How can I tell if my menstrual blood loss is abnormally heavy?
A noticeable increase in blood flow during menstruation, or bleeding between periods (inter-menstrual bleeding IMB), is abnormal and should be reported to your doctor. Periods lasting more than 7 days or occurring more frequently than every 21 days are abnormal.
It is difficult for a woman to quantify her own loss. An increase in the requirements for sanitary wear indicates a change in pattern. Blood clots or flooding are indications of heavy
menstrual period loss. Normally the blood lost from the vessels in the lining of the womb forms small clots and this tends to reduce the flow. The small blood clots within the uterus are broken down by chemicals called fibrinolysins and the normal menstrual loss should be a fluid. When the bleeding is heavy, the blood is extruded too quickly for it to clot within the uterus. In this situation, the blood clots in the vagina and the menstrual flow includes blood clots. Whilst menstruation is inevitably an inconvenience, it should not result in limitation of social activity.
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