Patient's question:
Three months ago, after I had my period, four days later, I experienced heavy bleeding from my vagina, passing blood clots the size of half an egg every few minutes. It lasted for a whole day. That night, I fainted. What could be the reason for this? However, everything has been normal for several months.Doctor's answer:
Doctors consider normal menstrual bleeding to be between 20 and 60 milliliters, with anything over 80 milliliters classified as menorrhagia. Based on the usage of sanitary pads, normal consumption is about four to five changes per day, with no more than two packs (each pack containing 10 sheets) per cycle. If you need three packs of sanitary pads and most of them are soaked through, it is considered menorrhagia.Women of different ages and physiological stages may experience menorrhagia due to various reasons. Taking women aged 25 to 40 as an example, excessive vaginal bleeding is primarily associated with the following seven factors:
Improper Contraception
Sometimes, abnormal vaginal bleeding is related to the contraception method you use. The most common "troublemaker" is the intrauterine device (IUD).
In China, this is the most widely used contraception method after childbirth. The most prominent issue it brings is a shortened menstrual cycle, prolonged periods, significantly increased bleeding volume, and postmenstrual spotting. Newer copper-containing active IUDs, while improving contraception effectiveness, also increase menstrual bleeding.
Additionally, short-term oral contraceptives can make your periods very regular, reduce bleeding volume, and alleviate menstrual pain. However, incorrect usage can disrupt hormonal regulation, leading to excessive menstrual bleeding. For example, not taking them as prescribed, missing doses, or taking them incorrectly can cause hormonal imbalance in the body, affecting the development of the endometrium and resulting in abnormal bleeding.
There are also long-term injectable contraceptives or subdermal implants.