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    SPOTTING A WEEK AFTER PERIOD
    avatar
    MOMMANWIFEY posted:
    HONESTLY RIGHT NOW IM KINDA SCARED. IVE BEEN OFF MY PERIOD FOR ABOUT EIGHT DAYS. NOW I AM PASSING BLOOD CLOTS ABOUT THE SIZE OF A QUARTER WHEN I GO TO THE RESTROOM. THEY ARE DARK TO LIGHT RED. SHOULD I BE WORRIED ABOUT A MISCARRIAGE? OR IS THIS NORMAL FROM TIME TO TIME?
    Reply
     
    avatar
    Jane Harrison Hohner, RN, RNP responded:
    Dear MOMMANWIFEY: Miscarriage can be a difficult diagnosis to make--especially without a prior positive pregnancy test. The most conclusive way to confirm a miscarriage is to have sequential blood pregnancy tests which show dropping HCG levels in amounts which may be too low for a standard urine test to detect.

    Other possible explanations for this abnormal bleeding could be:

    1. Missed ovulation last month(s)--this can produce prolonged and erratic bleeding.

    2. Midcycle (eg about 14 days counting from the first day of your period) breakthorugh bleeding. This kind of bleeding is usually scant but occasionally be more like a menstrual-type flow.

    3. A tubal/ectopic pregnancy--while least common it is the most concerning cause.

    Bottom line, blood clots the size of a quarter usually represent a heavy flow. If this persists you should see your GYN or local county family planning clinic. After an exam and possible pregnancy testing they should be able to give you the most "for sure" answer.

    Yours,
    Jane


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