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Started bleeding after period with severe cramps. What could this be?

Mar 2013
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hi i started my period 12 days ago it lasted 3 days wasnt painfull then 4 days ago i got heavy painful bleeding now still have severe cramps with no blood what could this be?
Fri, 10 May 2013 in Menstruation and Miscarriage
Answered by Dr. Aarti Abraham 31 minutes later
Thanks for your query.
You are having irregular menstrual cycles.
Once in a while, in a woman's reproductive life span, such a solitary and isolated occurrence is often normal, and nothing to worry about.
However, without proper examination and consultation with a Gynecologist, it is difficult to rule out other causes of such an event.
The commonest reasons , if you are sexually active, could be a pregnancy or pregnancy related complications such as a very early pregnancy, a failing pregnancy, or an ectopic pregnancy.
Anxiety , stress, emotional upheavals, hectic and frequent travelling, job pressures, rapid and recent fluctuations in weight - all could be potential reasons.
Thyroid hormone dysfunction, high prolactin levels, polycystic ovarian disease - all need to be ruled out.
Endometrial diseases, hormonal imbalances, and ingestion of hormonal medications all are other likely reasons.

I would advise you to consult a gynecologist to rule out these causes, and then proceed with appropriate treatment as advised.

Take care, and feel free to discuss further.
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