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What Does Severe Cramping With Heavy Inter Menstrual Bleeding Indicate?

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Posted on Fri, 9 May 2014
Question: Hi, I had a normal period 2 weeks ago then had intercourse a week later and a week after that I have severe cramping and a heavy period am I pregnant? My periods are always normal and on time just about?
doctor
Answered by Dr. Aarti Abraham (15 minutes later)
Brief Answer: AS BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. Can you please tell me the date of your last menstrual period, also, the normal pattern of your cycles ? From what you have described, it appears that you are having a proper period as per the date schedule, only that it is heavier and with cramping. This could be a miscarriage - a pregnancy test will easily tell you if that is the case. Also, conditions such as stress, anxiety, weight gain, erratic sleep or eating habits, ingestion of blood thinners or hormonal medications, alcohol, smoking - all can cause a heavier period. Polycystic ovarian disease, endometrial hyperplasia , fibroids, adenomyosis - all conditions can lead to heavy bleeding. A complete evaluation by a gynaecologist ( internal exam - per vaginum and per speculum ) and a pelvic ultrasound scan is a must. Also, estimation of hormones ( FSH, LH, TSH, Prolactin, OGTT , DHEAS, Free Testosterone ) should be done. All the best Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (41 minutes later)
Thank you for getting back to me so soon! my last period started on the 8/4/14 - 14/4/14 and was usual I then had intercourse on the 16/4/14,i had severe cramping starting 21/4/14 evening and I have come on a heavy period with severe cramping waking me up at night today 23/4/14? All my periods are usual and regular as I have a period tracker on my phone. Many Thanks
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer: AS BELOW Detailed Answer: Hi, Thank you for the appreciation ! As I understand, this period is then early, right ? And also it is heavy and with cramping, it could be a miscarriage. Please get a pelvic ultrasound scan done and blood B HCG levels as it is too early to rely on a conventional home pregnancy test kit.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

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What Does Severe Cramping With Heavy Inter Menstrual Bleeding Indicate?

Brief Answer: AS BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. Can you please tell me the date of your last menstrual period, also, the normal pattern of your cycles ? From what you have described, it appears that you are having a proper period as per the date schedule, only that it is heavier and with cramping. This could be a miscarriage - a pregnancy test will easily tell you if that is the case. Also, conditions such as stress, anxiety, weight gain, erratic sleep or eating habits, ingestion of blood thinners or hormonal medications, alcohol, smoking - all can cause a heavier period. Polycystic ovarian disease, endometrial hyperplasia , fibroids, adenomyosis - all conditions can lead to heavy bleeding. A complete evaluation by a gynaecologist ( internal exam - per vaginum and per speculum ) and a pelvic ultrasound scan is a must. Also, estimation of hormones ( FSH, LH, TSH, Prolactin, OGTT , DHEAS, Free Testosterone ) should be done. All the best Please feel free to discuss further.