"What Causes Heavy Bleeding with Large Blood Clots Outside of Menstrual Periods?"

Bleeding: Causes, Symptoms, and Treatments

Bleeding, commonly referred to as vaginal bleeding, can occur for various reasons. Heavy vaginal bleeding accompanied by blood clots outside of menstrual periods can stem from ovulation bleeding, intrauterine device (IUD) irritation, medication side effects, endocrine disorders, uterine fibroids, among others. It's crucial to seek prompt medical attention at a reputable healthcare facility and adhere to the prescribed treatment plan.

1. Ovulation Bleeding

During ovulation, estrogen levels temporarily dip, causing instability in the uterine lining, which may lead to vaginal bleeding. While most cases involve minimal bleeding, some may experience heavier flows with blood clots. Treatment may include administering estradiol valerate tablets or conjugated estrogens to repair the uterine lining, or Yunnan Baiyao Capsules and Duanxue Liu Capsules to stop bleeding, as per doctor's instructions.

2. IUD Irritation

Some women may not tolerate IUDs, resulting in irritation that creates lesions on the uterine lining, leading to intermittent bleeding, sometimes with substantial blood clots. Removal of the IUD is typically recommended to address the issue definitively.

3. Medication Side Effects

Sex hormone medications like dydrogesterone and levonorgestrel can cause fluctuations in hormonal levels, leading to massive shedding of the uterine lining and consequent heavy vaginal bleeding. A dilation and curettage (D&C) procedure may be necessary to thoroughly clear the uterine lining and achieve hemostasis.

4. Endocrine Disorders

Dysfunction in ovarian endocrine function disrupts the balance of estrogen and progesterone, predisposing individuals to heavy vaginal bleeding often accompanied by abdominal pain. Treatment involves administering medications like estradiol valerate, dydrogesterone, or progesterone capsules, as prescribed by a healthcare provider.

5. Uterine Fibroids

Uterine fibroids can enlarge the uterus or increase the uterine lining's surface area, causing non-menstrual heavy vaginal bleeding. Surgical interventions, such as hysteroscopic or laparoscopic surgery, are typically performed to remove the fibroids.

Apart from the aforementioned causes, this condition could also stem from endometrial polyps, endometrial cancer, or other diseases. It's imperative to seek immediate medical attention from qualified professionals for diagnosis and treatment.