Can Implantation Bleeding Have Clots?

Implantation bleeding is the spotting during egg embedment. The zygote after conception goes on moving down to the womb. Finally, it attaches to the endometrial lining using trophoblast fibers. The trophoblast is covering of blastocyst. It is a structure with a small inner cellular mass which later becomes the embryo. The other layer has to transform into the placenta. Can implantation bleeding have clots? No, it is not possible that such a small structure causes damage that leads to bleeding with clots.

The embryo attaches to the lining. During period the entire lining of uterus comes off causing bleeding. There are clots of the lining that disintegrates.

Every pregnancy has some risk of miscarriage and birth defects. But upon seeing spotting don’t panic that you could be having a miscarriage.

Most women who have had healthy pregnancy also had bleeding at some point. Spotting during pregnancy is common and normal. Post ovulation spotting is a symptom of implantation which is the first step leading to pregnancy.

Can Implantation Bleeding Have Clots?
Can Implantation Bleeding Have Clots?

Is heavy implantation bleeding normal?

Heavy implantation bleeding is not normal and having clots doesn’t even come as an option. During period the previous lining has to come out of your vagina. This is because the same lining cannot be maintained for so long. There is no confirmation as to when will pregnancy occur. So it is a cyclic event regulating the fertility period and dry days. And the menstrual flow is essential for preparing the uterine muscles for contracting during labor.

Menses have a continuous flow of blood along with clots because the lining disintegrates. The falling level of hormone causes the lining to disintegrate and later come out in a period of three to five days.

Does implantation bleeding have clots normally?

Implantation bleeding is not because of shedding of lining or any tissue. Thus there is less possibility of having clots in it. You should consider all other symptoms along with spotting during egg embedment.

If you have cramps and pain and nausea, then you could be having an early miscarriage. But moderate bleeding even if red with one or two clots could be just blood coagulation. You must not avoid visiting the hospital often during early pregnancy because it is the riskiest phase.

Can implantation bleeding have clots in rare cases?

Implantation bleeding can have few clots in normal cases because of blood coagulation. Otherwise, there is no reason for having painful cramps or heavy implantation bleeding with clots. These are in fact signs of conditions that are not normal.

Heavy implantation bleeding and clots

Heavy implantation bleeding is a sign of tubal pregnancy. When the egg does not implant in the uterus, it leads to ectopic pregnancy. Any tissue that grows in place of the embryo from the egg can cause Molar pregnancy.

A Chemical pregnancy is an early miscarriage that also happens because of such abnormalities. If you have heavy implantation bleeding with clots along with pain, then you may be having an abnormal pregnancy. The reason for this is blockage or scars in the tubes. It could be that there are defects in the embryo.

Some women might not realize that they were pregnant and consider it as a late miscarriage. But delaying your doctor’s visit can cost you your fertility. In later stages. such cryptic pregnancies require surgical procedures for removal. They may even need the removal of the ovary and tubes. The earlier you realize the need for going to a doctor the better.

Implantation bleeding and risk of miscarriage

Implantation bleeding in first trimester and risk of miscarriage is possible. About 50% women who bleed during early pregnancy undergo a miscarriage. Heavy bleeding along with clots is a sign that you may be having an Ectopic pregnancy.

Bleeding during the first trimester is more common than later trimesters. You need to look for symptoms like cramping, heavy bleeding and lots of clots. If there is pelvic pain and burning sensation then you may be having a chemical pregnancy.

It can also be possible that you were not pregnant and instead have ovarian cysts or torsion.

During second trimester bleeding is not normal and is a cause for worry. There can be conditions like placenta previa or placental abruption. They are fatal to your fetus and you.

Third trimester heavy bleeding with clots is an indication of early labor. You need to tell your doctor if pregnant water leaks.


  1. I have tried long for baby. Then i decided for infertility thrpay. IVF is painful don’t knew. D octor say don’t tk pt. Can you have period with blood clots and be pregnant?

    • You can have period for first three months of pregnancy. After IVF false positive pregnancy test may occur. So your doctor must have wanted you to wait for some time.

    • Brown jelly like discharge early pregnancy may be because of BD mixing in CM. When you get pregnant some spotting blood may not come out and turn brown and later come out as brown discharge. Consult a doctor if the discharge is heavy or there is itching and burning.


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