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Old 10-16-2003, 03:49 AM   #1
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Post Large blood clots in period (no associated pain)

For the last 4 mnoths my periods have become really heavy , i also have large blood clots in them like liver , some is dark red other parts are light red , no pain with periods , any ideas?

 
Old 10-16-2003, 06:10 AM   #2
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All depends on how large they are as some clotting is normal. I don't know of many women who don't have that happen from time to time including myself. Are they as large as the palm of your hand or half-dollar size?

Many factors could also contribute to it..your age (are you in your 30's or 40's?), hormone imbalances; fibroids; polyps; even endometriosis.

Best to consult your doctor or be sure to bring it up at your next annual visit.

 
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Old 10-16-2003, 06:30 AM   #3
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Like Dianek said, clots are totally normal. There is an anti-clotting factor in the uterus that allows the blood to get out into the vagina. If it doesn't get out of the vagina fast enough, it will clot on it's way out.

But, if the clots get big - I have read bigger than a walnut, but I have mostly seen bigger than the size of your palm - AND you are bleeding through more than one pad or tampon an hour during the heaviest time of your period, you need to get checked out sooner than later. Otherwise, you can wait until your next doctor's visit and let you doc know that things have changed. It could be very significant.
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Old 10-16-2003, 06:45 AM   #4
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I would play it safe and update the doc about this by calling his nurse to see if the doc feels you should see him sooner than your annual physical. It is most likely nothing more than normal clots but without knowing your medical history or what your periods were like before this started it is very hard to say what is going on. Call the docs office for piece of mind if nothing else.

 
Old 10-22-2003, 05:25 PM   #5
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I had to comment on this clotting topic because it used to happen to me frequently in my late twenties to mid thirties.

Never had it investigated nor did I even question it because I wasn't hemorraging or anything like that -- clots were usually the size of a quarter or half dollar. This would occur on the heaviest day of my period(s), though not every single month.

The worst part of it was the feeling that the pad or tampon wouldn't catch all the blood and I'd have an obvious accident. It NEVER happened, by the way.

And isn't the FEELING of the clots themselves bizarre? I recall even now how strange those clots felt when coming out --

By the way, all of this is in my distant past -- I'm 54 now and beyond menopause. Now THERE'S a thrill to look forward to! Hope you don't get the terrible hot flashes so many of us had. I'd take clots over hot flashes any day.

Don't worry sweetie, you're fine!

 
Old 10-22-2003, 06:14 PM   #6
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I don't know, cheerup, I think I'd rather put up with hot flashes than those clots! I've got a few more years before I get to that point, so I'll let you know then how I'm coping!LOL!

 
Old 10-22-2003, 07:01 PM   #7
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I am with Dianek for now. The grass is always greener, isn't it? I have been passing those clots every day since the end of June. Sometimes even as big as the palm of my hand. I can't wait until it is over!

The feeling is quite peculiar. Sometimes, they hurt me and I can't tell if it is the clot pushing out of the cervix or if it is a cramp pusing it out. But the way it feels as it slides through is very bizarre.
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Old 10-23-2003, 08:04 PM   #8
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I had clots almost the size of my fist...due to 2 large fibroids inside my uterus. Had fibroids removed in July. My periods are so light now. AH! I will enjoy it while i can.

 
Old 10-24-2003, 07:29 PM   #9
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I used to experience clots and thought it was normal for all women to get these. Then when i had acupuncture i found out clots are not normal. I don't have endo or anything of that nature. All my period dramas were associated to a hormone imbalance. Since the acupuncture my period is a normal one without the clots. You need to find a doctor who is actually interested in working out why this is happening to you.

 
Old 10-25-2003, 04:00 AM   #10
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Clots are a sign you are bleeding too much for the anti clotting factor to work, so clots bigger than a walnut are a sign you are bleeding too heavily. one reason for too heavy is anaemia, strange, isn't it, you can see how a vicious circle can build up there!

Fibroids, hormonal imbalance, early signs of menopause, high estrogen levels, low vit K levels, low in other vits, a general bleeding disorder, all can cause heavy bleeding or even taking aspirin! Low thyroid is another cause.

Look up Menorrhagia which is what it is called.

I always had heavy 8 day periods where the wearing of several pads at a time were needed on the worst days, tampax was never an option it just couldn't be enough. when i was 47 it started to get heavier and heavyer until it was a complete nightmare to deal with the amount of blood, and night times were a nightmare of folded towelling inside babies disposable nappies plus maternity pads and even then the blood would get past all these defences when I stood up and stream down my legs. I ended up having to have 4 bags of blood and given a month to get my strength back for the op, but I still needed another 4 bags of blood when I went in for my hysterectomy, and boy was I glad to have done with my womb

I never bothered to try and get it sorted when I was younger and by the time I hit pre-menopause it was too late to use gentler methods of cure as I was getting bad so fast it ended up as a life saving op.

it would be nice for you to suss this one out before the menopause bites

 
Old 10-25-2003, 07:33 AM   #11
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Hi Corinna,

My primary doctor told me she thought my bleeding was due to anemia. I was severely anemic earlier this year and as I started treating it, I started having bleeding problems. I almost got the anemia treated and then it came back even worse because the bleeding has not stopped for several months. My primary doc is the only one involved who has thought that the anemia came first. Everyone else attributes the anemia to the bleeding and no one can make it stop or find a cause. Can you tell me what you know about the relationship between anemia and bleeding? I haven't found much at all.

Thanks,
Nik
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Total abdominal hysterectomy at age 26 due to abnormal bleeding. Kept ovaries.

 
Old 10-25-2003, 09:34 AM   #12
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I have a friend who's daughter got so anaemic she was having bleeding the whole month, her doctor said the bleeding was caused by anaemia and it normalised when the blood levels did.

But for you, raising the iron levels didn't reduce the bleeding??? Is that correct?

If so then it sounds as if low iron levels goes with perhaps low something else, and replacing the iron doesn't replace the something else?

iron tablets can irritate the gut and that runs so close to the womb that maybe it became irritated, too, infact that it the theory behind the old fashioned method of speeding up labour by using castor oil and enemas, LOL!

Another question is why were you so anaemic? if it was before the heavy bleeding, then it must have another cause?

to be severely anaemic (i'm talking of blood counts of 6 instead of 11 or so) is to be in a quite frail state of health and every cell in your body will have been affected, this takes time and very good nutrition to put right.

I did read of one woman who was bleeding all the time, stopping instantly she started taking Vit B6, though it really isn't a good idea to take only one B Vit, you need them all together along with, I think, Vit C and Magnesium, I may have got that wrong? You need to check that out. A good multi vit and mineral supplement would be better as well as good food.

[This message has been edited by Corinna_H (edited 10-25-2003).]

 
Old 10-25-2003, 10:44 AM   #13
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Hi Corinna,

I live at 6500 ft and my hgb was at an 8 when I asked my gyn to test me for anemia. That's about the same as a 6 at sea level as far as I understand. My goal was to get to 15 and my docs didn't bother to figure out where the anemia came from because I responded to iron supplements pretty well. Two months after the first test, I had gotten to a 12 and that is when I had my first episode of excessive bleeding. Very disappointing since I was working so hard to make blood.

After that, I had about six weeks of normal bleeding with the aid of two birth control pills a day and then I started spotting every day and then bleeding every day. I have basically been bleeding every day since July. Sometimes it will slow down during one part of the day and then speed up with a vengeance. My hgb stayed at about 12 until it dropped to nine in September. Now, it is at a 6. The doctors tell me they have tried everything they can to get the bleeding to stop. Right now they are trying me on Provera pills three times a day because I refused to get the shot. They refuse to consider a hysterectomy because I am only 26.

I take three iron pills a day - they have vitamin C in them. I also take a multivitamin that has the b-vitamins in it and probably the others you mentioned. I wasn't deficient in b-vitamins at first, but I could be now. I am a meat eater and I also eat a lot of spinach and pinto beans. I try to combine meat sources of iron with non-meat sources and vitamin C and I keep my calcium intake away from my iron.

Sorry for the long story. You were the first one who agreed with the idea that the anemia can come before the bleeding and I have to take all the info I can get right now. As you can imagine, living so high up and having such a low blood count has left me quite devastated, especially since the doctors can't figure out what is wrong.

Thanks for reading.

Nik
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Old 10-25-2003, 02:51 PM   #14
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Hi Nik,

To start bleeding with HG of 12 shows, I think, (I am not a doctor, though!!) that anaemia is not the cause of your heavy bleeding. HG12 is a pretty average level for women who menstruate.

HG of 6 at that altitude, you are in trouble! I feel really, really worried for you. You have dropped seriously since September and now it sounds as if anaemia is causing the bleeding to increase. Mostly menstrual blood is diluted with fluid and isn’t actually pure blood, you may be loosing purer blood now. That means your anaemia may be increasing faster than you realise.

What causes the increase in the daily pattern of bleeding, is it activity? Or what?

Have you got an intra uterine birth control device in your womb?

Do you drink plenty of water; nothing works well if you are dehydrated. It has to be water! Coffee, tea, alcohol and soda’s actually dehydrate you.

Just what tests have you had? E.g. Platelets, clotting, thyroid, hormone levels, have you had your womb checked for fibroids? Polyps? Infection in the womb checked for? Has it been scanned, biopsied? Imagine an ulcer in the womb located over a major blood vessel, have they peeped inside? Done a D&C? A scan?

The fact that the pill is unable to suppress the bleeding should be pointing them in the direction they should be looking, hormones maybe, or the actual womb interior for an exposed or damaged blood vessel, if your womb HAS been scraped, even for a sample, damage could have been done that has increased the flow, that happened to me! And as it was done without an anaesthetic, I recall it pretty vividly!

I don’t want to scare you, but I would think your life is at risk now or soon, are you near a good hospital, You sound as if you could do with a transfusion now, but a total body dose of intravenous iron would help a lot more long term but take a week to work, maybe you shouldn’t wait that week? Do you trust your docs?

Are you prepared for the possibility you may have to have a hysterectomy?
You are probably feeling so bad it would be a relief but you may mind pretty badly even so and it is worth facing it in advance, if you are well enough to.

With such a low HG you are quite possibly unable to stand AND speak without being too out of breath, maybe you can hardly walk?

Watch out for a feeling that your blood is pulsing hard just in your upper chest and in your head as then you know your body is into emergency ‘oxygen into brain first and foremost’ mode as you need to get a transfusion at once.

If efforts to think result in this pulsing especially if it is followed by a ‘greyness’ in your head you could be getting damaged by the low blood count. Your heart could be getting stressed. Maybe the height you live at has given you an ability to cope better than I did, but don’t let it creep up on you. You could be too weakened to have that hysterectomy, even.

Don’t let them sacrifice your life to save your womb.

Be aware you may be too ill to be able to make the right move, have you anyone with you who can look after you and take you to hospital?

 
Old 10-25-2003, 04:23 PM   #15
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It is so refreshing to find someone who understands some of this and has some info that I don't have. I will answer some of your questions because you asked. (I feel a little guilty taking over someone else's thread, but I think her question has been answered.)

At this point I don't really trust my docs. They have let me bleed down this far. My local gyn basically gave up because my hgb was hovering around 12 (even thought normals for altitude are between 14 and 16) and he didn't actually see me bleeding at that time (since the bleeding stops and starts). My PCP can't really do much and she asked local specialists to help me and they told me to go back to my gyn. So, I got a new gyn in the closest city two hours away. She is the one who did the most recent set of blood tests and she seemed a little panicked, but I am two hours away from her. Turns out my PCP is on vacation this week, as well, and her nurse took a week to call me back.

My bleeding doesn't seem to have any pattern. Some days I will experience flooding late at night and some days it will be mid afternoon. I lose the majority of the blood at that time - about one pad every 45 minutes, sometimes more. I never know when it is coming, but if I exercise - back when I could - it always gets worse. Adrenaline seems to be the only thing that stops it - like the excitement of seeing a doc who might be able to fix me or the sight of a rattlesnake.

I don't have an IUD, but they may try one if the Provera doesn't work. I have had two ultrasounds that didn't show anything significant. After the first one, they put me on 6 bcp's a day to stop the bleeding nad worked me down to two. When that didn't work anymore, they switched me to four a day of another pill. It took twelve days to stop and then when I got down to two I started to bleed again. I had a D&C two weeks ago along with a hysteroscopy. Everything inside was benign. After the procedure, I bled for a few hours and then it stopped the following morning, only to begin again about 24 hours after the procedure. It came back pretty close to the original pattern. Since I had the D&C so recently, it is safe to assume that I am losing pure blood.

The nurse had the nerve to tell me that it sounded like I was having a period when I called her one week post-op. I called to warn the doc because she really expected the D&C to work. Turns out my baseline fills an average of one overnight pad every two hours.

My thyroid was checked back in February and I asked to have it checked again, but they told me it wouldn't have changed. And, they did a full bleeding panel on Wednesday when they did the CBC that showed the hgb of 6. They took about ten tubes of blood while I proceeded to bleed all over the chair from my uterus. I am guessing that the following day's levels would be lower.

I am completely prepared for a hysterectomy, but I can't find a doctor that will perform one on a 26 year old with no kids. I really don't know what to do!

My mom is checking on me constantly because she thinks I am lethargic. My skin color must be terrible and I always feel worse in the evenings which is when she sees me the most. She keeps threatening to take me to the ER, but I think they will just give me a high dose of estrogen which will only work temporarily. She will take me when she becomes too frightened. My PCP will be back on Monday and she can tell me if they want to transfuse at 6. I know my first gyn would only do it at 3 which seems inhumane to me. I am a little freaked out by the idea of a transfusion.

And, you are right. Standing and talking leaves me very short of breath. Walking one small block gives me a severe headache and I have been able to feel my heart in my chest and hear it in my ears for months, but no one else seems concerned. Rural medicine is a little frightening, I guess.

Thanks so much for your concern. It feels good just to know that someone understands. The bleeding has slowed so far today, but maybe that's because there's none left! And, it could come back when I least expect it, like at dinner or in the middle of the night! I really should rest now.

Nik
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Total abdominal hysterectomy at age 26 due to abnormal bleeding. Kept ovaries.

 
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