Should I be worried if I notice blood clots on my pad?

Question

Hi doctor,

Currently, I have been having withdrawal bleeding for a week. I was taking placebo pills for a few days. Yesterday, I noticed two abnormal clots on my pad. I am experiencing blood clots differently. I have some white and large visible blood vessels on the surface with a blood string at the end. Due to my current circumstances, I have not been taking birth control pills for the last two months.

Last month, I did not take any birth control at the end of the week. I planned to start the pill on the following cycle to reset the ovulation or placebo timing. But I forgot to start them after having periods, and I started to take them after ten days of my cycle. I am sexually active and used condoms as a backup. I am worried whether these clots occur as a result of messing up pills.

Please suggest.

Answer 1

Hi,

Welcome to icliniq.com.

Based on the description, I can understand that you skipped your pills without taking them last month at the beginning of your menstrual cycle, and later you started taking them continuously to avoid placebo pills. You need to understand that if you miss taking birth control pills in the first week of your menstrual cycle, they are not as effective, as follicular development occurs with the ovum.

So there is a high chance of pregnancy in these cases even after starting to take pills in the following weeks. You seem to have clots, and it can be a product of conception if you are pregnant, or it can occur as a result of spontaneous miscarriage. You need to check it by doing a pregnancy test. If it comes back positive, then there is a likely possibility that you are pregnant. Please send a photo of your blood clots.

Have a follow-up with the results of your pregnancy test.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have gone through the attached picture (attachment removed to protect patient identity). I suggest you recheck your home pregnancy test in the early morning using a fresh urine sample. If it is negative, then pregnancy is ruled out. Your picture shows tissue from the lining of the uterus. There is nothing to be worried about, and it is the normal lining shedding during periods. You can start taking a fresh pack of pills from the third or fourth day of your period. If the result comes back positive, then take an ultrasound to check whether everything has been expelled and the uterine cavity is empty.

I hope this helps.

Thank you.