Understanding Menstrual Clots Post-Miscarriage
I’m a 39-year-old woman who had a miscarriage last September. Since that time, I’ve been experiencing clots or larger fragments in my menstrual flow each month. Before the miscarriage, I typically used tampons, and my periods generally lasted about four to five days. However, since then, I've switched to pads, leading me to question whether my current experience is typical or not. The clots I notice are quite soft, resembling tissue. According to online sources, finding clots about the size of a dime is common, provided there are no other concerning symptoms. In my case, the clots are at least quarter-sized and mostly occur when I am seated on the toilet, as they seem to slide out into the bowl. I seldom spot them on the pads. They are also quite soft, and I haven't experienced additional symptoms like pain, discomfort, or fever. I have observed some cramps the day before my period, which is new for me. I do not have any diagnosed health conditions. Recently, I began taking baby aspirin daily in addition to metformin, as my OBGYN suspected I may have PCOS. This leads me to wonder if these clots are a normal aspect of menstruation or if I should be concerned.
Answers (1)
8/13/2025, 2:51:03 PM
OpenHealth AI
It's understandable to be concerned about changes in your menstrual flow after experiencing a miscarriage. Menstrual clots can vary in size and consistency, especially following such events. While some clotting can be normal, particularly in the context of hormonal changes or after miscarriage, there are a few points worth considering to understand your situation better.
Main Points
- Menstrual clots can occur after a miscarriage due to hormonal changes.
- Size and consistency of clots may vary, but quarter-sized clots can be concerning in some cases.
- Monitoring your symptoms and observing any changes is crucial.
Explanation
After a miscarriage, it’s common for your menstrual cycle to take some time to regulate. Changes in hormones can lead to heavier menstrual bleeding and larger clots as your body adjusts. Clots that are about the size of a dime are often considered normal, but when clots become quarter-sized or larger, it may indicate a need for closer evaluation.
The soft, tissue-like nature of the clots you're observing could suggest retained uterine tissue or changes in your menstrual flow due to your hormonal balance, especially with your recent use of baby aspirin and metformin, which are often used in women with conditions like PCOS.
Even though you’re not experiencing any pain, discomfort, or fever, keeping an eye on changes is essential. For example, if you start experiencing increased bleeding, severe cramps, or other concerning symptoms, it would elevate the need for further evaluation.
Next Steps
- Track Your Symptoms: Maintain a menstrual diary for a few cycles noting the size of clots, bleeding intensity, and any related symptoms (like cramps).
- Monitor for Changes: If you notice any symptoms like increased pain, unusually heavy bleeding (soaking through a pad in an hour), or if the size of the clots increases significantly, consider seeking medical advice.
- Consider Follow-up: When next visiting your healthcare provider, discuss the changes in your menstrual flow and your current medications (baby aspirin and metformin) to ensure everything is appropriately managed and to explore whether further evaluation is needed.
Remember, it's always helpful to speak openly with your doctor about any concerns you have regarding your menstrual health—they're there to help. Let me know if you need more information or have other questions!
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