HomeAnswersObstetrics and Gynecologymenstrual irregularityMy periods are irregular, and I have cramps and spotting. Please help.

What could cause irregular periods with spotting and cramps?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At February 7, 2023
Reviewed AtDecember 7, 2023

Patient's Query

Hi doctor,

I have been experiencing cramping and spotting since yesterday. Yesterday it was just a dot, but today, more than that. My period date is yet to come.

Please help me.

Thank you.

Answered by Dr. Uzma Arqam


Welcome to icliniq.com.

  1. Have you recently quit or started any contraceptives, hormones, or medications?
  2. Do you have any medical history of clotting or bleeding disorder?
  3. Have you previously noticed any pelvic infection, trauma, or pelvic region skin lesion?
  4. My advice is to have one transvaginal scan, beta HCG (human chorionic gonadotropin) to exclude pregnancy, thyroid function test, cervical smear, and high vaginal swab. One detailed local examination via hysteroscopy can clear local lesions, cervical or endometrial polyp, and any other local lesion. Collect all laboratory reports and discuss them here or with your doctor. For now, you can have tablet Ponstan (Mefenamic Acid) 500 milligrams and tablet Transenxamic acid 500 milligrams every eight hours for three to five days as per symptoms to reduce and stop bleeding without hormonal support. I advice you to consult with a specialist and take the medications mentioned above with their consent. Start exercising daily, drink plenty of water, and eat fruits and vegetables. Avoid recreational drugs and do recreational activities.

    Thank you.

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

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy