Blood Clot, NO Period

Hi, I'm hoping someone can help me with this!  I am 35 years old, and hubs & I have been trying to conceive for 3 years with 2 miscarriage 2 years ago in week 9.  I have a regular menstruation cycle of 28 days.  We had intercourse this month when I ovulated.  My period is not due for another 7 days.  However, this morning, when I urinated, there was a blood clot approx. the size of a quarter (maybe a little larger) in the commode.  There is no other bleeding.  Should I be concerned?

[Elaine Brown, MD]

Hi!
The bleeding could theoretically be implantation bleeding.  It could also be a sign of the period starting early.  If you were my patient, I would recommend taking a pregnancy test now, and then again if the period is late or unusual in any way.
If you are not pregnant in this cycle, I would encourage you to see a reproductive endocrinolgist soon.  After 35 it doesn't get easier!
Good luck!
Dr B