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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding And Pressure In Lower Abdomen?

Ive been off and on bleeding for 2 months now. I've have serve cramps at times.I'm bleeding and feeling a lot of pressure in my lower stomach. It also burns to the point its hard to sit or close my legs completely. I've been on the depo shot for almost 4 years except I went a few months last year without it. What should I do?
Mon, 12 Jan 2015
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General & Family Physician,  's  Response
Hi,
I understand your concern.
You are using depo provera for 4 years, have off & on bleeding since 2 months with pressure in lower abdomen.
Depo provera is a long acting reversible hormonal contraceptive,& is known to have irregular bleeding ( profuse/scanty), lac of menses.
* If you have profuse bleeding with clots for more than 15 days at a stretch, you should consult your treating gynecologist for physical examination& certain investigations to exclude/ confirm other causes of bleeding- which needs specific treatment.
* the burning with lower abdominal pressure you have suggests associated urinary infection ( involving bladder)- Routine urine examination would help for diagnosis- followed by treatment to control the infection.
Thanks.
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What Causes Vaginal Bleeding And Pressure In Lower Abdomen?

Hi, I understand your concern. You are using depo provera for 4 years, have off & on bleeding since 2 months with pressure in lower abdomen. Depo provera is a long acting reversible hormonal contraceptive,& is known to have irregular bleeding ( profuse/scanty), lac of menses. * If you have profuse bleeding with clots for more than 15 days at a stretch, you should consult your treating gynecologist for physical examination& certain investigations to exclude/ confirm other causes of bleeding- which needs specific treatment. * the burning with lower abdominal pressure you have suggests associated urinary infection ( involving bladder)- Routine urine examination would help for diagnosis- followed by treatment to control the infection. Thanks.