What do endometriosis clots look like?

Endometriosis causes tissue similar to the uterine lining to grow outside the uterus, which can lead to heavy, painful periods and abnormal bleeding — including clots.

Characteristics of Clots Associated with Endometriosis:

  • Color: Often dark brown, almost black, or deep red

  • Size: Can be small to medium, sometimes larger than typical menstrual clots

  • Texture: May be thicker or gelatinous compared to normal clots

  • Frequency: You might notice clots more frequently, especially during heavy bleeding days

  • Accompanied Symptoms: Clots with endometriosis often come with severe cramping, pelvic pain, or bleeding between periods


How Are These Different from Normal Period Clots?

  • Normal clots are usually small, dark red or brown, and occasional.

  • Endometriosis-related clots may be heavier, more frequent, and associated with intense pain.

  • The bleeding can also be irregular or prolonged.


When to See a Doctor

  • If you regularly pass large or frequent clots with severe pelvic pain

  • If bleeding is very heavy or lasts longer than usual

  • If you have other symptoms like painful intercourse, bowel or bladder pain during periods

Managing Endometriosis Symptoms & When to Seek Specialized Care

How to Manage Endometriosis Symptoms

  1. Pain Relief

    • Over-the-counter NSAIDs (like ibuprofen) can help reduce inflammation and ease cramps.

    • Heat therapy (heating pads or warm baths) soothes muscle tension and pain.

  2. Lifestyle Adjustments

    • Regular gentle exercise (walking, yoga) improves blood flow and reduces pain.

    • Stress management through meditation, mindfulness, or counseling helps regulate hormones and pain perception.

    • Maintain a balanced diet rich in anti-inflammatory foods (fruits, veggies, omega-3 fatty acids).

  3. Medical Treatments

    • Hormonal therapies (birth control pills, GnRH agonists) can reduce or stop menstruation, limiting endometrial growth.

    • Surgery may be necessary to remove endometrial lesions or scar tissue in severe cases.

  4. Support Networks

    • Joining support groups or counseling can help cope emotionally and connect with others facing similar challenges.


When to Seek Specialized Care

Make an appointment with a gynecologist or endometriosis specialist if you experience:

  • Severe pelvic pain that limits your daily activities

  • Heavy bleeding with large clots or irregular cycles

  • Painful intercourse or bowel/bladder symptoms during periods

  • Symptoms that don’t improve with over-the-counter treatments

  • Difficulty managing symptoms or diagnosing your condition


Final Thoughts

Endometriosis is a chronic condition but manageable with the right combination of medical care, lifestyle changes, and emotional support. Early diagnosis and treatment improve quality of life significantly.

Back to blog