What is the cause of having many blood clots during painful menstruation?

Written by Jia Rui
Obstetrics and Gynecology
Updated on January 25, 2025
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During the menstrual period, the appearance of dysmenorrhea and more blood clots is often due to blood stasis within the body. Some Chinese patent medicines that invigorate the blood and dispel stasis can be used for conditioning. Additionally, some Chinese medicinal ingredients can be used for treatment. It is appropriate to consume some goji berries and longan, which have the effects of invigorating blood, dispelling stasis, and promoting blood circulation. These can greatly help in reducing excessive menstrual blood clots. Normally, drink more water and pay more attention to exercising. Avoid sexual intercourse during the menstrual period. (Specific medications should be used under the guidance of a physician.)

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Written by Jia Rui
Obstetrics and Gynecology
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Can you drink milk during menstrual cramps?

Generally, it is okay, but it is recommended to heat the milk before drinking to avoid catching a cold. During menstruation, women can drink a cup of hot milk before going to bed each night, which can help with sleep and alleviate symptoms of painful menstruation. Dysmenorrhea is a common gynecological condition in women, characterized by pain in the lower abdomen, bloating, accompanied by backache or other discomforts before and during menstruation, which in severe cases can affect the quality of life. During menstruation, it is important to maintain a regular schedule, avoid staying up late, avoid consuming spicy and stimulating foods, and refrain from eating cold foods such as ice cream. It is also important to keep the abdomen warm, possibly using a hot water bottle to apply heat to the abdomen.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Adenomyosis without dysmenorrhea

Some women with adenomyosis may not experience symptoms of dysmenorrhea, which is a relatively good scenario as it does not affect their quality of life due to the disease. It is recommended that patients regularly visit the gynecology and obstetrics outpatient clinic at their local hospital for gynecological examinations, gynecological color ultrasound, and other related tests to monitor the occurrence and development of the disease. If the disease progresses and worsens, and clinical symptoms appear with the uterus gradually enlarging, then surgery may be necessary if surgical indications are met.

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Written by Li Lin
Obstetrics and Gynecology
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How is dysmenorrhea caused by adenomyosis treated?

Adenomyosis is a condition in which active endometrial tissue invades the muscular layer of the uterus. The main symptom of adenomyosis is progressively worsening dysmenorrhea. When symptoms are mild, conservative treatments such as physical therapy, traditional Chinese medicine, or pain relief medication can be adopted. However, if the symptoms are severe and conservative treatments fail to alleviate the dysmenorrhea, surgical options may be considered. There are several surgical methods available: one is presacral neurectomy for pain relief, and another, for patients who do not require fertility, is total hysterectomy.

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Written by Yan Qiao
Obstetrics and Gynecology
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Causes of irregular menstruation and dysmenorrhea

There are many causes of menstrual disorders and dysmenorrhea, so we must first consider changes caused by organic lesions, such as adenomyosis, which can cause increased menstrual flow, prolonged menstruation, and progressively worsening dysmenorrhea. There may even be pain during sexual intercourse, and abdominal pain may also occur occasionally. Apart from organic lesions, even after excluding organic conditions, some women may still experience menstrual disorders and dysmenorrhea. For example, adolescent girls often experience primary dysmenorrhea along with menstrual irregularities, which could lead to functional bleeding.

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Written by Tao Zhong E
Obstetrics and Gynecology
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The principle of dysmenorrhea

Dysmenorrhea generally refers to lower abdominal pain during menstruation. There are two types of dysmenorrhea: primary and secondary. Primary dysmenorrhea involves no substantive lesions; that is, no problems can be identified through examinations, yet menstrual pain occurs. This type is generally due to internal inflammatory factors and pain mediators, such as an increased secretion of prostaglandins, making the pain more pronounced. Secondary dysmenorrhea generally refers to organic lesions, such as adenomyosis or endometrial cysts. In these cases, noticeable menstruation pain also occurs due to organic lesions leading to an increased secretion of pain mediators.