Brief Answer: please consult if the same happens again Detailed Answer: Hi I have read your query. Forall that you have asked my explanation would be: Menstrual clots are normal for many women, but they can also mean that some abnormality isthere Clots are the natural result of your body taking care of you. Because blood in the uterus is mixed with many other cells and endometrial tissue, there is a difference between this clot and those seen on the skin. As a general rule, the redder the blood is, the faster it has reached the outside. The blacker it is, the longer it took to exit the body. If the blood is accumulating faster than the body’s ability to transfer it out of the uterus, clots are the result. Factors that determine whether clots will occur include:the size of the uterus • the ability of the uterine myometrium (muscle) to contract • fibroids • adenomyosis • the diameter of the cervical canal through which the blood must flow • any obstruction to the outflow of menstrual products such as polyps, adhesions, etc. If a woman can maintain a normal blood count without developing anemia, and the clotting does not last more than the length of her normal period, it is usually considered normal. When there is a significant change in the amount or duration of clotting, there can be many causes Pregnancy: Problem pregnancies, miscarriages, and ectopic pregnancies can all be associated with clotting. Hormonal Changes: Short term: Some of the causes include failure to ovulate, ovarian cysts, and medication. Chronic: Other factors that can change hormone production on an ongoing basis include peri-menopausal changes, chronic illness, significant weight gain or loss, and use of certain long term medications such as steroids, or prolonged failure to ovulate. Fibroids: called leiomyomata, fibroids Adenomyosis Large Uterus: after multiple pregnancies or multiple births Polyps: polyps or other growths inside the uterus can act as an obstruction to the outflow of blood during menses. Outflow Obstruction Clots in themselves are generally not harmful. After this explanation I still suggest that you get your pregnancy test done .If pregnanacy is certain then the reasons for XXXXXXX bleeding such as antiphospholipid antibodies and Protein c will be evaluated . Scan will be done for any pathological entity. One menstrual cycle that is different from your normal pattern probably doesn’t mean anything. But if changes continue, gynoecologist intervention is must. Take care

---