What is the situation when menstrual blood clots during menstruation?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please tell me what it means when menstrual blood comes out in clumps during my period?

Doctor's answer:

The menstrual cycle is regulated by the hypothalamic-pituitary-ovarian axis and undergoes cyclical changes. The detached endometrium mixes with blood to form menstrual flow. 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, and it is currently in the developmental phase, hormone secretion in the body is not yet stable. Mild menstrual irregularities are normal in this case. It is recommended to wait a few days and observe. If bleeding persists, it is advisable to go to the hospital with a parent for a detailed examination of the six sex hormones.

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