Fibroids causing painful menstrual period with clots. Please help.

Q. Fibroids causing painful menstrual period with clots. Please help.

Answered by
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 03, 2018 and last reviewed on: Oct 27, 2022

Hello doctor,

I am 38 years old. I have fibroids. The last time I went to the hospital, I had a blood transfusion. Both the legs were swollen due to lack of protein in the blood. I am on my menstrual period right now. My abdomen feels very heavy. And I cannot control the bleeding. I cannot user tampons because the pressure from clots pushes them out. I am in pain. I have been taking Tylenol two or three about every hour or two. I cannot stand up because clots come out uncontrollably. I am feeling weak.



Welcome to

I understand your concerns.

Fibroids may cause excessive bleeding. So, a strict management is required. If fertility is not required, hysterectomy (removal of the uterus) is an option. If fertility is required, myomectomy (removal of fibroids) is a good option. Before surgery, a medication is given for three months in order to decrease the size of the fibroids. The other treatment is Mirena which is an intrauterine device with drug release. It decreases bleeding greatly.

I suggest:

  1. CBC (complete blood count) to check hemoglobin level.
  2. Sonography pelvis.
  3. Tablet Tranexamic acid 500 three times a day for one week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.
  4. Mirena insertion.
  5. Consulting a gynecologist for a surgical option of either hysterectomy or myomectomy.

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