Blood Clots During Menstrual Cycle After Emergency Contraception

Menstrual blood clots

Hello, after taking the emergency contraceptive pill, I experienced bleeding on the third day that felt similar to a menstrual period.
However, tonight the bleeding included blood clots (about the size of a thumb).
Is this a normal occurrence? Thank you.

Nìmíng, 10~19 year old female. Ask Date: 2015/08/08

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
Emergency contraceptive pills contain a high amount of progestin (or estrogen), which can potentially disrupt the body's natural hormonal balance.
When hormones are unstable, menstruation may also become irregular.

2.
Therefore, your menstrual cycle has become irregular.
If the bleeding decreases, there is no cause for concern; however, if it continues heavily or does not stop, it is advisable to seek medical treatment.

Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/08/08

More Info

After taking emergency contraception, it is not uncommon for women to experience changes in their menstrual cycle, including variations in bleeding patterns. The bleeding you are experiencing three days after taking the emergency contraceptive pill (ECP) may be a result of hormonal fluctuations caused by the medication. ECPs, such as those containing levonorgestrel or ulipristal acetate, work primarily by delaying ovulation, but they can also affect the uterine lining and menstrual cycle.

The presence of blood clots during this bleeding phase can be concerning, but it is often a normal occurrence. Blood clots can form when the flow of menstrual blood is heavier than usual, which can happen after taking ECPs. The size of the clots you mentioned, approximately the size of a thumb segment, can be within the range of what is considered normal, especially if the bleeding is heavier than your typical menstrual flow.

However, it is essential to monitor your symptoms. If the bleeding is excessively heavy (soaking through a pad or tampon every hour for several consecutive hours), accompanied by severe pain, or lasts longer than a week, it is advisable to seek medical attention. These could be signs of a more serious condition, such as an incomplete miscarriage or other complications.

In addition to the physical symptoms, emotional and psychological responses to taking emergency contraception can also be significant. Some women may experience anxiety or stress regarding the effectiveness of the contraception and potential pregnancy. It is crucial to remember that ECPs are highly effective when taken as directed, but they are not 100% guaranteed to prevent pregnancy.

If you have concerns about your menstrual cycle or the bleeding you are experiencing, it may be beneficial to consult with a healthcare provider. They can provide personalized advice and reassurance, and if necessary, conduct further evaluations to rule out any underlying issues.

In summary, while the bleeding and blood clots you are experiencing after taking emergency contraception can be normal, it is essential to monitor your symptoms closely. If you notice any concerning changes or have questions about your reproductive health, do not hesitate to reach out to a healthcare professional for guidance.

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