Question:
Really heavy menstruation and big clots

Last May I got a really long period with huge clots. It lasted about a month long. I didn't get another one until October, and it lasted on and off light and heavy until February of this year. My obgyn gave me a strong birth control that helped. If I missed a pill or two I would get a period but it was always light and short. About a week ago, I missed a pill and took it along with my next scheduled pill. I got my period. But now it's really heavy and I'm having really really big blood clots. I've been taking my birth control still, but it's not stopping. It's just gotten even heavier. Actually, it not the flow really, it's the blood clots, they're just slipping past my tampon, and so I'm having to go to the bathroom every 45 minutes to an hour to change. I've called my obgyn and he said to keep taking the pills. I called him again this morning and left a message because it's just getting rediculous! It's a good thing I don't work or I'd have lost my job by now. Has anyone had this problem? If so, what have you done that's stopped the bleeding? I have my surgery scheduled for August 5th, and I'm worried that something going to come up and I'm not going to be able to have it. On top of it all, I'm supposed to stop taking the birth control in July because of the surgery. Help! -Lorraine    — Lorraine Wentz (posted on May 21, 2005)


May 21, 2005
Hi, I had that problem after my 2nd child. My OB also tried Birth Control Pills and they did not work. Finally when enough time had passed he gave me a pap and it came out abnormal. He gave me a biopsy (it came out fine) but, you need to call your OB everyday if needs be. If he still does nothing go to a new DR. mine did not stop until the third try of Birth control pills. Maybe you need to talk to him about a different kind. Maybe your body has become amune to it. I hope this helps you. Good luck.
   — Amanda A.

May 21, 2005
I did have this problem about a year ago. It got to the point that I became anemic and my blood count was not coming back up with supplementation because of the heavy blood loss. My Dr, gave me 3 choices, hormonal treatment, IE BC pills, depoprovera, etc (tried the depo, it lightened but I bled continuously for 3 months) so that was out. 2. a hysterectomy-I was not ready for that at this point. 3. an endometrial ablation- they basically cauterize the interior of your uterus, it does make you unable to ever become pregnant tho. I chose the ablation because it was the least invasive between that and the hysterctomy. It worked like a dream, no more periods ever sicne. My dr said 95% will have very good improvement, 50% will have no periods, and a few will still require a hyst. Also, Your GYN should do a pelvic ultrasound to determine if you have a fibroid or something else causing the bleeding.
   — **willow**

May 22, 2005
Hi, I too suffer from this problem as we speak, but I was diagnosed with adenoidmyosis (I think I spelled that right). I have really really heavy clots that last for about a month at a time. My condition was detected through an MRI. They thought I had a huge fybroid but I didn't. The only cure I'm told is hysterectomy which I do not want to have yet because I don't have any children. So, I have been seeing a reproductive endo to see about having a child. My bleeding was so bad that my hemoglobin dropped to 8 and they thought I was going to have to have a blood tranfusion.
   — Sonya B.

May 22, 2005
I had this problem also. i had a to have a D&C to see if there was an underlying cause for this. my biopsy was fine. i dint want the BC pills Or the unerine oblation(blow torching of my uterus..as my doctor put it) and no you cant have children after that procedure anyway. you can get pregnant..however the fetus will spontanous abort if you do. you need to find the reason before you get any treatment.
   — traceybubbles

May 22, 2005
Hi Lorraine! I suffer with the same exact symptoms as you do. The running to the bathroom, the tampon practically flying out because of the large blood clots. I've gone through so many tampons, I should take stock in the OB company! I had ultrasounds done, both abdominally and vaginally and was diagnosed with uterine fibroids. My gynocologist gave me a medication called Aygestin, I believe it is a progesterone medication, used to stop the bleeding when it got really bad. My gyno told me not to allow myself to bleed for more then a few days very heavily. The medication worked, however, when I started on the medication to stop the bleeding, the doc put me on heavy doses of it. That caused me heart palpatations and water retention. This was several years ago. I still suffer with the heavy bleeding and large clots. It scares me sometimes when it's happening because there's just so much bleeding. I let myself bleed for so long and so often, that back in August 2004, I had a cbc and found out my hemoglobin level was a low 7.5! I had to have two blood infusions. Now after I bleed for a while, I have a cbc done to make sure my hemoglobin isn't too low. After having a reaction to the medication, I only took it in very small doses occasionally and it worked very quickly to stop the bleeding, sometimes the bleeding would return after I took a few doses of the Aygestin. But I gotta say, the stuff really worked. I no longer take the medicine because of my high blood pressure and my heavy weight. I want to have my uterus removed at some point, but my obesity keeps me from having it taken care of surgically. Hopefully after my wls I'll be able to have my uterus permanently taken care of. (I am 46 and am done having babies now, so for me I don't need my uterus!) I hope you can get this taken care of, but please be sure and have a cbc, I found out the hard way how sick you can get by letting your hemoglobin level unchecked. My doctor was surprised at the time, that I hadn't passed out on the floor with such a low hemoglobin level. So do have that checked. If I can be of any help to you at all, feel free to email me. Good Luck to you, Sincerely, Tracy
   — tracyinnj

May 22, 2005
Hi. I had serious, MAJOR issues too! The blood clots are happening because there is so much bleeding that the blood is clotting before it can come out. I bled heavily for months and was incredibly close to becoming anemic... they had to put me on an iron program... that's how bad it was! So, my personal experience was that they checked everything, including a cervical biopsy and all was well. Turned out that I have subclinical hypothyroidism. So my thyroid was the main one to blame. I started taking Synthroid daily, but my period was still acting up a bit (NOTHING like before, though!!) so the Dr. said I wasn't ovulating, which meant it was a hormonal thang :-)and put me on the pill to regulate my periods. HOWEVER, after surgery I no longer require the pill. I get my period every month, no issues. I am LOVING it. I don't believe I have EVER been this regular! It's amazing what the extra weight affects... whew! This is just what was wrong with me. I have a friend who's had issues before AND after surgery and they're talking hysterectomy for her. So... Keep bugging your doctor, because the constant bleeding is NOT normal and he needs to figure it out!!!
   — [Deactivated Member]

May 22, 2005
Hi Lorraine! I really suggest that you go to another obgyn as soon as you can and have a second opinion! I used to have your same problem a few years ago and resulted that there is a condition called something like "displacia" or something like that, due to a hormonal dissorder. The thing is that the utherus became "vicious" and performs like the dominoes effect, once you start bleeding you cannot stop! It's like your utherus walls are falling of your body. My blood clots were like some kind of tissue. I was bleeding for almost three consecutive months between mild and heavy. My hemoglobyn level went from 12 to 8 and I was so scared! So, after being in contraceptive treatment and some hormones injections called "depoprovera" (with no luck at all since the bleeding deminished but returns soon) my obgyn opted for an ambulatory quirurgic intervention, cleaning my utherus walls. And that functions great! The bleeding stops thanks God and my doctor. So I possitively suggest that you ask for another obgyn opinion. Maybe the solution for your problem is relatively simple with the right treatment. I hope it can be of a little bit of help. I wish you good health! (Sorry for my English, I'm hispanic!) Madeline
   — Madeline T.

May 23, 2005
Well, Lorraine, I definitely agree with Madeline. Seek another opinion. Go to you local urgent care if nothing else and get yourself checked out. you need to check your blood count to make sure you aren't getting anemic. They cannot do your wls if you are anemic. So if your doc won't help you, find someone who will. Losing too much blood is not conducive to good health!!! Good luck. JO
   — Jo Marie M.

May 23, 2005
Hi hon, yes I had the same problem and worse. I was having such painful and heavy periods that I dared not leave the house because I would bleed through my clothes in public. I have a disabled daughter who wears "depends" and I had to use to put one of those on during my periods. Finally, I went to a female obgyn and she recommended a hysterectomy and I had a full one and I have felt so much better. I couldn't do the pill thing because I smoked, but I don't feel the pill would have worked. I was passing huge painful clots and bleeding real bad. I would definately get a second opinion. I hope this helps. Hugs
   — Angelfirewithwings

May 24, 2005
I agree that a second opinion is necessary. A solution will depend on many factors, including your age and desire to have children in the future. If you are old enough to be done with having babies, you might not want to exclude a uterine ablation. I am 49, and had one done in March. The endometrium is basically destroyed, and I also had a fibriod tumor removed from the inside of my uterus at the same time. There are newer methods of doing the ablation. I was in and out of the hospital in four hours when I had it done (had conscious sedation) . I had some cramping the rest of the day (no worse than one of my crampy, messy periods!) and went back to work the next day!. I have been able to use regular tampons, have no cramps since I had that done. If you are still in your childbearing years and desire more babies, then seek another opinion - fast. and if you are told the only option is a hysterectomy, get another opinion. There are medications that can help and it sounds like your doc is not being very helpful.It sounds like breakthrough bleeding, but you need some help with surgery coming up!
   — koogy

May 24, 2005
Lorraine, I had a similiar problem a couple of years ago. I say get a second opinion. Let me tell you a little of my story. My husband was deployed overseas at the time and I did not know what was going on. LIke you my period became longer than a month. My mother finally talked some sense into my thick head and i went to the doctor about it. By this time my period had last 2 months. Which had never happened to me before. They tried the pills for about 4 weeks. I was at some point taking 3 pills a day. It did not stop, it slowed but did not stop. Birth control pills affected it some but when i would miss one it would start heavy all over again. On Dec. 6 i had blood work done. I was still working and my blood levels were low but not dangerously low. When i went back in the 17 of January i had lost half of the blood volume in the body. I am not saying this to scare anyone just the facts. It was found that i had grown some fibroids in a couple of months. They went in and removed them and i am fine now but it was very scary thing to go through so i feel for you. Ask questions and keep asking until you find some answers. You are the consumer and have that right. Never take anything for granted until you have a reason for what is happening. Just my story and my opinion. I wish you luck and hope everything works out for you. If you would like you can email me privately. I remember the worry like it was yesterday. Make sure that your surgeon knows all of this history when you see them next or make a special appointment to talk this over with them. Berta
   — nowahottie

May 25, 2005
Hi Lorraine, I read all the posts to your question and it sure seems common. My understanding of this type of bleeding and clotting has to do with fat cells and estrogen. The fat actually increases the estrogen in your body. So if you are overweight or obese you gotta lot of those estrogen makers kicking in. Something that has helped me is increased activity. There is something about moving more that helps regulate the estrogen and thus decreases the excess bleeding. I've had heavy bleeding with golfball size clots also. Just pad up good, the ones with wings on the bottom and a thick wingless pad on top of that and a tampon (super plus!) and take regular walks. They don't have to be fast walks and you don't have to run, just get active. Of course if you have anything that would contraindicate walking then maybe a stationary bike. Increased activity to battle those estrogen making fat cells helped me. Good luck!
   — lovey063

May 27, 2005
Hi Lorraine, If you have to change every 45 minutes then you should get in to see your doctor right away. This is not normal when off birth control, so when on birth control it is really abnormal and if your doctor is blowing you off when you tell him about this then I'd suggest getting a new doctor. There are plenty of doctors out there and we don't need to put up with one who won't listen to us. Good luck, Cathy
   — catleth

July 25, 2005
I stumbled across this site accidentally, but feel compelled to respond. Having a hysterectomy strictly due to excessive bleeding (generally the knee jerk medical response) when they haven't really done anything to stop the bleeding is like throwing away a car because it has an oil leak. It's treating the symptom without solving the problem. Despite prevailing medical opinion, the uterus serves other purposes than popping out kids and removing it creates a whole host of other problems, hormonally and otherwise. Doctors in this country seem to think of it as a first line answer to way too many problems. And any doctor who is told that A isn't working who tells you to just continue doing A isn't giving you the consideration you deserve. I would recommend you try the following tincture: Gaia Herbs Red Raspberry Leaf Gaia Herbs Yarrow Herbalist & Alchemist Shepherd's Purse 30 drops of each in hot water, as often as every 30 minutes to control heavy bleeding. It's been known to work wonders stopping female hemorrhaging. I would also strongly recommend Dr. Christiane Northrup, a female ob/gyn who has a non-patriarchal view of medicine. She has several books ("Women's Bodies, Women's Wisdom" is where I'd start.), a website (www.drnorthrup.com) and regularly does PBS broadcasts. She gives wonderful advice on all aspects of women's health, including obesity, menopause, nutrition, cancer, outlook and the relationship between all of them. (She also has a section on preparing for surgery that will speed up the recovery process.) And third, find a doctor who genuinely cares about what and how you're feeling. You're worth it. Also, have a complete hormone panel run. Great Smokies Diagnostic Labs (www.gsdl.com) runs a fairly comprehensive one and will work with your doctor, assuming you have one open minded enough. Even if one is going to have a hysterectomy, having this done beforehand will give you a baseline, crucial information for down the road healthwise. And sometimes the underlying cause of bleeding and other hormone-based issues will hit you right in the face.
   — R G.




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