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Clots—An occasional small blood clot during your menses, the size of a quarter or smaller, is nothing to worry about. Bleeding after menopause—After you stop having menstrual periods, any vaginal bleeding is considered abnormal and must be discussed with your health care provider. Learn about abnormal vaginal bleeding causes like uterine fibroids, endometrial polyps, IUDs, hypothyroidism, lupus, medications, or blood clotting disorders.