Thanks for the query to ATD,
I understand your concern here but a single episode of passing clots warrants observation and watch for next 3 cycles and cannot be used for evaluation on line s of a possible organic lesion or adenomyosis causing menorrhagia. This can be simply stress induced hormonal imbalance in this cycle leading to decreased progesterone levels and hence excess bleeding in form of clots. You may opt for antifibrinolytics like Tranexamic acid thrice a day, easily available on prescription, which shall help you reduce your bleeding substantially.
I hope I have answered your query in detail,
Wishing you good health,
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