Heavy menstrual flow, long periods, dark red blood clots, triggering anemia …… Patients with adenomyosis not only suffer from menstrual pain, but also often suffer from heavy menstrual flow, which can’t be prevented! So what are the causes of heavy menstrual flow in adenomyosis patients? Reason 1: Due to the role of adenomyosis lesions, the uterine muscles of adenomyosis patients tend to be thicker and more vascular, the endometrium on the surface of the muscles grows very vigorously, and the thickness of the endometrium and the size of the menstrual flow is directly proportional. The thicker the endometrium is, the larger the menstrual volume will be. Cause 2: There is usually another reason for heavy menstrual flow in adenomyosis. Because the uterus of adenomyosis patients is usually larger than normal, the larger the uterus, the larger the cavity area, and the larger the cavity area the larger the endometrial area, so this results in a very large amount of endometrium being shed during menstruation, and this results in a large amount of bleeding. Reason 3: The size of the menstrual flow and the contraction function of the uterus are also closely related. We all know that the blood vessels are in the muscles, and when the muscles contract, the blood vessels will close, so the better the contraction of the uterus is, the less the bleeding will be. However, the muscles of adenomyosis patients are abnormal muscles, and the diseased tissue has caused the contraction function of the muscles to become poor, and the blood vessels tend to be in an open state, so that the bleeding during menstruation is difficult to control. Of course, the causes of heavy menstruation in patients with adenomyosis are complex and often not due to any one cause. In some patients, the bleeding is so severe that the hemostatic drugs just can’t stop it, and they have no choice but to use a lot of hormonal medication to stop it, but hormones can’t be used for a long time, only for a while. So it is recommended that patients can also play contraction to enhance the contraction of the uterus, and then with some hemostatic drugs, so the effect will be much better. If it really doesn’t work, consider going to the hospital to scrape the uterus, which is artificially scraping off the lining, but this is invasive and frequent scraping is not advisable.