Most often, passing small blood clots during your period isn't a cause for concern. The amount, length and frequency of menstrual bleeding vary from month to month and from person to person. But if you pass large blood clots that are bigger than a grape, seek medical care.
Polyps and Fibroids
Uterine polyps that grow on the cervix or in the lining of the uterus can also be a factor in heavy clotting. If you're experiencing heavy bleeding, large blood clots during your period or lower back pain, it could be a uterine obstruction like a fibroid.
If you need to change your tampon or pad after less than 2 hours or you pass clots the size of a quarter or larger, that is heavy bleeding. If you have this type of bleeding, you should see a doctor. Untreated heavy or prolonged bleeding can stop you from living your life to the fullest. It also can cause anemia.
Menstrual clots resemble pieces of mashed-up red fruit. They can be bright red or burgundy and may vary in size. They are usually mixed with liquid blood. The longer the blood stays inside the uterus, the darker it is in color, and the likelier it is to form clots.
What Do Blood Clots Look Like With Endometriosis? Endometriosis blood clots may appear as dark or bright red clumps or blobs in menstrual flow. The clots can vary in size and texture, ranging from small and grainy to larger and more jelly-like in consistency.
If an ovarian cyst ruptures, it can cause bleeding and blood clots. Ovarian cysts can also cause irregular periods and heavy, painful menstruation. Other hormonal imbalances: Hypothyroidism, perimenopause, and menopause can all cause fluctuations in your menstrual cycle and result in clots.
Most menstrual blood clots are normal. At the beginning and the end of your cycle, they may appear bright red. Because your flow is moving quickly, the blood does not have time to darken. You may also see dark red or maroon clots during the first few days of your period when your flow is the heaviest.
Size Matters
Some clots, however, should be considered red flags. A large clot, about the size of a golf ball, is a cause for concern and should send you to your doctor immediately for a checkup.
If you notice on heavy days of your period that blood seems extra-thick, and can sometimes form a jelly-like glob, these are menstrual clots, a mix of blood and tissue released from your uterus during your period. They can vary in size and color, and usually, they are nothing to worry about.
The link between iron levels and blood clots appears to be dependent on factor VIII – a blood protein which promotes normal clotting. High levels of factor VIII in the blood are also a strong risk factor for blood clots, and low iron levels were strongly associated with higher levels of factor VIII.
These clots are usually small, dark-red, and about the size of a quarter or smaller. They may be accompanied by tissue that appears grayish-white. However, if you regularly experience blood clots that are large in size, bright red in color, or accompanied by severe pain, you should speak to your doctor.
Effect of Stress on Blood Vessels
But anxiety can also increase blood pressure, putting additional stress on the blood vessel walls, making them stiffer and decreasing the amount of blood that flows through the body. Combined these forces can lead to serious blood clots that can cause blockages in the heart and lungs.
Passing blood clots or a sudden gush of blood when you're not on your period is common among people with a menstrual cycle. They can be caused by hormonal changes from menopause or polycystic ovary syndrome (PCOS), uterine growths, or thyroid issues.
I do not recommend tampons at all unless a serious case is present. An example would be if you have blood clots or need to hold blood inside while heading to the doctors. Otherwise, I would suggest using a pad and only using a pad during your menstrual cycle.
Endometriosis can cause a person to have heavy menstrual bleeding. One of the symptoms of heavy bleeding is large menstrual clots. However, heavy bleeding and menstrual clots can also be a symptom of a similar condition called adenomyosis.
Some women feel like blood is just “gushing out” of them, or they might find the sensation very unpleasant. Some feel most comfortable if they stay at home on particularly heavy days.
PCOS can also cause heavy, fast-flowing periods, and sometimes, they come with large blood clots.
A cyst may cause a sense of fullness with or without swelling in the lower abdomen. There can be a steady, dull pelvic pain or pain with intercourse. Sometimes a cyst will rupture, causing a sudden, sharp pain. A brownish vaginal discharge may occur.
It's also worth mentioning that the most common symptom after a blood clot is exhaustion and fatigue. So, be kind to yourself and rest when you need to. For the first couple of months, you might not feel like yourself; you might feel like resting is all you can do, and that's okay because that's part of this disease.
Protein C deficiency is a disorder that increases the risk of developing abnormal blood clots; the condition can be mild or severe. Individuals with mild protein C deficiency are at risk of a type of blood clot known as a deep vein thrombosis (DVT).
Swelling, usually in one leg (or arm) Leg pain or tenderness often described as a cramp or Charley horse. Reddish or bluish skin discoloration. Leg (or arm) warm to touch.
One of the most common symptoms for women with fibroids is heavy or abnormal bleeding, which is known as menorrhagia. This happens when a fibroid has grown large enough to block blood flow during menstruation. When the blood passes the fibroid, it may be brown because it is older and has oxidized.
Vitamins A, B, D, and C help relieve heavy menstrual bleeding or clotting. Vitamin A ensures proper replication of red blood cells, and its antioxidant properties protect cells from damage. Vitamin B, especially vitamin B6 are necessary for producing prostaglandins that help reduce blood clots.