I got these chronically before I got on birth control (which I now take continuously so I don't menstruate at all). It was always during a particular time frame on my bleed week, during the 2nd day of bleeding, and it would be preceded by especially bad cramps. Sometimes I'd even have the urge to push or my vagina would spasm like it was having some kind of contraction trying to get it out.
I've heard severe clotting can be associated with endo and fibroids (but also doesn't have to be), but I've never gotten a satisfying explanation about why I got them, personally; my doctors have always just regarded them as part and parcel of my general menstrual symptoms (irregularity, heavy bleeding, terrible cramps that sometimes made me vomit) which is why I was recommended hormonal birth control.
Just so you know for the future, endometriosis can not be ruled out by an ultrasound. The only way to know if you have it is by laparoscopic surgery. If you continue to have bad cramps and heavy bleeding, please seek out an endo specialist, as most gyns do not know how to treat it properly.
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I've heard severe clotting can be associated with endo and fibroids (but also doesn't have to be), but I've never gotten a satisfying explanation about why I got them, personally; my doctors have always just regarded them as part and parcel of my general menstrual symptoms (irregularity, heavy bleeding, terrible cramps that sometimes made me vomit) which is why I was recommended hormonal birth control.
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https://vaginapagina.livejournal.com/tag/uterine-lining
The pain is quite understandable--you're essentially birthing a large solid lump of gunk.
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