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Why am I having heavy bleeding while on birth control pills?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a normal period two weeks ago but now I am having a very heavy period with strange cramping, lightheadedness, and nausea. I am currently taking birth control pills also.

Kindly advise.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The reason for having heavy periods in mid-cycle may be due to missing any dose of birth control pills. Consumption of emergency contraceptive pills at a young age, there is less chance of any fibroid or adenomyosis. But to rule out pathology, I suggest you get an ultrasound scan of the uterus and ovaries.

I also would want to know the detailed history if you are having any of the above.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I have not missed any of my birth control doses and I am generally very consistent, so having vaginal bleeding this early is very concerning for me. As well, the cramping is not like my normal cramping and it is a constant pain throughout my lower stomach. I have never had this level of heavy flow (besides after having my son 6 years ago). I am very much concerned about this.

Kindly help.

Hello,

Welcome back to iCliniq.com.

I understand your concern.

All the symptoms are suggestive of abnormal uterine bleeding or dysfunctional uterine bleeding.

I would suggest the following investigation:

  • Ultrasound Scan of Pelvis.
  • Complete Blood Count.

Differential diagnosis:

  • Abnormal Uterine Bleeding (anovulatory Bleeding).

I suggest you follow the instructions mentioned below.

  1. To rule out any kind of polyp, endometriotic lesion, adenomyosis, or fibroid, get a USG (ultrasound scan) of the pelvis for the uterus and ovaries.

  2. Take tablet Tranexamic acid 500 mg. Take the tablet three times a day for three days.

  3. Take tablet Dicyclomine 10 mg. Take the tablet twice daily for three days.

  4. Take a tablet of Mefenamic acid 250 mg. Take the tablet two times a day for three days.

  5. Take tablet Ascorbic acid 500 mg. Take the tablet three times a day for three days.

  6. Exercise regularly.

  7. Yoga can be added along with exercises.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you.

Thank you.

Medically reviewed byiCliniq medical review team
Published At August 19, 2023
Reviewed AtJune 5, 2026

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