Menstruation and pregnancy - #20012
What does it mean when you're on your menses and on the fourth day you experience severe abdominal cramps followed by a clot of blood that contains some tissue After that the bleeding continues and then it lasts for a day and then stops
100% Anonymous
completely confidential.
No sign-up needed.

Doctors’ responses
Before your menses were regular?? I would suggest once you get your u/s to get it done
U would suggest once to get your u/s to be done
Hi,
I would like to know since how many cycles you are facing this issue.
And please tell the number of sanitary napkins you are using per day.
Hello Nancy, The occurrence of severe abdominal cramps followed by a clot containing tissue during menstruation could indicate a disruption in the uterine lining or an imbalance in the reproductive system. To better understand your situation, could you provide more details about the regularity and flow of your menstrual cycle overall? Have you experienced similar symptoms in previous cycles, or is this a recent occurrence? Do you have a history of conditions like fibroids, endometriosis, or PCOS, or any significant family history of gynecological issues? Additionally, have you undergone any recent tests, such as an ultrasound or hormone level check, to evaluate your uterine health or hormone balance?
Experiencing severe cramps on the fourth day of your menstruation, followed by passing a clot containing tissue, could be concerning and might relate to a few different scenarios. In some cases, the presence of clot and tissue-like material may just be a part of the normal shedding of the uterine lining. However, in Ayurveda, such symptoms could also suggest a potential imbalance in the doshas - particularly Vata dosha, which governs movement in the body and can impact your menstrual cycle.
Digestive fire, or Agni, plays a critical role in metabolism, and its weakening can lead to the improper processing of substances in the body, sometimes leading to clots or tissue passage during menstruation. You might also consider whether there was unusual physical activity, stress, or a dietary change preceding this event, as these can influence menstrual health too.
If the bleeding stops after a day and doesn’t recur until your next cycle, it might suggest a passing episode, but consistent occurrences warrant further medical evaluation. It’s essential to keep track of any additional symptoms and seek emergency attention if you experience any severe pain, dizziness, or increased bleeding.
For a more personalized approach rooted in Ayurveda, you may consider incorporating practices aimed at balancing your Vata dosha. Warm, cooked meals that are easy to digest can be helpful. Favor grounding spices like ginger and keeping regular meal timings. A stress-reducing routine with yoga or meditation could support mental calm. However always prioritize safety; consulting a healthcare provider is advised to rule out conditions like miscarriage or other uterine concerns if this becomes a regular pattern or if you’re concerned.
Ensure hydration, rest adequately and observe your condition. If pregnancy is a possibility, and especially if abdominal pain persists or intensifies, please seek urgent medical advice. Ayurveda can support wellness, but direct medical attention may be required for diagnosis or intervention.

100% Anonymous
600+ certified Ayurvedic experts. No sign-up.
About our doctors
Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.