Tuesday 27 May 2014

Menstrual taboos

Will the pickle really spoil if I touched it during menstruation?”“Akka, why do they tell us not to touch anyone, to sit in a separate room and eat from a separate plate when we get our period?Two thoughts play hide and seek in my mind as I try to answer these questions from young girls. One, that I should help them understand that these restrictions are not because they become impure or polluted during menstruation. Two, that I should never, ever, hurt their religious or cultural sentiments beacuse I have neither the knowledge nor the right to make that judgement. The latter makes it difficult to do the former, and so round and round I go in my explanations, at best being able to tell them that these practises have been in place for ages to ensure women get some rest during their period. And leave them with the thought that it is their personal choice to follow these or not.
It is not once or twice that I have come across these questions as an educator on menstrual hygiene for adolescent girls. It is every single time. After having addressed more than 6000 adolescent girls from rural backgrounds over the last 4 years, you’d think that I’d have tried to come up with better explanations by now! The wake up call to find right answers to these questions came when I recently read what a well known educator/organization working on this issue had to say about such questions – the answers were a rude dismissal of such practises calling it superstition and unscientific, having no place in today’s time.
My first thought was – With what right do we dismiss someone else’s belief when we neither know the origin of such practises, nor its significance in the practitioner’s family?
My second, more interesting thought was – What if there was indeed some ancient story of menstrual magic hidden in these rituals, which we would lose out on in our arrogance of rubbishing these questions? Surely, something as natural as menstruation could not always have been looked down upon?
The urge to be able to talk to girls and women, especially from rural backgrounds, in their own language and way of thinking and give them back the meaning of their rituals, started me on this journey.
Please note that I have no scientific way of proving the validity of following content and my intention in this exploration is to understand what might have been the original reasons behind the rituals and taboo on menstruation.
Understanding the power of Menstrual cycles
Today, while most women and young girls in India are being told that menstruation is an impure, inconvenient, sad fate to be put up with, the Western world has gone a step ahead and invented pills that would help women no longer menstruate! Unlike what is now thought by most people, menstruation was originally considered a highly sacred process, equipping women with strong powers which could be life-giving (hence worshipping women) or dangerous (hence secluding menstruating women). Herein lies the beauty and the contradiction. To understand how this came about, we need to know how menstrual cycles are linked to moon cycles, and what changes each phase in the cycle brings.
Menstruation and the moon
To someone hearing this for the first time (like me), it is strange to think that the moon could affect what goes on in my body! Did you know that the menstrual cycle and the lunar (moon cycle) are of 28 days and

all women apparantly menstruated at the same time as with the new moon in ancient days? Charting your menstrual period according to the moon is one of the oldest forms of menstrual calendars. In fact, it is believed that the first calendars were based upon women’s charts of their menstrual cycles and the moon cycles.
For those who want a scientific reason, here is what one study explains:
In the days before electricity and living exclusively indoors, women’s cycles were influenced by natural moonlight. The principle is guided by the theory that moonlight provided an important synchronizing signal (scientists call these “zeitgebers”) for menstrual cycles that is now lost in our modern environment. Clinical studies performed by researchers at Harvard University, the U.S. Air Force, and the University of California, San Diego Sleep Center have shown that women’s menstrual cycles can become more regular after the women were exposed to a certain dosage of artificial light while they slept. 
Significance of each phase in the cycle
A woman’s body goes through 4 stages in one menstrual cycle, just as we go through 4 seasons in a year. I found the explanation quiet fascinating and could actually relate to much of what I read, although I was never consciously aware of these changes in my body. (The information presented below is a combination of content I borrowed from different sources mentioned at the end of this blog.)
Week 1: Menstruation (Days 1-7) – Begins with the first day of bleeding (it should ideally be a new moon). Within hours of starting your period, your estrogen levels will slowly begin to rise and you will tend to feel a shift from the heaviness or ‘PMS’ of the days before. This is considered a process of cleansing and removal of all negative thoughts and emotions. Many women, including me, have noticed that on the first few days of our periods, we feel an urge to suddenly clean our homes and remove all the clutter from our closets- and our lives. Our natural biological cleansing is accompanied by a psychological cleansing as well.
This is the time when women feel the need to go inward and be silent and contemplative. The rituals around seclusion during menstruation were partly meant to serve this purpose.
Week 2: Pre-Ovulation (Days 7-14) – This is the phase soon after the period when most women feel at their energetic best. The steady increase in estrogen boosts your brain’s serotonin levels, which leads to an increase in energy, enthusiasm and a more upbeat feeling overall. This phase is considered ideal to kick off new projects or creative work.
Week 3: Ovulation (Days 14 – 21) – This is the phase of Ovulation, where women are apparantly more physically attractive than on other days, and are more attracted to others. This is the time in our cycle when we need to be connecting to people and relaxing in our outside world. It can also be a time of vulnerability, and it is important that we keep ourselves grounded and be mindful about our actions.
Week 4: Pre-menstruation (Days 21 – 28) – On the other side of ovulation, you’ll feel the effects of decreasing estrogen and testosterone and increasing progesterone. Progesterone is the ‘ebb’ to estrogen’s ‘flow’. It will increase your desire to move inward, like the waning moon. Research shows greater activity in the right hemisphere of the brain – the part associated with intuitive knowing – in weeks 3 and 4 of your cycle. Always trust your intuition. But pay especially close attention to it in the second half of your cycle!
Alternative explanation for Pre-Menstrual Syndrome (PMS)
A number of girls and women suffer from aches, pains and mood fluctuations just before their period. Here are some fascinating explanations for this mentioned in different websites
The Pre-Menstrual phase (week 4) consists of the final days before you begin a new cycle. Progesterone continues to rise until just before the end of this phase when estrogen, testosterone and progesterone all plummet to their lowest levels. If you deny the natural need you have to slow down and turn inward, feelings of resentment, frustration and anger find a way to surface. 
The crankiness, impatience or annoyance so infamously called Premenstrual Syndrome, that we may experience in the last two weeks of our cycle, is really more about the feelings you have because you are not flowing with what you body really wants you to do – that is slow down, withdraw from the busyness of the outside world and look after yourself, not everybody else. 
“The premenstrual phase is therefore a time when we have greater access to our magic—our ability to recognize and transform the more difficult and painful areas of our lives. Premenstrually, we are quite naturally more in tune with what is most meaningful in our lives. We’re more apt to cry—but our tears are always related to something that holds meaning for us. Years of personal and clinical experience have taught me that the painful or uncomfortable issues that arise premenstrually are always real and must be 
So next time, instead of dismissing the depressive or disturbing thoughts that occur to us during the pre-menstrual days, an effort to understand it and address the reason would be much more helpful. Women have all the natural magical tools to deal with life – if only we were more aware of it!
The significance of rituals
I was quite surprised to read that the rituals around menstruation have been the same across the globe, be it Native America, Europe, Africa, Australia or Asia. The same practises of seclusion during menstruation, similar taboos related to touching food, not entering religious place, etc have been documented world over. Perhaps, it is only in parts of Asia such as India, where we still see many women who follow the rituals even now, and therefore most of us wrongly conclude that it is only in developing countries like India that such “superstitions” still exist. I have tried to read up and gather information from as many different sources as possible, to throw light upon how the rituals might have come into being. Here are a few rituals, taboos and thoughts around menstruation I was able to decode to some extent
“Menstruating women have to remain in seclusion until the period is over”
Often, the reason given in today’s time is that menstruating women are impure, unclean or dirty and hence need to be kept aside. In the book Blood, Bread and Roses, by Judy Grahn, she offers fascinating explanations for this..
Menstruating women were considered to be having special powers during menstruation, which if not used properly could cause harm to others. In addition, practical reasons of predatory animals smelling the blood in ancient times and coming for the kill, would have led to these women being kept in separate huts to protect the community. Since most ancestral women menstruated at the same time with the new moon, the seclusion huts (also called moon huts) were filled with women with special powers who together performed sacred rituals for the good of the community. Women who came out of the seclusion hut were revered for their visions and wisdom gained during this time, and often guided the community as to where to go for hunting, etc.
This in fact led to men coming up with similar rituals for adolescent boys, so that they do not feel left out. Thus emerged the ancient rituals (still practiced among some tribals) of young boys beating themselves and cutting their skin so that it bleeds resembling menstruation, and stinging themselves with bees and ants to drive themselves into a hallucination, to resemble the visions women had during menstruation. Poor boys!
“Menstrual blood is impure, bad blood”
All blood, even that in men, has originated from menstrual blood. Menstrual blood in ancient times was considered highly powerful and potent. It was used in many rituals and especially in making magic potions. Even today, any thing that is red in color used in ceremonies is apparently indicative of the ancient ritual of using menstrual blood. One study said that the red mark on the forehead of Hindu women was originally menstrual blood. Similarly, the symbol of Blood of Christ in Christianity is also indicative of menstrual blood. It is also said that the color red which is widely used in women’s lipstick and other cosmetics today, indicative of seduction and power, had its origin in menstrual blood used by our ancestors to make themselves more attractive.
“Menstruating women should not enter temples or participate in religious ceremonies”
This is one taboo which perhaps hurts the sentiments of most religious women and young girls. The thought keeps cropping up – “Am I so dirty during my period that even God would want me to stay away?”
Unfortunately, no one, including the elite women who practice this, had thus far been able to give me any explanation for this restriction, which was not negative. After much digging and research, I have found few explanations which are actually meant to protect women, rather than distance them.
It is believed that during menstruation, women are constantly dissipating energy from their bodies. Most religious chants are meant to balance out the energies in our body. However, this would interfere with the natural losing of energy that must happen in menstruating women to prevent excessive energy build-up. Hence, menstruating women are told to keep away during such occasions, so that their natural processes are not tampered with.
The other reason I came across was that menstruating women become open to receiving and absorbing energy during this time. This means, they can easily absorb other’s energies, including negative energies. Hence, they are asked to stay away from crowds and gatherings.
Another document said that menstruating women are so powerful, that their offering to God drowns out the offerings of everyone else present in the room. Hence, they are told to stay away from places of worship during menstruation.
These explanations might also be valid for the taboos around touching others and touching certain types of food during menstruation, since touching involves transfer of energy.
Gifting the stories to the next generation
As someone who has taken the responsibility of educating young girls on menstruation, I take it upon myself to share these explanations of the rituals and taboos with them, so that they can appreciate the spirit behind the ancient wisdom, whether or not they chose to follow it.
But even otherwise, I think there are important messages in these ancient traditions for all of us. These traditions have their roots at a time were women were worshiped and considered as beings capable of divinity; where the wisdom of women was relied upon by the whole community. Today, when we talk of increasing crimes on women, we often talk and think in terms of feminism or the newer concept of gender equality. But, let us not forget that we are largely a religious country and majority of us do not speak the elite language of feminism and gender equality. Perhaps, it will be these stories that would plant a seed of change in men and women about their attitudes and treatment of women.
Lastly, following any of the above rituals or practices is a personal choice. There is a tendency to dismiss these rituals as superstitions without investigating enough the knowledge or wisdom behind these practices. As educators, we have the responsibility to make an extra effort to understand the knowledge behind these rituals and the way they were conceived. Let us act responsibly about what we tell the next generation.
- Sinu Joseph
P.S. My exploration on this front will be an ongoing one. I request you to please share with me any such positive stories or explanations around menstruation that you have heard, and help me connect with people who might know more about such stories.

Menstrual taboos exist in most cultures (most cultures view menstrual blood as potentially dangerous & place restrictions around it). In the past, Western (male) anthropologists held that such taboos existed because menstrual blood was seen as polluted and unclean. More recently, some female anthropologists have questioned this assumption. They argue that some cultures have menstrual prohibitions not because menstrual blood is seen as dirty but because it is seen as sacred and powerful.
 In Polynesian cultures, for instance, menstrual blood is seen as “taboo” which means that it is seen as sacred, special, powerful, set apart. Things that are “taboo” have special restrictions placed on them because they are seen as powerful and potentially harmful (warriors who have killed in a battle, for instance, are also “taboo” for a while after they return home).
 Regardless of whether a culture considers menstrual blood polluted or powerful/sacred,what surprises me is that menstrual blood is always seen as dangerous. Polyesian cultures have taboos on what women can do while menstruating – a menstruating woman cannot go to fishing areas (for instance) because then no fish will be caught. She also can’t go into the garden because then the vegetables won’t grow. If menstrual blood is seen as sacred and powerful, why can’t its power be viewed as beneficial to society (rather than as dangerous and primarily harmful to society, like the power of witchcraft)?
 I think the reason behind this is that a lot of cultures fear powerful women – a powerful woman cannot be trusted. This fear of powerful women is present in European society as well: historically, mainly women were accused of witchcraft & killed, and women who worked medicinally with plants were quickly viewed with suspicion as ‘witches’. The idea that women have this dangerous ‘witchy’ power over men continues today. A beautiful woman is called ‘glamorous’, ‘enchanting’, ‘bewitching’ and ‘spellbinding’ (a ‘glamour’ was originally a spell cast on a man to make him believe that a woman was more attractive than she really was).
In Western society, menstruation was never viewed as powerful (only as polluted), however had it been considered powerful I think that our society would have feared it & labelled it as dangerous just like most other cultures around the world.
 It seems to me that almost all cultures view menstruation as dangerous in some way (even in the cultures that also view menstrual blood as sacred/special). I would love to hear of a culture that told women “come to our fishing areas when you are menstruating, to bring us good luck!” I vaguely remember reading somewhere of a culture where menstrual blood was seen as a positive ‘lucky’ force, so I think that such cultures exist although they are in the minority.
I know that some menstrual restrictions exist because of the idea that the powerful force of menstrual blood clashes badly with other sorts of powerful forces… but what I don’t understand is why can’t the power of menstrual blood be seen as primarily neutral or beneficial to societies around the world, rather than as primarily destructive?


What Causes Amenorrhea?

What Is Amenorrhea?
Amenorrhea is the term for a woman missing a monthly menstrual period. Not having a period during pregnancy or after menopause is normal. But missing periods at any other time can be a symptom of a medical issue.
There are two types of amenorrhea. Primary amenorrhea is when a woman doesn't begin her menstrual cycle by age 16.Secondary amenorrhea is when a woman misses her monthly period for three consecutive months after having normal cycles for the previous nine months. Secondary amenorrhea is more common.
What Causes Amenorrhea?
Amenorrhea has many potential causes. For primary amenorrhea, a common cause is a structural problem with the sex organs, such as underdeveloped or malfunctioning ovaries. Another common cause can be a problem with the pituitary gland, which produces a hormone necessary for menstruation. Anorexia nervosa, malnutrition, or over-exercising may also cause secondary amenorrhea. Tumors and illnesses like cystic fibrosis are other possible causes.
Pregnancy, breast-feeding, and menopause can cause secondary amenorrhea. Starting, stopping, or changing birth control can also affect menstruation.
In young women, common causes of secondary amenorrhea are over-exercising and extreme physical training. Having a poor diet, or not consuming enough calories, is another cause.
Other causes of secondary amenorrhea are:
•          Stress
•          Hormone imbalance
•          Extreme weight loss
•          Drugs or certain medications
•          Depression or ongoing illness
•          Obesity
•          Surgery of the uterus
•          Removal of the ovaries or uterus
Secondary amenorrhea can also be caused by uterine cancer, ovarian tumors, or thyroid or other gland issues.
Diagnosing Amenorrhea
Missing a period can be a sign of a serious health condition. You should see your doctor if you’ve missed three periods in a row or are 16 years of age and haven’t yet started menstruating.
Your doctor will first need to rule out pregnancy, menopause, or another normal change. He or she will ask you to describe your symptoms and medical history. You will have a pelvic exam. Urine and blood tests are also possible. Be sure to tell your doctor about your regular cycle, including when your last period was and how long they generally last. This will help your doctor make an accurate diagnosis.
Your doctor will also want to know about medication and drug use, including birth control. It is important to discuss changes to your diet or exercise routine, and any emotional challenges in your life.
Treating Amenorrhea
Treatment depends on the cause. For obesity-related amenorrhea, a weight-loss program is usually suggested. For amenorrhea caused by extreme weight loss or exercising, your doctor will recommend weight gain or less exercise. Emotional care can help with depression, stress, or issues related to extreme exercise or dieting, such as anorexia nervosa. Hormone and gland-related issues can be treated with prescription medication or other specific treatment plans. Surgery may be needed if amenorrhea is caused by structural issues or tumors.
For primary amenorrhea, certain medications, herbs, or alternative therapies can help stimulate menstruation. Your doctor will tell you about appropriate options.
Amenorrhea Prognosis
Amenorrhea is usually treatable, depending on the underlying issue. While missing a period may not seem like a health crisis, stopping menstruation carries some health risks. The main risk is loss of bone density. This can lead to fractures. Untreated amenorrhea can lead to osteoporosis later in life. Amenorrhea can also make getting pregnant difficult.
Preventing Amenorrhea
To prevent amenorrhea, attempt to maintain a normal weight, exercise regularly, learn to manage stress, and live a healthy life. Make a habit of getting regular pelvic exams, including a Pap smear. Talk to your doctor about any concerns you have about your menstrual cycle.
•          Amenorrhea refers to the absence of menstrual periods; it may be either primary (meaning a woman never developed menstrual periods) or secondary (absence of menstrual periods in a woman who was previously menstruating).
•          Genetic or inborn conditions are the most common causes of primary amenorrhea.
•          Amenorrhea may result from disorders of the ovaries, pituitary gland, or hypothalamus.
•          Intensive exercising, extreme weight loss, physical illness, and stresscan all result in amenorrhea.
•          Amenorrhea is a symptom and not a disease in itself, so amenorrhea can be prevented only to the extent that the underlying cause can be prevented.
•          Infertility and bone loss (osteoporosis) are complications of amenorrhea.
•          Treatments may include surgical correction of anatomical abnormalities, medications or hormone therapies, and treatment of any underlying conditions responsible for amenorrhea.
•          The outlook for amenorrhea varies according to the cause of the amenorrhea.
Amenorrhea is the medical term for the absence of menstrual periods, either on a permanent or temporary basis. Amenorrhea can be classified as primary or secondary. In primary amenorrhea, menstrual periods have never begun (by age 16), whereas secondary amenorrhea is defined as the absence of menstrual periods for three consecutive cycles or a time period of more than six months in a woman who was previously menstruating.
The menstrual cycle can be influenced by many internal factors such as transient changes in hormonal levels, stress, and illness, as well as external or environmental factors. Missing one menstrual period is rarely a sign of a serious problem or an underlying medical condition, but amenorrhea of longer duration may signal the presence of a disease or chronic condition.
Amenorrhea is the absence of menstruation. Menstruation is a woman's monthly period.
Primary amenorrhea is when a girl has not yet started her monthly periods, and she:
•          Has gone through other normal changes that occur during puberty
•          Is older than 15
Causes
Most girls begin menstruating between ages 9 and 18, with an average of around 12 years old. Primary amenorrhea typically occurs when a girl is older than 15, if she has gone through other normal changes that occur during puberty. Primary amenorrhea may occur with or without other signs of puberty.
Being born with poorly formed genital or pelvic organs can lead to primary amenorrhea. Some of these defects include:
•          Blockages or narrowing of the cervix
•          Imperforate hymen
•          Missing uterus or vagina
•          Vaginal septum
Hormones play a big role in a woman's menstrual cycle. Hormone problems can occur when:
•          Changes occur to the parts of the brain where hormones that help manage the menstrual cycle are produced
•          The ovaries are not working correctly
Either of these problems may be due to:
•          Anorexia
•          Chronic or long-term illnesses, such as cystic fibrosis or heart disease
•          Genetic defects or disorders
•          Infections that occur in the womb or after birth
•          Other birth defects
•          Poor nutrition
•          Tumors
In many cases, the cause of primary amenorrhea is not known.
Symptoms
A female with amenorrhea will have no menstrual flow with or without other signs of puberty.
Exams and Tests
The doctor will perform a physical exam and ask questions about your medical history. A pregnancy test will be done.
Blood tests may include:
•          Estradiol
•          FSH
•          LH
•          Prolactin
•          TSH
•          T3 and T4
Other tests that may be done include:
•          17 hydroxyprogesterone
•          Chromosome analysis
•          Head CT scan
•          Head MRI scan
•          Pelvic ultrasound
•          Serum progresterone
Treatment
Treatment depends on the cause of the missing period. Primary amenorrhea caused by birth defects may require medications (hormones), surgery, or both.
If the amenorrhea is caused by a tumor in the brain (pituitary tumor):
•          Medications may shrink certain types of tumors.
•          Surgery to remove the tumor may also be needed.
•          Radiation therapy is usually only performed when other treatments have not worked.
If the condition is caused by a body-wide (systemic) disease, treatment of the disease may allow menstruation to begin.
If the amenorrhea is due to anorexia or too much exercise, periods will often begin when the weight returns to normal or the exercise level is decreased.
If the amenorrhea cannot be corrected, medicines can sometimes create a menstrual-like situation (pseudomenstruation). Medicines can help the woman feel more like her friends and family, and protect the bones from becoming too thin (osteoporosis).
Outlook (Prognosis)
The outlook depends on the cause of the amenorrhea and whether it can be corrected with treatment or lifestyle changes.
Periods are unlikely to start on their own if the amenorrhea was caused by one of the following conditions:
•          Congenital defects of the upper genital system
•          Craniopharyngioma
•          Cystic fibrosis
•          Genetic disorders
You may have emotional distress because you feel different from friends or family, or worry that you might not be able to have children.
When to Contact a Medical Professional
Call your health care provider if your daughter is older than 15 and has not yet begun menstruating, or if she is 14 and shows no other signs of puberty.
Alternative Names

Primary amenorrhea; No periods - primary; Absent periods - primary; Absent menses - primary; Absence of periods - primary

characteristic features of a complete menstrual blood

If your menstrual blood varies in color and consistency throughout your monthly period, it's likely that it's perfectly normal. There are times, though, when changes in color, thickness, or clotting may indicate a problem.
You might feel embarrassed asking your health care provider about menstrual blood problems, but it is important.
What happens during a menstrual period, and how long does it last?
During your menstrual cycle, the lining of your uterus thickens to get ready for pregnancy. Then, during your period, your body sheds the uterus lining along with blood. The amount of blood and fluid lost is usually between 4 and 12 teaspoons each cycle.
The average menstrual cycle lasts 28 days. For some women, though, cycles can be as short as 21 days. For others, they can be as long as 35 days.
A normal period lasts between two and seven days. The average length of time for a period is three to five days.
Are clots and thicker menstrual blood unusual during a period?
Many women have clots in their menstrual blood from time to time. The clots may be bright red or dark in color. Often, these clots are shed on the heaviest days of bleeding. The presence of multiple clots in your flow may make your menstrual blood seem thick or denser than usual.
Your body typically releases anticoagulants to keep menstrual blood from clotting as it's being released. But when your period is heavy and blood is being rapidly expelled, there's not enough time for anticoagulants to work. That enables clots to form.
If you have excessive clotting or clots larger than a quarter, you should see your health care provider to rule out any conditions that might be causing an abnormal period.
Are darker colors and thicker flows normal in menstrual blood?
Sometimes you may notice that your menstrual blood becomes dark brown or almost black as you near the end of your period. This is a normal color change. It happens when the blood is older and not being expelled from the body quickly.
Temporary thick, heavy flow isn't necessarily cause for concern. However, regular heavy periods justify a trip to the doctor to check your blood counts. Many women become accustomed to heavy periods, considering them to be normal. Over time, though, the excess monthly blood loss leads to anemia, potentially causing weakness or fatigue. If you ever feel something's not right with your period, see your health care provider.
What causes menstrual blood problems?
Changes in the color and thickness of menstrual blood are often normal. But there are a number of problems that might cause abnormal clots to form in your menstrual blood or lead to the changes in color or thickness during your period. Remember, it's important to discuss any concerns you have with your doctor. Problems that can cause changes include:
Miscarriage. Women who have miscarried may pass blood clots or gray clumps of tissue from the vagina. If there is a chance you are pregnant, be sure to check with your doctor immediately if you notice excessive bleeding or clotting.
Fibroids. Uterine fibroids are also called leiomyomas. These are noncancerous tumors that form in the uterus. Fibroids do not always cause symptoms.  In fact, increasing research information suggests that most women with small "fibroid" tumors have no symptoms at all. But women with fibroids may notice greater than usual amounts of menstrual blood. If you have fibroids, you may have more clots in your period than you had in the past.
Hormonal changes. Your body relies on a delicate balance of progesterone and estrogen. These hormones regulate the production and shedding of the uterine lining. When this balance is disturbed, it can lead to the development of an excessively thick uterine lining. This thickness can contribute to more bleeding than usual. It can also cause clots in the menstrual blood when the lining is shed.
Hormone changes may occur for many reasons, including:
Menopause
Recent dramatic weight change
Side effects from some medications, including steroids
Large uterus. If your uterus has been stretched during pregnancy and does not return to its original size, it may be permanently enlarged. With an enlarged uterus, menstrual blood may have time to collect and clot before it's released from the body. This could also result in a dark color or thickening of your menstrual flow.
Obstruction of menstrual blood. Anything that hinders or blocks the flow of menstrual blood from the uterus through the cervix and out of the vagina may lead to problems with clots, color, or thickness of menstrual blood. Benign polyps in the uterus may change the flow of blood during your period. The flow can also be slowed around the time of menopause when the cervical canal may become smaller as estrogen levels drop.
Adenomyosis or endometriosis. These related conditions occur when the tissue that forms the uterine lining is found in the wrong place. In endometriosis, this tissue develops outside of the uterus. In adenomyosis it grows in the muscle that makes up the uterine walls. Both of these conditions can lead to abnormal periods and heavy flow. This can increase the likelihood of menstrual blood problems such as clotting or thickness.

While the topic lies pretty firmly in the too much information category, many, many women wonder about menstrual blood color and texture. It's something that comes out of you that you can't really ignore, so it's only natural to wonder when it changes in some way, shape, or form. The Net is flooded with questions like, "What does dark period blood mean?" "What do lots of clots in your period blood mean?" and "What does bright red blood mean during your period?" to prove it. Sadly, anyone searching any or all of the above will be met with pages and pages of forum results, not answers. This article will do its best to provide answers through personal experience as a woman with irregular periods, an interview with licensed mid-wife Linda Deuce of Alaska, and online research.
Period blood color:
Bright red blood: When blood is bright red it means it was produced by the body recently. During a period this just means what's being shed was just released in to the uterus. You may see more bright red blood if you have a lighter flow, or frequent periods.
Dark blood: Dark blood is essentially older blood. This means it's been stored in the uterus longer and had more time to break down. Many women notice more dark, red blood when they first wake in the morning.
Brown or Black: This is simply rather old blood; most women notice it at the tail end of their period. It usually isn't that heavy. This may have been blood that was stuck in folds of the uterine wall, or if you have infrequent periods, was just the first to enter so long ago.
Orange: Sometimes when bright, red blood mixes with cervical fluid it can appear an almost orange color with red flecks. Bright orange period blood can also be a sign of infection, however, so if you see it frequently, or it doesn't also have a slippery consistency, see your doctor.
Period blood textures:
Heavily clots: Heavy clotting is usually prescribed to heavy periods. As blood is expelled the body releases anticoagulants to keep it from clotting, but if your period is heavy, sometimes the blood flow and speed doesn't give them time to work, and clots are the result. Clots can occur in any color of blood, though they are more commonly dark in color. This makes sense, because when you're expelling older blood it has had time to build up a lining in the uterus as it should, naturally a buildup of blood would create a heavier flow than fresh blood which would be bright red in color. Frequent heavy clotting or clots larger than the size of a quarter can be a sign of a more serious problem, and should be evaluated by your doctor.
Slippery and jelly-like: Menstrual blood that seems almost slippery with a jelly-like texture is simply mixed with high levels of cervical mucus. Cervical mucus is always present in the vagina, even during menstruation, if your flow is light, it may be sufficient to alter the appearance of blood texture. You may also notice this after a bowel movement when more mucus is pushed from the cervix.
Thin: Thin blood is being properly preventing from clotting. It is often bright red in color, and accompanies a light to moderate flow. Fresh blood will appear thinner, as will blood that is light enough that it's mixing with cervical fluid.
Tissue: If there is what appears to be actual tissue within your period blood it is possible you suffered an early miscarriage, you should seek medical attention.
Keep in mind, that in most cases, changes in menstrual blood color or texture are entirely irrelevant, and don't suggest any health problem.
Menstruation is a normal part of women's lives and involves a periodic or cyclical shedding of their endometrium (the lining of the uterus). Because of its nature, it is usually referred to as a menstrual period, or simply a period, which starts around the time of sexual maturity (puberty) and ends at the end of a woman's reproductive life (menopause).
A woman's period blood colors and textures may vary during various stages of life and during times when certain conditions may interfere with the normal cycle. Here is a discussion of normal and abnormal conditions, which may affect the characteristics of one's periods.
What is a normal period?
A menstrual period usually occurs when a woman does not become pregnant. The uterus is lined with endometrial tissue that thickens under the influence of hormones, to get ready for possible pregnancy. This lining, which is rich with blood, is shed periodically (approximately every 28 days) when there is no pregnancy, and this may last for two to seven days. The length of a normal menstrual cycle may range from 21 to 35 days, and the duration of a period is usually 3-5 days. A woman may lose as little as 4 teaspoons or as much as 12 teaspoons of blood per period.
It is normal for the period blood colors and textures to vary from bright red to brown or somewhat black and from thin to very thick. These changes may be a sign that the blood has been in the uterus for some time and has not been removed quickly. This may be a normal occurrence, which should not be a cause of concern.
Some women however, feel that something may be going on, and want to know the possible reasons in the changes from their usual menstruation.
Different period blood colors
Bright red: Bright red menstrual blood signifies that the blood was recently shed and released from the body. This type of blood flow is usually light and one may be having frequent periods.
Dark red: Dark red blood is usually "older blood". This may have been stored in your uterus for a while and has taken a longer time to be shed. Many women shed blood that is dark red upon waking up.
Brown/Black: This is also old blood. Most women see dark brown or black blood towards the end of the period, and the blood flow is not that heavy. It may also be blood that stayed in the uterine folds, or in women whose periods are infrequent, it may be blood that was initially there before being released much later.
Orange: Bright red menstrual blood that mixes with fluids from the cervix can appear orange with red streaks. Bright orange blood may be associated with infection, so if you suspect this, it is best to consult a doctor.
Different period blood textures
Heavy clots: Blood clotting is a sign of heavy periods. When there is heavy bleeding the body produces anticoagulants to prevent blood clotting, but during heavy periods, this mechanism does not get enough time to do its work, resulting in the formation of clots. These blood clots may appear in any color of blood but are usually associated with dark blood. This is because older blood that builds up in the uterine walls creates a heavy flow. If this occurs frequently, one must suspect a serious problem that should be evaluated by a healthcare provider.
Slippery, jelly-like: Slippery blood that is jelly-like may be blood that is mixed with mucus from the cervix. Cervical mucus is normally present in your vagina, and when mixed with menstrual flow that is light, it may give a slippery gel-like texture. This can also occur with bowel movements when cervical mucus flows from the vagina.
Thin: Menstrual blood that is thin is prevented from clotting. Usually bright red, it is usually associated with light or moderate blood flow and appears thinner and sometimes mixed with mucus from the cervix.
Tissue: The appearance of endometrial tissue in your blood may be a sign of miscarriage, or abortion, for which you must immediately seek a doctor's attention.
In most cases, changes in period blood colors and textures are normal and not a cause for worry. There are a few cases, however, when one may suspect an abnormality, which needs further investigation.
What causes abnormal period blood colors and textures?
Color and texture changes in menstrual blood may be caused by some problems, which should be discussed with a doctor:
Miscarriage: Passing of large amounts of blood clots or clumps of grey tissue may be a sign that a woman is having a miscarriage. If it is possible that you may be pregnant, see a doctor immediately when you experience heavy bleeding or passing clots or tissue.
Uterine Fibroids: Fibroids or leiomyomas are benign tumors (not cancerous) that develop within the uterus. They are not always associated with symptoms, except that some women may notice they are passing more menstrual blood than usual. They may also have more blood clots during their period than they did before.
Hormonal irregularities: Estrogen and progesterone are hormones that regulate the periodic shedding of the endometrium (uterine lining). When there is a disturbance in the balance between these hormones, the uterine lining may become excessively thickened, which can contribute to heavier bleeding than normal. This can also lead to the development of clots during one's period.
   Hormonal changes occur for various reasons, including:
Sudden, significant weight changes
Drug side effects
Enlarged uterus
Obstruction to blood flow.
Abnormal growth of uterine tissue (endometriosis/adenomyosis)
Menopause
When to see a doctor
Changes in period blood colors and textures are not commonly serious. However, sometimes it can lead to a loss of a significant amount of blood over time, without being noticed because it occurs slowly. It is advisable to see your doctor if you experience:
Easy fatigue after normal activity
Frequent dizziness
Pale ashen skin
Pale fingernails
Irregular periods
These may be signs of anemia, which can be confirmed with a blood test. Iron supplements may be prescribed to improve this condition.