What causes heavy menstrual bleeding with clots?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

PCOS often leads to hormonal imbalances, causing irregular menstrual cycles and unpredictable heavy bleeding. The presence of tissue-like material during menstruation may indicate the shedding of the uterine lining, which can happen during heavy bleeding episodes. While small clots can be normal, passing large clots or tissue may be concerning. It is advisable to undergo an ultrasound (USG) to rule out conditions such as uterine fibroids, endometrial polyps, or other underlying issues.

If this is your first time experiencing such bleeding, you may wait for another cycle to observe any changes. PCOS often causes the uterine lining to build up without regular shedding, leading to irregular bleeding. Since you have started medication, your previous uterine lining is now shedding, which is likely causing heavy bleeding.

However, Metformin alone is not a complete solution for PCOS. To regulate your periods, you may also need oral contraceptive pills (OCPs). Take the OCP on the first or second day of your period, in the morning on an empty stomach. Continue for 21 days, stop until your next period (usually within seven days), and repeat. Continue this as long as you want regular cycles, but stop if you plan to conceive in the future.

Additionally, taking folic acid (5 mg) twice daily is recommended. PCOS can prevent follicle growth, and folic acid can help support their development. It is best to consult your doctor for personalized guidance and treatment adjustments based on your condition.

I hope this helps.

Thank you.