HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Irregular Menstrual Bleeding With Cramps And Blood Clots Followed By Light Period?

default
Posted on Fri, 3 Jan 2014
Question: Hi...last month my period came 3 days early and I had bad cramps and lots of blood clots, some of them really big. Now this past cycle my period only lasted one day and it was light/medium. It came on time..but I did have spotting when I wiped before and after that day. What factors could cause this?
doctor
Answered by Dr. Aarti Abraham (52 minutes later)
Brief Answer: WORKUP OUTLINED Detailed Answer: Hello Thanks for writing to us with your health concern. See basically in a sexually active woman, any kind of irregular menstrual bleeding should first be investigated for pregnancy or a related complication - like a miscarriage or an ectopic pregnancy. So please take a pregnancy test right away if you have been sexually active during this period. Other possibilities for irregular menstrual bleeding are - stress, tensions in personal or professional sphere, changes in your diet or sleep patterns, weight gain, ingestion of hormonal medications etc. Hypothyroidism, polycystic ovarian disease, endometrial hyperplasia, polyp, fibroid, ovarian cysts - these are some of the other differentials. I would recommend the following for a patient who came in to me - 1. A pregnancy test right away. 2. Once that is ruled out, a thorough internal check up ( per vaginum and per speculum ). 3. A pelvic ultrasound scan. 4. Blood tests - FSH, LH, TSH, Prolactin, OGTT This evaluation would reveal a specific diagnosis. All the best. Please feel free to discuss further.
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
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Gynecologic Oncologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
What Causes Irregular Menstrual Bleeding With Cramps And Blood Clots Followed By Light Period?

Brief Answer: WORKUP OUTLINED Detailed Answer: Hello Thanks for writing to us with your health concern. See basically in a sexually active woman, any kind of irregular menstrual bleeding should first be investigated for pregnancy or a related complication - like a miscarriage or an ectopic pregnancy. So please take a pregnancy test right away if you have been sexually active during this period. Other possibilities for irregular menstrual bleeding are - stress, tensions in personal or professional sphere, changes in your diet or sleep patterns, weight gain, ingestion of hormonal medications etc. Hypothyroidism, polycystic ovarian disease, endometrial hyperplasia, polyp, fibroid, ovarian cysts - these are some of the other differentials. I would recommend the following for a patient who came in to me - 1. A pregnancy test right away. 2. Once that is ruled out, a thorough internal check up ( per vaginum and per speculum ). 3. A pelvic ultrasound scan. 4. Blood tests - FSH, LH, TSH, Prolactin, OGTT This evaluation would reveal a specific diagnosis. All the best. Please feel free to discuss further.