What tests should be done for heavy menstrual bleeding with blood clots?

Oct 11, 2022 Source: Cainiu Health
Disease description:

This time my menstrual flow is very heavy, and it's all blood clots. I'm thinking of going to the hospital for a checkup. What tests should I undergo for heavy menstrual bleeding with blood clots?

Doctor's answer (1)
Dr. Lv Aiming
Heavy menstrual bleeding with blood clots should be evaluated with a color ultrasound to assess the thickness of the endometrium. Excessive menstrual flow and blood clots in women are generally caused by endocrine disorders, but may also result from certain gynecological inflammations. For heavy menstruation accompanied by blood clots, hemostatic medications such as Gongxuening can be taken. When taken regularly as directed, the menstrual flow should gradually decrease and eventually stop. If there is no significant improvement after completing the medication course, it is important to promptly consult a qualified gynecologist for a thorough examination. Pelvic color Doppler ultrasound can help confirm the diagnosis, and if necessary, a diagnostic curettage may be performed.