$Unique_ID{BRK00723} $Pretitle{} $Title{Concern About Aspirin for Menstrual Cramps} $Subject{clot menses aspirin medication medications genitourinary Blood aspirin thin reduce clots platelets clotting Menstrual Cramps menstruation} $Volume{R-7,J-7} $Log{ The Menstrual Cycle*0009101.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Concern About Aspirin for Menstrual Cramps ------------------------------------------------------------------------------ QUESTION: I am a woman in my late 30's and during the past several months, if I take aspirin for cramps before my period, on the second day of my period I flow very heavily and discharge large blood clots for approximately 2 hours. If I do not take aspirin, everything is normal. Do you see any need for concern about this condition? ------------------------------------------------------------------------------ ANSWER: It is an accepted principle in medicine, that when an undesirable situation can be linked to the presence of a specific medication, and when the problem disappears if the medication is discontinued, than the medication is the logical reason for the problem. There is no doubt in my mind that your excessive flow is directly the result of the presence of aspirin in your system. We use aspirin these days to "thin" the blood, and reduce the possibility of clots and the recurrence of strokes and heart attacks. The aspirin affects the function of the platelets in the blood, which in turn play a part in the clotting mechanism. It is clear that your increased flow may be a result of this action, and the formation of large clots may result from the increased quantity of blood you are losing. I think the course of action is clear. Stop taking aspirin before your monthly cycles, and use another analgesic for this purpose, if you find you need one. With the history you present, a check of your hemoglobin also seems in order, and your physician can advice you of safe medications for you to take. There are a number of other preparations to help with menstrual cramping. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.