What does it mean when menstrual flow is heavy with blood clots but without abdominal pain?

Aug 14, 2022 Source: Cainiu Health
Disease description:

This month, my menstrual flow was very heavy, but I didn’t experience any abdominal pain—I’m not sure why. I’d like to ask: What could cause heavy menstrual bleeding with clots but no abdominal pain?

Doctor's answer (1)
Dr. Chen Zhe
Heavy menstrual bleeding with clots but no abdominal pain may result from recent colds, improper diet, or unhealthy lifestyle habits. Additionally, endocrine imbalances can cause menstrual irregularities and abnormal uterine bleeding. Patients with a “Qi stagnation and blood stasis” constitution may also experience heavy menstruation with numerous clots. Furthermore, large fragments of shed endometrial tissue can likewise lead to heavy bleeding accompanied by clots.