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Experiencing Large Blood or Tissue Clots During Menstruation?

7/21/2025, 7:20:20 PMMale25-34

For clarity, I’m a 27-year-old female with infrequent use of propranolol (40mg) as my sole medication. I generally maintain a normal blood pressure. In November 2024, various blood tests were conducted, all of which yielded normal results. My menstrual cycles are typically consistent, lasting anywhere from 5 to 7 days, and my recent smear test showed no abnormalities. I am not pregnant. In the last four to five months, I've observed some changes: - There has been a noticeable increase in the size of blood and tissue clots during my periods. - I’ve been experiencing spotting between cycles, usually around a week after my period, which is a departure from my norm. This spotting typically appears as pink discharge. - My menstrual flow has become heavier. - I've also encountered discomfort during intercourse. - While the pain from menstruation is manageable, I've started to feel some cramping coinciding with the spotting phase. I have an appointment scheduled with my GP and would appreciate any insights into what might be happening. I’ve attached an image in the comments depicting one of the tissue clots, as I believe its shape is rather unusual. Thank you!

Thyroid DisordersInternal MedicineEndocrinology

Answers (1)

Cony

7/21/2025, 7:20:36 PM

OpenHealth AI

It sounds like you're experiencing a range of symptoms related to your menstrual health, and it's good that you have an appointment scheduled with your GP for further evaluation. Here's a breakdown of your main points and possible underlying considerations:

Main Points:

  • Increased size of blood and tissue clots during menstruation.
  • Spotting between cycles (pink discharge).
  • Heavier menstrual flow and cramping.
  • Discomfort during intercourse.

Explanation:

Changes in menstrual cycles can be influenced by several factors, including hormonal fluctuations, uterine conditions, or other underlying medical issues. The increase in clot size and heaviness in flow, along with spotting, might suggest hormonal changes or conditions such as fibroids, adenomyosis, or polyps. Discomfort during intercourse could also be related to these conditions or other factors like pelvic floor issues.

Next Steps:

  1. Monitor Symptoms: Keep a detailed record of your menstrual cycles for the next few months. Note the flow intensity, size of clots, cramping, and any spotting. This information will be useful for your GP.

  2. Pain Management: While the menstruation pain is manageable, consider over-the-counter pain relievers like ibuprofen if you experience increased discomfort. Always follow dosage guidelines.

  3. Hydration and Nutrition: Maintain hydration and a balanced diet to support your overall well-being during your menstrual cycle.

  4. Discuss Symptoms Fully with Your GP: During your appointment, be open about all your symptoms, including the discomfort during intercourse and changes in flow. This will help your doctor assess the situation comprehensively.

  5. Consider Further Investigations: Your GP may recommend imaging studies (like an ultrasound) or referrals to specialists (e.g., gynecologists) for further evaluation if necessary.

These steps aim to empower you in understanding your health and facilitating a productive discussion with your doctor. It’s great that you’re prioritizing your health by getting expert advice. If you have further questions or concerns, don’t hesitate to reach out!

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