation is bright red without dark purple clots. However, when clots appear in menstruation, it is often accompanied by dysmenorrhea. Dysmenorrhea can cause patients to feel mentally tense and emotionally unstable.

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