月经期间的血块：会有问题吗？

月经期间排出血凝块需要担心吗？

回答 Tatnai Burnett, M.D.

大多数情况下，月经期间排出较小的血凝块无需担心。经期出血的血量、时长和频率，每个月都不同，也因人而异。

但如果排出的血凝块比葡萄还大，请就医。较大的血凝块可能显示经血过多，或许是某种严重健康问题的体征。异常多的月经量可能连续多个小时、每小时都渗透一个卫生巾或卫生棉条。

医生或医护团队可以找出是否由健康问题所致。您可能需要验血，以确认是否出现贫血；贫血可能导致感觉虚弱或疲劳。可能还需要其他检查，例如骨盆超声检查。

有时会使用激素类药物控制经期大量出血的情况。其他一些药物也可能有所帮助。

With

Tatnai Burnett, M.D.

Menstrual cycle: Period problems. Office on Women's Health. https://www.womenshealth.gov/menstrual-cycle/period-problems#2. Accessed Feb. 10, 2023.
Borhart JC. Approach to the adult with vaginal bleeding in the emergency department. https://www.uptodate.com/contents/search. Accessed Feb. 10, 2023.
AskMayoExpert. Abnormal uterine bleeding: Premenopausal women. Mayo Clinic; 2022.
Signs and symptoms of bleeding disorders in women. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/blooddisorders/women/symptoms.html. Accessed Feb. 10, 2023.
FAQs: Heavy menstrual bleeding. American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/heavy-menstrual-bleeding. Accessed Feb. 14, 2023.
Your menstrual cycle. Office on Women's Health. https://www.womenshealth.gov/menstrual-cycle/your-menstrual-cycle. Accessed Feb. 14, 2023.

April 13, 2023