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What causes spotting and period cramps with no bleeding?

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

Patient's Query

Hello doctor.

I got my period before three months, which was normal the following month. Last month, I got my period twice. This month, I was spotting light brown for almost ten days in a row, and I have not gotten my period till now; I kept getting sharp pain like period cramps for the past couple of days, but not bleeding at all.

I take Biotin for hair, skin, and nails.

Kindly help.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

There is a hormonal disturbance that is causing you irregular periods. Have you recently quit or started any hormonal tablets? Do you have an illness or thyroid abnormalities? I suggest you take tablet Norethisterone 10 mg twice daily from day five to day 24 and then again in the next cycle on the same days. This will regulate your cycles and prevent unscheduled bleeding.

Take a blood test on day two of periods (serum testosterone, serum progesterone, serum prolactin, serum insulin, follicle-stimulating hormone, luteinizing hormone, thyroid function test). Have a transvaginal scan as well. Check for abnormal hair growth and sudden weight gain, as these symptoms and irregular periods are symptoms of a polycystic ovary.

Have a healthy diet, do daily exercise and yoga, and try to have a balanced body mass index. Have recreational activities and quit recreational drugs, as these can give you more disadvantages than advantages. Collect all your test reports and discuss them with your specialists.

I hope I have cleared your doubts.

Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At February 17, 2023
Reviewed At June 25, 2024

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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