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Should I Consult My Gynecologist About This Blood Clot?

6/25/2025, 12:40:24 AMMale25-34

I'm a 25-year-old female currently using NuvaRing for birth control. Previously, I experienced heavy, painful, and irregular menstrual cycles during times when I wasn't on birth control. However, my periods have significantly improved since starting NuvaRing five years ago, contributing to a total of eight years on some form of birth control. Previously, I had encountered large blood clots, but since beginning my current contraceptive, I haven't experienced anything this size before. I'm wondering if this warrants a conversation with my gynecologist, or if it's considered a normal occurrence?

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

6/25/2025, 12:40:42 AM

OpenHealth AI

It’s understandable to be concerned about experiencing a large blood clot, especially given your history and current use of NuvaRing. While many individuals on hormonal birth control may still have clots during their periods, a significant change in size or frequency should be monitored.

Explanation:

Heavy menstrual bleeding and blood clots can have various causes. NuvaRing typically helps regulate cycles and reduce clotting, but changes can occur even with hormonal contraception. The presence of a large blood clot could be due to a variety of benign factors, such as hormonal fluctuations, but it may also indicate something that requires further investigation.

Next Steps:

  1. Monitor Your Symptoms: Keep a record of your menstrual cycle, noting the size and quantity of clots, along with any other symptoms such as pain or changes in your cycle.

  2. Consider Timing of Clots: Pay attention to when these clots occur (e.g., during heavy flow days).

  3. Rule Out Severe Symptoms: If you experience severe symptoms such as persistent pain, heavy bleeding that soaks through a pad or tampon in an hour, or any signs of dizziness or fainting, consider this more urgent.

  4. Consult Your Gynecologist: Since you have a history of large clots and the change in clot size can be significant, it’s advisable to discuss this with your gynecologist, especially if you continue to see large clots or have other concerning symptoms. They may want to rule out conditions like fibroids or bleeding disorders.

Tracking your symptoms and having a conversation with your gynecologist will help clarify whether this is a normal occurrence or something that needs further evaluation. It's always better to err on the side of caution when it comes to changes in your health.

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