Should The Presence Of Blood Clots In Your Period Bother You?



When my mom was still dealing with fibroids, blood clots in her period were very normal. In fact, it was the order of the day, and it meant lots of pain, heavy bleeding, and every other thing that came with having a period, when you have massive fibroids in place.

She was the one having a period, but my sisters and I could feel the pain of the whole menstruation on her. Those were days we didn’t look forward to at all. And it was a huge relief when she finally had her hysterectomy, and we could all breathe a sigh of relief. The most pleasing thing for my mom was the fact that she wasn’t going to have a period again. Mehn, that was like a sign from heaven that God loves her . You needed to see her excitement when she found out about that benefit.

My mom is an older woman, and a hysterectomy is just appropriate for her, considering she is no longer having a baby. That is not necessarily an option for a woman in the prime of her reproductive years. More so, the presence of blood clots in your period is not necessarily a reason to be considering a myomectomy or hysterectomy, but we will see how it truly works shortly.

When I was much younger, I had terrible cramps (I still have cramps), whenever the witch wanted to show up, and if I dared to use a painkiller, it only meant one thing; I would be in pain for longer because all contractions would cease for some hours and come back with a vengeance later.  It also meant that the blood would cease and later, I would experience lots of clot-like spotting, which I always blamed for the reason my cramps were so bad. My thinking was the bigger the blood clots, the harder it was to get them to pass through my reproductive system, and the more pain that I had to deal with.

For me, some blood clots and free flow is normal till date, but is it something that bothers me?  It does, but only as far as the pain is concerned. However, should the presence of blood clots in your period bother you? The answer is a yes/no, depending on what is normal for you, but below are also some reasons for blood clots and when you should see a doctor about them.

From the points of view of experts, blood clots in the period are usually seen as a sign of lack of activity in the uterus. In simple language, the uterus is too weak to do its job of contracting and relaxing, which in turn causes blood flow of the uterus to be in clumps of blood, rather than a free flow.

Apart from this theory, there are a variety of reasons for blood clots to form in period blood and they include: Endometriosis whose symptoms are thickening of the uterine lining and heavier blood flow during menstruation, that may contribute to excessive clotting during menstruation.

Post childbirth and uterine size: I experienced this first hand when I had my first babies. Blood clots during this time means that the uterus hasn’t successfully shrunk back to its normal size. Therefore, during menstruation, the menstrual blood may pool and clot inside an enlarged uterus before it is expelled.

Uterine obstructions: anything within the uterus that may impede proper menstrual blood flow, such as fibroids, polyps and adhesions, are contributors to blood clots.

Adenomyosis is the sister of endometriosis. It is a condition where endometrial tissue grows within the muscles of the uterine walls resulting in part in heavy menstrual blood flow, prolonged bleeding, and passing period clots during menstruation.

Also, excessive bleeding during menstruation can cause blood to accumulate within the uterus faster than the body can completely and properly expel it. When this happens, periods blood pools and clots.

Another reason, period blood may clot is hormonal imbalance. If progesterone and estrogen (the hormones that control how the body sheds the lining of the uterus) are out of sync for whatever reasons, the endometrial lining of the uterus can grow too thick.

And as you can imagine, a thick uterine lining may result in heavier blood flow and more period blood clots.

Another reason for the presence of blood clot in period may be due to variation in the thickness of the uterine lining from cycle to another cycle. The thickness of the uterus determines the amount of menstrual blood as well, cause the formation of clots.

Even with all of these reasons, blood clots during period may be inconsistent and come one cycle, but not the next, or for several and then not show up again.

These changes can be due to hormonal fluctuations, change in diet, or lifestyle, all of which may affect uterine lining thickness.

When should you be bothered?

It would be best to talk to your doctor to determine if there is an underlying fertility issue (that is if, you have not been diagnosed with one before) affecting uterine lining health, or hormonal balance.  However, you should be bothered if…

  1. Blood clots are large
  2. There are many smaller blood clots, which are passed in a short period of time
  3. The blood clots are accompanied by a variety of other issues – fatigue, severe cramping or period pain, inflammation and swelling, bloating, prolonged periods, or excessive blood loss/flow, spotting or mid-cycle bleeding.

These symptoms can act as a pointer to other underlying issues.  The sooner those issues are picked up, the better.

Godspeed mamas.



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