My period is really heavy with lots of clots?

Heavy Menses: Most often this will indicate that you are not ovulating regularly. But, it could indicate a problem pregnancy, uterine fibroid or endometrial polyp. A pregnancy test and transvaginal ultrasound by a gynecologically trained ultrasound techinician or physician can often provide insight. If the uterine lining is thickened, your physician may choose to do an endometrial biopsy.

Many treatments: Causes are: hormonal imbalance, or abnormal uterine anatomy such as polyp, fibroid, adenomyosis. 1st - check blood count. Heavy bleeding can cause anemia & needs treatment. 2nd- evalutaion. Depending on findings - treatment might be hormonal, meds such as Lysteda or anti-inflammatory (like ibuprofen), or outpatient procedure to remove polyp or ablation, or surgery (myomectomy/hysterectomy).