What should I do if I have blood clots during my menstrual period?

Generally speaking, a period refers to menstruation. The presence of blood clots during menstruation may be caused by factors such as endometrial shedding, hormonal changes, cold uterus (gong han), menstrual irregularities, or endometritis. Treatment options include maintaining personal hygiene, keeping a regular sleep schedule, and following medical advice regarding medication. It is recommended to seek timely medical attention and follow the prescribed treatment plan. Specific details are as follows:

1. Endometrial Shedding: Menstruation is a process of cyclical endometrial shedding. When large pieces of the endometrium shed, they may mix with blood and form clots, which is a normal physiological phenomenon. No special treatment is required; however, attention should be paid to personal hygiene, regular changing of sanitary pads and underwear, and keeping the vulva clean.

2. Hormonal Changes: Hormone levels fluctuate during the menstrual cycle, particularly estrogen and progesterone, which influence the growth and shedding of the endometrium. Significant hormonal fluctuations may lead to uneven endometrial shedding and the formation of blood clots, often accompanied by breast tenderness. Maintaining a regular sleep schedule, ensuring adequate rest and sleep, and avoiding excessive fatigue and stress are recommended.

3. Cold Uterus (Gong Han): If women commonly consume cold or raw foods or frequently drink chilled beverages, excessive internal cold may develop, leading to cold uterus. This condition can cause poor blood circulation and blood stasis, resulting in menstrual blood clots, often accompanied by cold pain in the lower abdomen. Uterine-warming treatments, such as Ai Fu Nuan Gong Wan, Hua Hong tablets, or Gynecological Qianjin tablets, may be used following medical advice.

4. Menstrual Irregularities: Stress from life or work, anxiety, and frequent late nights may lead to menstrual disorders, including the presence of blood clots during menstruation. Menstrual irregularities can disrupt the normal growth and shedding of the endometrium, causing blood clots and possibly dysmenorrhea. Under a doctor's guidance, menstrual-regulating medications such as Wuji Baifeng Pills, Bazhen Granules, or Motherwort Capsules may be used to regulate qi and blood, and relieve menstrual pain.

5. Endometritis: Endometritis is caused by infection with pathogenic organisms. Inflammation can irritate the endometrium, leading to large-scale shedding and clot formation. Additionally, inflammation may interfere with the normal flow of menstrual blood, causing it to accumulate and coagulate in the uterus, often accompanied by lower abdominal pain. Anti-inflammatory medications such as Levofloxacin Hydrochloride Tablets, Metronidazole Tablets, or Azithromycin Dispersible Tablets may be prescribed under medical supervision.

Maintain a healthy and balanced diet in daily life, and avoid excessive consumption of cold, spicy, greasy, or other irritating foods.