When Clotting Is Normal vs. When to Get Checked When TTC

You should be concerned if you notice blood clots following your period, especially if you are attempting to conceive. Clotting is often normal, but in some cases, it can indicate an underlying issue affecting your fertility. In this blog, you will learn about menstrual clotting, its harm, and when it requires medical attention. Apart from this, you will also get information on how to prepare your body for pregnancy.

Pregatips
Most of the time, periods pass without much thought. But when you’re trying to conceive, even the smallest detail can feel significant, like noticing blood clots. Are they normal? Could they signal a fertility issue? The answer isn’t always straightforward. It depends on factors such as the size and frequency of the clots, as well as other accompanying symptoms. In this guide, we’ll explore when clots are nothing to worry about and when it’s wise to consult a healthcare professional.

Understanding Why Clotting Happens

Your menstruation occurs as the lining of your uterus sheds. Your body naturally contains chemicals called anticoagulants that stop blood clotting and thickening. However, these substances may not always keep up with excessive bleeding. Clots form at that point.

In short, some clotting during your period is perfectly natural. The very large clots, too frequent, are associated with other symptoms and indicate that you need to take more care of your reproductive health.

When Clotting Is Considered Normal

Clotting isn't a cause for worry, as small, sporadic clots are harmless. Here's when you shouldn't be concerned:
  • Clot size: Tiny clots that are the same size as raisins are normal.
  • Timing: Clots appearing on the heaviest days of your flow (mainly the first two days) are common.
  • Frequency: Occasional clots here and there are not a cause for concern.
  • No additional symptoms: If you don’t have severe pain, extreme fatigue, or unusual heavy bleeding, these clots are part of your body’s natural cycle.
In the form of clots, your uterus releases extra tissue during a heavier flow, which is nothing different when TTC.

When Clotting Needs Medical Attention

Not every type of clotting is safe. Sometimes your body signals you to get examined.
  • Big clots: If you observe clots bigger than a ₹1 coin consistently during the period
  • Heavy bleeding: Requires changing a pad or tampon every 1–2 hours.
  • Days beyond 7: Bleeding happens for an extended time period, particularly with large clots, and can be due to hormonal imbalance or other health issues.
  • Painful: Disrupting pain is much stronger than usual period cramps.
  • Accompanying symptoms: Dizziness, weakness, or tiredness during your cycle.
These show the signs of endometriosis, fibroids, polyps, or hormonal imbalances. If you're TTC, it's worthwhile to talk to your doctor because these signs can impact fertility.

Possible Causes of Abnormal Clotting

When clotting is more than normal, it is linked to certain reproductive health issues:
  • Uterine fibroids: A kind of uterine growth that is not malignant. With big clots, they can result in protracted bleeding.
  • Hormonal imbalances: Less or more hormones (especially estrogen and progesterone) can mess with your cycle.
  • Endometriosis: Tissues similar to the lining of your uterus grow outside it, and heavy and painful periods occur.
  • Polyps: Tiny growths inside the uterus can result in clotting and irregular bleeding.
  • Miscarriage: Clotting during early pregnancy can be mistaken for a heavy period. If you’re TTC and suspect pregnancy, it’s important to be cautious.
Not all of these conditions mean you cannot get pregnant, but early diagnosis can help you manage them better.

Clotting and Fertility – What You Should Know

Individuals with sporadic clotting conceive without issues, but if your clotting is due to underlying health conditions, it can complicate conception. Fibroids, for instance, or endometriosis, could not only impact an embryo's implantation but could also affect hormonal disruptions.
That is why it is so important to pay attention to your cycle when trying to conceive. Your period can say a lot about your reproductive health.

What You Can Do If You Notice Clotting

If you notice clotting, you can undertake the following practical steps:
  • Track your cycles: Check the size, duration, and frequency of your menstrual bleeding. This data can help your doctor figure out what's concerning in your situation.
  • Monitor your symptoms: Severe cramping, fatigue, or heavy bleeding are symptoms that require attention.
  • Don’t delay check-ups: There are simple tests (ultrasound, blood tests) that can help identify the cause.
  • Maintain a healthy lifestyle: Healthy foods accompanied by exercise and stress management help balance hormones and fertility.
  • Manage stress: High stress levels can affect hormone levels in your body and lead to irregular cycles and heavier bleeding.
Ignoring these red flags may delay the start of important treatment. These steps not only help your general health, but also help to develop a more favourable condition for conception.
Seeing clots during your period can feel alarming when trying to conceive, but not all clotting is a point of concern. Having small clots at heavy flow times is completely normal. Large, frequent clots that are accompanied by heavy bleeding and extreme pain are something to talk to a doctor about.
Becoming familiar with what’s normal for you and what’s not when it comes to clotting can help you know when you should go to a medical professional, giving you the greatest opportunity to fulfil your dream of parenthood.
You’re not alone in your journey when trying to conceive. Join our supportive community to connect with others, share experiences, and find encouragement every step of the way.

FAQs on When Clotting Is Normal vs. When to Get Checked When TTC


  1. Can blood clots during periods stop me from getting pregnant?
    Small clots rarely affect fertility. However, if there are clotting reasons like fibroids or endometriosis, it may hinder conception. You can discuss this with a doctor, and after evaluation, you will get a better answer.
  2. Should I worry about clotting if my periods are otherwise regular?
    In most cases, if the clots are small and the flow and duration of your periods are normal, then there isn't much to worry about. If the clots are large or frequent, it is best to seek medical attention.
  3. Can lifestyle changes reduce period clotting?
    Yes. In general, staying hydrated, eating a good, balanced diet, managing stress, and staying clear of smoking and alcohol could be helpful. Persistent heavy clotting should still be discussed with a doctor.
Disclaimer: Medically approved by Dr Keerti Khetan, Director- Obstetrics & Gynaecology, CK Birla Hospital, Delhi