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    Severe cramping and bleeding...any ideas?
    An_241720 posted:
    I am almost 30yrs old. I just got off my period 10 days ago but two days aago, i began spotting a bright pink. last night i began bleeding severely with lots of clots and severe cramping. could this just be a change in hormones or should i go see a doctor to find out the cause?>
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    tlkittycat1968 responded:
    I would make an appointment with your doctor.
    Jane Harrison Hohner, RN, RNP responded:
    Dear An: I concur with tlkittycat, but here is some additional information. You mentioned that the spotting began about cycle day 15 (10 days after completing your flow). Given this specific timing the most likely cause would be bleeding with ovulation. Right before ovulation there is a brief spike of estrogen. When this level drops back down to normal, the sharp decline can destabilize the lining of the uterus leading to spotting/bleeding. Some women have this sign of ovulation every month; others only rarely. Fortunately the amount is usually scant and brief in duration, but some women can bleed like a "real" period.

    Another POSSIBILITY would be a ruptured ovarian cyst. These can produce an abrupt, severe pain that can send a woman to the ER. When a cyst ruptures it can interrupt regular hormone levels prompting erratic bleeding.

    Lastly, and least common, would be a the rupture of an undetected ectopic/tubal pregnancy. Given the amount of flow and severity of pain you should contact your GYN or clinic for follow up.

    An_241720 replied to Jane Harrison Hohner, RN, RNP's response:
    I don't know if this makes a difference or not but i also had a tubal ligation almost 2yrs ago. the pain has been getting worse also. I am making an appointment tomorrow. Thank you both for your input!

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