The form of blood that comes out becomes thinner so that it is easy to come out of the vagina. However, there are times when the shed uterine wall has a tremendous flow that forms a clot. These lumps are similar to flesh and are red. This is very normal to occur at the beginning of menstruation.
If you notice on heavy days of your period that blood seems extra-thick, and can sometimes form a jelly-like glob, these are menstrual clots, a mix of blood and tissue released from your uterus during your period. They can vary in size and color, and usually, they are nothing to worry about.
A decidual cast is a large, intact piece of tissue that you pass through your vagina in one solid piece. It happens when the thick mucus lining of the uterus, called the decidua, sheds in the near exact shape of your uterine cavity, creating a triangular “cast.”
These clots are usually small, dark-red, and about the size of a quarter or smaller. They may be accompanied by tissue that appears grayish-white. However, if you regularly experience blood clots that are large in size, bright red in color, or accompanied by severe pain, you should speak to your doctor.
What Do Blood Clots Look Like With Endometriosis? Endometriosis blood clots may appear as dark or bright red clumps or blobs in menstrual flow. The clots can vary in size and texture, ranging from small and grainy to larger and more jelly-like in consistency.
With endometriosis, the endometrial-like tissue acts as endometrial tissue would — it thickens, breaks down and bleeds with each menstrual cycle. But because this tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form.
It is normal for a woman to experience having at least one ruptured cyst a month because during a normal menstrual cycle, the ovaries produce a cyst that intentionally ruptures to release an egg, allowing the woman to become pregnant.
What does endometriosis look like? Endometriosis is identified at the time of surgery and can have several common appearances. Superficial endometriosis has small, flat or raised patches sprinkled on the pelvic surface. These patches can be clear, white, brown, red, black, or blue.
Fibroids are benign tumors that sometimes lead to heavy or prolonged periods. Though a common condition, these growths can cause a great deal of discomfort and pain. Many women are curious if fibroids can pass during their period. The answer is yes, but it is not common.
Size Matters
Some clots, however, should be considered red flags. A large clot, about the size of a golf ball, is a cause for concern and should send you to your doctor immediately for a checkup.
It is a chronic disease associated with severe, life-impacting pain during periods, sexual intercourse, bowel movements and/or urination, chronic pelvic pain, abdominal bloating, nausea, fatigue, and sometimes depression, anxiety, and infertility.
A ruptured ovarian cyst may trigger sudden pain or discomfort in your low back or belly, especially on the side where the cyst burst. The pain may be sharp or feel like a continuous dull pressure, and the severity can vary significantly based on many factors, including the size of the cyst.
You will typically have clots the size of a quarter during your period.
Depending on your cycle and hormones, most women will experience increased clear jelly like blob discharge around ovulation time. Ovulation is usually around the middle of your menstrual cycle. Your body releases an egg, and in preparation for potentially being fertilised, cervical mucus increases.
Endo belly is the colloquial term for abdominal distension caused by endometriosis. Unlike the short-term bloating that sometimes accompanies your period, endo belly is much more severe, triggering physical, mental, and emotional symptoms.
Can fibroids cause vaginal discharge? Fibroids don't usually cause vaginal discharge like the kind associated with a yeast infection. Instead, fibroids typically cause heavier-than-normal periods.
Progesterone prepares the endometrium to receive and nourish a fertilized egg. If pregnancy does not occur, estrogen and progesterone levels decrease. The decrease in progesterone triggers menstruation, or shedding of the lining. Once the lining is completely shed, a new menstrual cycle begins.
Blood that occurs due to spotting may be red, pink, or brown. People with more advanced stages of endometriosis may have ovarian cysts. These cysts, also known as endometriomas or chocolate cysts, contain old blood. If the endometriomas rupture, they can leak dark brown, bloody fluid into the pelvis.
The typical appearance of endometriosis is described as a superficial “powder-burn” or “gunshot” lesion that is black, dark-brown, or blue, but subtle lesions which are red or clear, small, cysts with hemorrhage or white areas of fibrosis may also be endometriosis (1).
Endometriosis Symptoms
Back pain during your period. Severe menstrual cramps. Pain when pooping or peeing, especially during your period. Unusual or heavy bleeding during periods.