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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy Vaginal Bleeding With Blood Clots?

Hi, I am a 24 year old married woman with no medical problems. I got my last period on 25th November 2014. And after that on 30th January 2015. Periods were skipped for a month. And now my concern is am still bleeding. Its been almost 12 day, some days light bleeding but today suddenly i saw heavy bleeding with blood clots. I am really concerned and wanted to know the possible cause of this. Please help
Wed, 25 Feb 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Skipping of menstrual cycles for a month and then continuous bleeding for 12 days is suggestive of abnormal uterine bleeding and it needs to be investigated.
I suggest you to consult your gynecologist for clinical assessment and relevant investigations.
Investigations required are ultrasound of the pelvis and endometrial curretings.
The endometrial curretings will determine the status of endometrial glands and stroma.
Hormonal imbalance is the most common cause of abnormal bleeding however relevant investigations are required to determine the cause of abnormal bleeding.
At the same time you need to get complete hemogram also to check the hemoglobin levels.
Passage of blood clots can lead to anemia or low hemoglobin levels.
Thus, complete hemogram with peripheral blood smear examination is required to know the level of anemia and type of anemia.
If anemia is present, it has also to be managed.

Thanks and take care
Dr Shailja Puri
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What Causes Heavy Vaginal Bleeding With Blood Clots?

Hello and welcome to HCM, Skipping of menstrual cycles for a month and then continuous bleeding for 12 days is suggestive of abnormal uterine bleeding and it needs to be investigated. I suggest you to consult your gynecologist for clinical assessment and relevant investigations. Investigations required are ultrasound of the pelvis and endometrial curretings. The endometrial curretings will determine the status of endometrial glands and stroma. Hormonal imbalance is the most common cause of abnormal bleeding however relevant investigations are required to determine the cause of abnormal bleeding. At the same time you need to get complete hemogram also to check the hemoglobin levels. Passage of blood clots can lead to anemia or low hemoglobin levels. Thus, complete hemogram with peripheral blood smear examination is required to know the level of anemia and type of anemia. If anemia is present, it has also to be managed. Thanks and take care Dr Shailja Puri