Hi
Thanks for the query.
The possible causes are :
- If there is any possibility of
pregnancy, better to rule out ectopic pregnancy once.
-
Pelvic inflammatory disease.
-
Hormonal imbalance leading to alteration in menstrual flow.
So you once consult gynecologist, get examined and go for
ultrasound.
By examination and ultrasound, the possibility of ectopic pregnancy and
pelvic infection can be ruled out. Then if the cause is found to be hormonal, you can go for hormonal pills for few months.
This will help in regularization of the cycles.
Meanwhile you can take symptomatic treatment to decrease the pain, spotting etc.
Take care.