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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ectopic Pregnancy, Miscarriage, Cramping, Heavy Bleeding. Negative PT. Suggest?

Hi. I'm 41 years old with a history of a miscarriage and an ectopic pregnancy (and one successful c section). My period have always worked like clock work-every 25 days. This month I was 7 days late with minor cramping for 7 days. Today I got my period but it is extremely painful and I'm bleeding so heavy. When I sit on toilet it pours out. I did take pregnancy test 3 days ago and it was negative. It hurts badly on the same side I had an ectopic. What should I do? Should I go to urgent care?
Thu, 25 Apr 2013
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OBGYN,  's  Response
Hello
Thanks for your query.
I think you are having an abnormally heavy period, called menorrhagia.
It could be an isolated event,
or there could be reasons such as anxiety, stress, age related issue, thyroid disorder, endometrial hyperplasia, an impending abortion etc.
I would ask you to go to urgent care, given your past history of ectopic which is extremely high risk.
Any kind of abnormal bleeding, in reproductive age group should be evaluated.
Also, with heavy bleeding and cramps, you anyways need to have some medication to ease the pain and the flow.
Take care.
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Ectopic Pregnancy, Miscarriage, Cramping, Heavy Bleeding. Negative PT. Suggest?

Hello Thanks for your query. I think you are having an abnormally heavy period, called menorrhagia. It could be an isolated event, or there could be reasons such as anxiety, stress, age related issue, thyroid disorder, endometrial hyperplasia, an impending abortion etc. I would ask you to go to urgent care, given your past history of ectopic which is extremely high risk. Any kind of abnormal bleeding, in reproductive age group should be evaluated. Also, with heavy bleeding and cramps, you anyways need to have some medication to ease the pain and the flow. Take care.