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Key takeaways: Its common to have some blood clots during your period, which are made up of coagulated blood and tissue from the uterine wall Blood clots that are larger than a quarter are a sign of a heavy period, and because large clots can also be a symptom of an underlying condition, you should speak to your doctor if they happen frequently Treatment options for heavy periods include tranexamic acid, hormonal birth control, iron supplements, and surgery Most of us have probably noticed blood clots at some point during our periods