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What does it mean if clotting gets worse each menstrual cycle?

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Ever since I first started at age 12/13 (I am now 21 years old) I've always had a heavy bloodflow on my period...but the last few months I have noticed the usual clotting I use to experience has gotten worse,more frequent like now its all the time, and larger,and I get sicker.like where I cant even get out of bed atleast a day a month. The bloodflow and the clots are just really getting out of control I've heard its normal to clot sometimes but mine is constant and large and I feel like somethings not right but I have no insurance right now and I really have no idea what it could be or what I should do? Should I just keep a eye on it or do something bc its never been like its been last month and this month and my very lower back is feeling very very painful with it I have no energy and cant move...like this is more extreme than usual pms I feel like there is a knife in my back and it gets to where I cant turn my body or move very well. I dont mean to gross anyone out but I'm really needing help.