She Strengthens

Understanding Menstrual Clots: What’s Normal and What’s Not

The Lowdown on Menstrual Clots

Menstrual clots are a common occurrence for many women during their periods. These jelly-like blobs of blood cells, uterine lining, and blood proteins are released by the uterus during menstruation. While they can be unsettling, menstrual clots are usually a normal part of the menstrual cycle.

Normal vs. Abnormal Clots

So, what’s considered a normal menstrual clot? Typically, they’re small (no bigger than a quarter) and infrequent. If your clots are larger than a quarter or occur frequently, it’s a good idea to consult with your doctor. Additionally, if you experience heavy bleeding, severe pain, or other unusual symptoms alongside your clots, seek medical attention.

What Causes Menstrual Clotting?

During your period, your body sheds its uterine lining, which triggers the release of proteins that help blood coagulate. This process prevents excessive bleeding. However, when blood flow is heavier and faster than your body’s ability to form clots, you may experience menstrual clots.

Underlying Health Conditions

While menstrual clotting is normal, it can sometimes be a sign of an underlying medical condition. If you experience frequent, large, or painful clots, it may indicate:

• Fibroids
• Uterine obstructions
• Endometriosis
• Cancer
• Hormonal imbalance
• Adenomyosis
• Von Willebrand disease
• Miscarriage

When to Seek Medical Advice

If you’re concerned about your menstrual clots or experience any of the following symptoms, consult with your doctor:

• Frequent or large clots
• Heavy bleeding (requiring a new tampon or pad every 1-2 hours)
• Severe pain
• Unusual bleeding or spotting
• Pelvic pain
• Infertility

Diagnosis and Treatment

To diagnose the cause of your menstrual clots, your doctor may ask about your menstruation history, perform a blood test to check hormone levels, and conduct an imaging test (ultrasound or MRI) to rule out endometriosis, fibroids, or other obstructions.

Treatment options may include hormonal birth control, medication to reduce bleeding, or surgery to remove uterine growths or fibroids.

Managing Heavy Flows

Heavy periods can be debilitating, but there are ways to manage them:

• Wear a tampon and pad at the start of your period
• Stay hydrated and eat iron-rich foods
• Avoid light-colored pants
• Carry spare tampons and pads
• Take over-the-counter anti-inflammatories like ibuprofen (unless you have von Willebrand disease)

The Bottom Line

Menstrual clots are a normal part of the menstrual cycle, but it’s essential to be aware of any abnormal symptoms or underlying health conditions. If you’re concerned about your menstrual clots or experience heavy bleeding, severe pain, or other unusual symptoms, consult with your doctor to determine the best course of action.