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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods With Abdominal Cramps And Spotting?

Hi, I lost my virginity to my boyfriend on August 13 but we had unprotected sex and everything was fine during that week. The following week we had unprotected sex again and he told me that he came inside me, I m suppose to get my period on the 23 of August but I never did. I told my boyfriend that my period still hasn t showed up so we waited til the 29th of August and I took a pregnancy test but it came out negative. Instead the day I was suppose to get my period which was on the 23rd I wake up to go to the bathroom and I notice that at the end of when I m done peeing it hurts, minutes later I have to pee again and again. But my period never showed up that month. Until the 1st of September I noticed that I ve been spotting light pink with brownish blood and I had small cramps and the toilet paper came with small amount of blood. During that day it had stopped. The next day the spotting had stopped until night time came and started spotting again and then started to get a little bit heavy and also notice that clots I think that s what its called started to come out too and thought that it might be my period because I saw the clots, but it didn t smell like period is suppose to smell like. The bleeding continued til the 4th of September, and on the 5th I only spotted a bit brownish and I thought it went away because nothing came out. So that day I had unprotected sex again and my boyfriend and I noticed blood coming out again and the thing that we didn t understand was when he ejaculated inside me again all his sperm came right out of my virgina with the blood. And I started bleeding again. Today which is Saturday I still go to the bathroom frequently and every time I finish peeing it still hurts at the end and small amount of blood still appears in the toilet paper. Ever since this has happened we ve been searching for answers but we found nothing. I hope that you may have an answer for us. Thank you.
Mon, 18 Jul 2016
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OBGYN 's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic.
I have gone through your query.
I think I have understood your concern, I will try to suggest you the best possible treatment options.

1) First of all do not panic.

2) Date of first intercourse falls on day 22 of the previous cycle. It might be in the safe period days.
Secondly , after crossing the dates your urine pregnancy test was also negative.
In case of doubt, blood beta HCG test and USG can be helpful.

So mostly what you have came across must be menses only, but with some irregular bleeding and spotting.
This can happen with hormonal balance or PID- pelvic inflammatory disease.

3) I will suggest :-
-to take prescription from your physician for combination pack of Tranexamic acid and Mefenamic acid, one tablet 3 times a day for 3 to 5 days till bleeding gets controlled.
- also a course of broad spectrum antibiotic for a week will be of help.
- plenty of water, fruit juices to compensate fluid loss and get energy.

4) It wont be wrong on my part to advise you to get counselled about safe and protective sex. Use of barrier method like condom, will help to avoid unwanted pregnancy and STDs.

I hope my answer helps you.
Thanks.
Wish you good health.
With regards
Dr Purushottam Neurgaonkar
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What Causes Delayed Periods With Abdominal Cramps And Spotting?

Hi Dr. Purushottam welcomes you to HCM virtual clinic. I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options. 1) First of all do not panic. 2) Date of first intercourse falls on day 22 of the previous cycle. It might be in the safe period days. Secondly , after crossing the dates your urine pregnancy test was also negative. In case of doubt, blood beta HCG test and USG can be helpful. So mostly what you have came across must be menses only, but with some irregular bleeding and spotting. This can happen with hormonal balance or PID- pelvic inflammatory disease. 3) I will suggest :- -to take prescription from your physician for combination pack of Tranexamic acid and Mefenamic acid, one tablet 3 times a day for 3 to 5 days till bleeding gets controlled. - also a course of broad spectrum antibiotic for a week will be of help. - plenty of water, fruit juices to compensate fluid loss and get energy. 4) It wont be wrong on my part to advise you to get counselled about safe and protective sex. Use of barrier method like condom, will help to avoid unwanted pregnancy and STDs. I hope my answer helps you. Thanks. Wish you good health. With regards Dr Purushottam Neurgaonkar