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