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Molly Maloof, MD

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@DoctorBase

Blood clot

This is totally gross but I am on my period and have been passing HUGE clots. How big is too big? What does it mean?
Poster
  • Female | 35 years old
  • Complaint duration: 3 days
  • Medications: None
  • Conditions: None

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The size of the clot in your emailed picture is not alarming for your age. If you are not pregnant, this type of hypermenorrhea may be associated with the uterine fibroids, retroflexed uterus, polyps, follicular cysts, endometritis, PID, physical trauma, stress, temporary liver dysfunction, or coagulation problems.

The best diagnostic is reached by hysteroscopy, which is costly. If such a pattern repeats in upcoming three cycles, you may need progesterone therapy (after excluding common causes, like PID, endometritis). .
Ok this is big but there is always worse. Clots that are like a golf ball are big enough to be concerning.

You should have a full evaluation to make sure that you are not anemic. You will need an ultrasound to make sure you do not have abnormalities like a fibroid - a muscle tumor of the uterus- that can cause heavy periods with clots. Also must check to be sure you do not have a clotting problem of your blood that makes you bleed more than usual.

Routine things like excluding a pregnancy that is miscarrying must be considered too.

I recommend an evaluation by your doctor.

please go to our office website for more information: www.lvgyn.com
Passing clots is too much particularly of this size. This needs to be discussed with your physician. They will ask you questions to see if you're anemic (ex. during your menstrual do you: feel tired or weak, lightheaded/dizzy, headaches, chew/crave ice, ?hair changes). They will examine you as one of the leading causes of heavy periods is uterine fibroids. They will also check your blood count (i.e. hemoglobin, iron levels). If it is fibroids, you can learn more about them and the non-surgical treatments for fibroids onwww.atlii.com. Good luck.