Passed a large number of clots on my regular period. Could it be a miscarriage?

Hi,

Welcome to icliniq.com.

The symptoms you mentioned could be due to pregnancy which may not have been healthy, and we cannot predict. If it had been healthy, you would have had a weak positive urine pregnancy test. So, most probably you were not pregnant. We have other possibilities like pelvic infection and polyps or fibroids. Regarding pelvic infection, sexually transmitted infection around uterus will cause discharge from the vagina, yellow or white or grayish, with or without itching or foul smell, more after sex or after periods. Throbbing pain in the lower abdomen before periods, bleeding is reduced, dark red or brownish color, with fleshy masses or clots, pain at the end of sex. It This would need an evaluation by gynecologist and treatment with antibiotics and antifungals to both you and your partner. The less common cause at this age would be polyps or fibroids, and it needs a scan.If you have been trying for around one year to get pregnant, then you can plan to get investigated for a cause. Kindly see if the following checklist of investigations is done.

1. For a male, semen analysis at least twice in an interval of four weeks preferably in an infertility center under the guidance of andrologist) and blood sugars.
2. For a female, blood Sugars, thyroid profile, ultrasound scans to evaluate uterus, ovaries, and adnexa.

It is a must to confirm tubal patency. The tube is the connection between uterus and ovaries. It is a bridge where sperm meets the egg and forms a baby. It is in size of a hair follicle and cannot be seen on scans. Being such a small opening, the tube can get blocked easily. So, check with HSG (hysterosalpingography - x-ray with dye) or SSG (sonosalpingography with dye) or laparoscopy. If all the above are found to be normal, then nothing can stop you getting pregnant. All the best.