Hello and welcome to HCM,
Passage of clots in menstrual blood is suggestive of polymenorrhea.
Polymenorrhea can lead to
anemia due to excessive blood loss.
Paleness of skin, clammy skin,
chills are suggestive of vaso-vagal syncome.
Vaso-vagal
syncope can occur due to fall in blood pressure.
Tampon insertion can cause fall in blood pressure and syncope.
Thus, removal of tampon is the first step.
Since, there is associated
fever, there is a possibility of infection.
Thus, a course of antibiotic may be required.
Further polymenorrhea needs to be managed by appropriate
hormonal drugs.
In addition, anemia needs to be corrected.
A complete hemogram needs to done to know the type of anemia and thus management.
Thanks and take care
Dr Shailja Puri