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Have irregular periods. Feel uncomfortable in lower abdomen. Had intercourse. Any need to worry?

hi there I have been concerned as I had my period two weeks ago and it was very normal but i started bleeding again today as if i started my period again only its like an orangey red color as opposed to the dark red and im very uncomfortable in my lower abdomen . My boyfriend and I have been having intercourse for a week straight almost as he just returned home so Im not sure if thats just a result of over use? or whether it could be something serious
Asked On : Fri, 8 Mar 2013
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General & Family Physician 's  Response
Dec 2012

Thanks for posting,

From your description there are a wide range of causes that could result to having an intermenstrual bleeding or post-coital bleeding. This might not also necessarily means there is an underlying diseases that lead to that. If you do not suffer from any irregular menstrual cycle, then it is advisable to start investigate the cause of the bleeding.
> Causes of intermenstrual bleeding (IMB)
- Pregnancy-related including ectopic pregnancy and gestational trophoblastic disease
- Physiological - 1-2% of women spot around ovulation
- Iatrogenic
- Combined oral contraceptive pill (COCP) - either in too low dose or in combination with an enzyme-inducing drug
- Progesterone-only pill
- Intrauterine systems (IUS) or implant
- Emergency contraception
> Causes of postcoital bleeding (PCB)
- Infection
- Cervical or endometrial polyps
- Vaginal cancer (rare in younger women)
- Cervical cancer (rare in younger women)
- Trauma (excessive sexual intercourse after a wide period of abstinence)

There will be need to do a pregnancy test after your expected day of menstrual bleeding or you see a gynobs as soon as possible for review and management.

Hope this helps
Answered: Fri, 8 Mar 2013
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