Blood Clots During Menstruation: Normal and abnormal menstrual blood clots

Can Blood Clots During Menstruation Be Normal?

Blood clots during menstruation or menstrual clots, may be perplexing and sometimes annoying to some women.

Is it normal? What could be the cause of this?

Though most of these menstrual blood clots may turn out to be normal, there are however some indicators of a likely underlying illness which you must not miss.

I have put together these basic facts to settle this anxiety-provoking situation for many women, though it is often normal for many who have asked me such questions!

What Are Menstrual Blood Clots?

Normal menstruation blood is characterized by its amount, color, consistency, odor and also duration of flow. It is obvious that blood is liquid but it should be noted that for it to stay in liquid form, certain chemicals called anticoagulants are necessary.

Blood clots are simply solid material found in blood. That implies within some amount of liquid blood, there appears solid material made of clumped blood components.

Are Menstrual Blood Clots Normal?

Blood clots during menstruation can be a normal phenomenon. That is, clots may appear in the menses when there is actually no disease process. Normal blood clots could be identified by some of the following

  1. Usually small in size, often taken as less that a quarter.
  2. Few in number and does not usually occur every day of the flow for many women.
  3. Not a regular occurrence for every cycle. Persistent clots may require that you consult with your doctor

What Causes Normal Menstrual Clots?

For better comprehension, note that normal menstruation blood is not made up of blood components only. Qualitatively, it is made of

  1. Blood
  2. The shed endometrium
  3. The unfertilized egg

Normal menstrual blood clots may arise from the endometrium( false clots) or from the blood itself( true clots).

The
shed endometrium is solid material and can appear as clots in menstrual blood. These endometrial clots are really not true clots because they are not formed from blood components.

True menstrual blood clots may appear if the blood actually coagulates after its passage from the uterus and on its way out. Generally, when the amount of blood is relatively more that the amount of anticoagulant present, blood clots appear. This can occur in periods when there is usually a slightly heavier bleeding that normal which though could be normal. Remember that intermittent fluctuations in hormonal levels may lead to some minor changes in bleeding patterns.

Normal blood clots during menstruation may appear during the days of peak menstrual flow . In some women, some delay of passage of blood especially during the last days of flow my lead to black blood ans even some clots. The blood changes outside blood vessels.

Abnormal Menstrual Clots?

This question must be settled by every woman with menstrual clots as early as possible. Do not be quick to label any blood clots during menstruation as normal until u have settled this basic question. If in any doubts or you suspect you could have an abnormality, consult with your doctor.

These are a few warning signals to take note of

  1. Menstrual blood clots that are large
  2. Multiple clots
  3. Persistent menstrual clots from cycle to cycle
  4. Associated heavy bleeding, pelvic pain, bleeding from other parts of the body, infertility or similar symptoms.

The presence of any of the signals above is a only a clue that something might be wrong and that you should see your doctor for medical evaluation. It is not proof that you are having a disease.

Common diseases to watch out for are early pregnancy complications and menorrhagia( heavy bleeding) causes including fibroids and endometriosis.


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  • bb

    I am going through the same thing now. Can you tell me what happened next? I want to go to the doctor but if its not serious i rather wait it through. Tia