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Thirai Sorgam > Reproductive Health > Experiencing heavy periods with clots after 40? Here’s why
Reproductive Health

Experiencing heavy periods with clots after 40? Here’s why

April 19, 2025 8 Min Read
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Experiencing heavy periods with clots after 40? Here’s why
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You can experience severe menstrual bleeding at any age. If you have a severe period of blood clots after the age of 40, it may be due to hormonal imbalance or health conditions.

It is important to change your menstrual products to a pad every four hours. But if you do it more often, it may be due to a lot of menstrual bleeding. It is something that girls and young women can experience. However, if you get a heavy period with a blood clot after age 40, it can be surprising. It is usually the time when you enter the menopause period. It can also be caused by hormonal imbalances, which often occurs at various stages of life. A severe period of time when you have a blood clot after the age of 40 can also be a sign of blood coagulation disorder.

What is a heavy period?

A severe period, known medically as ogutsune, refers to an increase in bleeding while you are down. “This can increase with an increase in the number of days of bleeding, or with an abnormally heavy or prolonged,” says Dr. Nidhi Kehera, obstetrician and gynecologist.

Woman with menstrual cramps
If there is a heavy period, frequently replace pads and other menstrual products. Image provided by: Freepik

If you reach out to a new pad or tampon after less than two hours, or if the duration involves passing a massive clot, it is considered heavy, in accordance with the US Centers for Disease Control and Prevention. “On average, you lose about 30-40 ml of blood during the normal period. That’s 2-3 tablespoons. If it’s heavy, it’s over 80 ml per cycle,” experts say.

Here are some important indications of a heavy period:

  • Soak one or more menstrual products, such as sanitary pads and tampons, almost every hour.
  • Wake up at night to change the product of the era
  • Experience vaginal bleeding lasting for more than 7 days
  • Passes a large clot during menstruation
  • You need to limit your daily activities, especially those that move around frequently.
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What causes severe periods of blood clots after 40 years?

Below are some of the causes of severe periods of blood clots after age 40.

1. Perimenopause

It is the period leading up to menopause, when menstrual bleeding completely stops. Bjog: According to the An International Journal of Obstetrics and Gynecology, severe periods of the years before the onset of menopause are common symptoms. “During this time, women may have irregular periods of heavier or lighter flow. Sometimes the endometrium accumulates too much, often leaving them heavy in mass,” says Dr. Khera.

2. Uterine myoma

These are the growth of the uterus, which is usually not natural cancer. “Uterine fibroids tend to increase the surface area of ​​the uterine lining and prevent normal shedding, which can lead to heavier bleeding and thrombus formation,” experts say.

3. Adenomyosis

The endometrial tissue, the lining of the uterus, grows into the walls of the uterine muscles. The reason for causing a severe period of blood clots after age 40 is to thicken the uterine wall. This results in longer periods, heavier, more painful, and often larger blood clots.

4. Hormonal imbalance

After a woman turns 40, ovulation can become irregular and progesterone levels may decrease. Hormonal medications include estrogen and progesterone combination tablets or progesterone pills only. Hormonal imbalances can cause severe periods of blood clots after age 40, as estrogen continues to stimulate the uterine lining. However, without sufficient progesterone to regulate it, the lining can become too thick, leading to a heavier, coagulant-filled period.

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5. Endometrial polyps

These are small, soft benign growth in the uterine lining. These can cause severe periods of blood clots after age 40, as polyps disrupt the normal shedding process. “They can lead to spots, severe bleeding, or clots, especially in women around menopause,” the expert says.

6. Blood coagulation disorder

Conditions like von Willbrand’s disease are bleeding disorders where blood does not clot properly, and may be the reason behind the severe period of time with blood clots after age 40. If the coagulation process is impaired, women with this disorder may experience a severe period of time with blood clots.

How to treat heavy periods with lumps after age 40?

Treating a severe period of thrombus after 40 depends on the underlying cause and overall health status. This is what you can do:

1. Lifestyle modifications

  • Dietary changes: A study published in Lancet Global Health shows that long periods can cause iron deficiency anemia. “To prevent anemia, we eat iron-rich foods such as spinach, lentils and raisins,” experts say.
  • supplement: Iron supplements can only be taken in case of anemia, if you are advised by a gynecologist.
  • exercise: Engaging in physical activity regularly can help reduce the dominance of estrogen. So start your workout to balance your hormones.
Iron-rich food
Eat foods rich in iron. Image provided by Adobe Stock

2. Medical and surgical options

  • Uterine fibroid treatment: “Embolization of uterine fibroids, removal of uterine fibroid surgery, may be suggested by a doctor,” says an expert.
  • Endometrial ablation: This is a procedure that destroys the endometrium, allowing the duration to be completely shortened or stopped.
  • medicine: In the case of Von Willebrand disease, Desmopressin, a drug available as an injection, helps in controlling bleeding.
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The severe period of time with a blood clot after 40 can be caused by hormonal imbalances, uterine problems like fibroids, or menopause problems. So you need to understand the underlying cause and not just pass it on as a normal symptom.

Related FAQs

At what age will the heavy period be stopped?

Usually, heavy periods begin to completely decrease or stop from your late 40s to early 50s. This is when you are approaching menopause.

Is it normal for a very heavy period after the age of 40?

It’s common, but not always normal. When you enter your 40s, your body begins to enter the menopause period, which is the year leading up to menopause. During this period, hormonal fluctuations, particularly in estrogen and progesterone, can cause a heavier period of mass. If bleeding continues for more than 7 days and you frequently give large clots (more than 1 inch) frequently, you should consult your doctor.

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