Hello and welcome to HCM,
Passage of excessive blood, blood clots
and tissue like pieces during menstruation
is of concern.
An endometrial curetting / biopsy
should be done to know the status of endometrium. uterine lining.Hyperplasia
of endometrium (increase in thickness of endometrium), fibroids, polyps can all lead to excessive bleeding.
A pelvic scan will help to determine the presence of fibroids.
Fibroids are benign growths of the muscle layer of the uterus.
They remain asymptomatic in most of the cases.
When they cause severe symptoms, surgical removal is the treatment of choice.
Regarding your adhesion
issue, they are common after surgical procedures done on the uterus.
They are managed by their surgical removal.
Thanks and take care
Dr Shailja P Wahal