HomeAnswersObstetrics and Gynecologyblood clotI had unprotected sex during my period following which I noticed blood clots in my bleeding and have cramps and other symptoms. Kindly help.

What are the reasons for the appearance of blood clots in period blood?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 8, 2023
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

I had my period a week ago and had unprotected sex during my period. Two days back, I had mild bleeding which was pinkish and light, and slowly started getting dark. On the second day, it was red and contained three blood clots. I have bleeding even today (the third day) and the smell seems to be nothing different. During this time, I felt nauseous and had a headache, backache, and cramps. I could experience cramps mostly on the right side.

Also, I urinate a lot, feel excessively bloated, have abdominal discomfort, and feel tight. I seem not to fit into anything and cannot breathe properly. The things I loved drinking made me feel nauseous now and I could feel a metallic taste now and then. Could this be a miscarriage without me knowing or is it normal implantation bleeding? I have attached the pictures from the first day of bleeding to date. I have not done any lab tests. Please help.

Answered by Dr. Balakrishnan R

Hello,

Welcome to icliniq.com.

I will do my best to provide you with the most current and suitable approach to managing your health conditions.

I do not see any reason for you to worry. Only in the last two pictures (images removed to protect the patient’s identity), I could see minimal amounts of blood clots. The rest are all pinkish discharge, which usually occurs after periods. For any woman, ovulation happens around the 12th to16th day. The lifespan of the egg is 24 hours while that of the sperm is 72 hours, so there was no chance that the egg was available on that day, and the sperm will not stay till ovulation.

After ovulation (12th to16th day of periods), if sperm meets the egg, it stays for about four to five days in the tube and only after this the embryo or the baby reaches the uterus following which implantation bleeding can occur. So, you can notice that it would not have been that long.

The reason for spotting could be due to hormonal imbalance. Let me explain this.

When you have that extra pad of fat around the mid-segment of the body, like around the breasts, thighs (above the knee), elbows, and waist, with dark discoloration on the back of the neck, and undersurface of the breast and inner thighs, this fat gets converted into estrogen hormone, which destroys the hormonal balance and the quality of the follicle will be poor. So, the support to the endometrium or the inner lining of the uterus will also be poor. Hence, even after the period is over, the poor endometrium keeps shedding. To maintain a normal hormonal level, you will have to reduce the basic problem, which is fat deposition.

All the symptoms you have are because of the progesterone levels. Once the hormonal imbalance is corrected, your issues will be resolved. You can take symptomatic treatment.

Your weight has to be as follows:

Weight (inpounds)= Height (in inches) -100

Your expected weight should be between 114-125 pounds.

Once you reduce your weight to the normal range, you will not require any medicine to get your period or to get pregnant and you will have a healthy pregnancy.

To reduce weight, do the following:

  1. Avoid fasting.

  2. Avoid junk foods, fast foods, and red meat. Reduce the intake of snacks in between meals.

  3. Consume low-calorie food but with high proteins.

  4. Do regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), and try to reduce four to eight pounds a month. Do not be in a haste to reduce your weight, else it will be difficult to maintain.

As soon as you reduce at least 11 pounds, you will start seeing changes. To correct it immediately, I suggest you take any of the birth control pills cyclically for three to six months after consulting with your physician. This will regularise the hormonal imbalance and also you will get your period at the right time. In the meantime, you can focus on reducing your weight.

Hope I have clarified your queries. Do write back if you have further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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