This question was answered on Thu 29, Jan 2009 02:52am by Dr Prithvirajan, MD

Passing Blood Clots after Intercourse

Asked by Unregistered (Female; 28; Polycystic Ovarian Syndrome, Endometriosis, high blood pressure, diabetes, high cholesterol, obsessive compulsive disorder, general anxiety disorder, panic disorder, post traumatic stress disorder, asthma, obstructive sleep apnea, rheumatoid arthritis, migraines. Surgeries- Tonsillectomy-1984 Left and Right Carpal Tunnel Release- 2006 Hysteroscopy and Appendectomy- 2008 ; Relevant drugs:Luvox, Klonopin, Levemir, Cardizem LA, Novolog, Lisinopril, Albuterol, Cephadyn, Hydrocodone syrup(for cough, Azithromycin. ) on Wed 28, Jan 2009 07:04pm

I'm a 28 year old female, married with no children. Tonight after having intercourse with my husband, I started passing blood clots that vary in size from the size of a pea, to the size of a quarter (estimates). I have a history of polycystic ovarian syndrome and endometriosis, as well as high blood pressure, and high cholesterol. Is this something that I should be concerned about, and if so, how urgent is this (do I need to go to the ER)?

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Answer by Dr Prithvirajan, MD  on Thu 29, Jan 2009 02:52am:

Hi , from the presentation you are giving I can come to a set of diagnosis . With the history of endometriosis before this may be also a presentation of endometriosis of the fallopian tubes or the ovary. If you did not have any pain before passing the clot then ruptured ectopic pregnancy is ruled out . May be a blood clot has formed in the endometriosis area in the uterus or the vagina and which has been dislodged while having sex. So the next thing to do is consult a gynecologist and let her run you through some tests and come to a diagnosis and direct the treatment accordingly.

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Comment by on Mon 18, Apr 2011 10:52pm:
You should avoid intercourse in pregnancy especially in first and last trimester as it can cause risk of abortion in first trimester and preterm birth in last trimester.

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