Which one of the following statements is incorrect about menstruation?
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At menopause in the female, there is especially abrupt increase in gonadotropic hormones.
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The beginning of the cycle of menstruation is called as menarche.
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During normal menstruation about 40 ml blood is lost.
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The menstrual fluid can easily clot.
All the statements above are correct except the last one. Menstrual blood normally does not clots and flows through cervix and vagina along with inner lining of uterus. But it may clot also especially if there is blockage in cervix and free flow is obstructed. The menstrual blood contains not only blood but also tissue from the lining of the uterus. Clots are a natural way of controlling bleeding. Scientifically, it is a complicated and involved process that leads to fibrin being formed into a matrix.
On the exposed parts of body like scraped knee, this mechanism leads to scab formation. But inside the uterus, the process results in a clot. Because blood in the uterus is mixed with many other cells and endometrial tissue, there is a difference between this clot and those seen on the skin. Whenever blood pools or is retained inside the uterus it is likely to clot. When menstrual blood and cells pass immediately outside the body, clots are less likely. As a general rule, the redder the blood is, the faster it has reached the outside. The blacker it is, the longer it took to exit the body. If the blood is accumulating faster than the body's ability to transfer it out of the uterus, clots are the result. Many women routinely have some clotting during menses. Factors that determine whether clots will occur include: the size of the uterus, the ability of the uterine myometrium (muscle) to contract, fibroids, adenomyosis, the diameter of the cervical canal through which the blood must flow, any obstruction to the outflow of menstrual products such as polyps, adhesions, etc.