Patient's question:
Three months ago, after completing my period, four days later, I experienced heavy bleeding from my vagina, passing many blood clots, some as large as half an egg. It happened every few minutes, and 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 per cycle (each pack contains 10 sheets). If you need three packs of sanitary pads and most of them are saturated, 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, and the most prominent issue it brings is a shortened menstrual cycle, extended 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 menstrual cycle very regular, reduce bleeding volume, and alleviate menstrual pain. However, incorrect usage can also disrupt hormone regulation, leading to excessive menstrual bleeding. For example, not taking the medication as prescribed, missing doses, or taking them incorrectly can cause hormonal imbalance, affecting the development of the endometrium and resulting in abnormal bleeding.
There are also long-term injectable contraceptives or subdermal implants.