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cramping and bleeding has lasted 7 days

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June 20th, 2011
I am in my mid 20's, I was diagnosed with endometriosis at 18 & have taken Levelin ED for the past 7 years, which has helped to significantly reduce the pain and heavy bleeding associated with endometriosis. However a week ago I woke early in the morning with severe abdominal cramping, I experienced heavy bleeding with clots and some "stringy" tissue. I was due to get my period in a few days, so just thought it was an early period. However the cramping and bleeding has lasted 7 days. I feel extremely fatigued and vaguely nauseous. I wonder if this is the endometriosis flaring up again or something else? I am also confused that I got my period before I was supposed to, while on the pill - thats never happened before in 7 years! I have considered the possibility of miscarriage, but being on the pill I wonder how I could have even gotten pregnant in the first place. I would go see a doctor - but I've had enough of Doctors who simply dont listen. ???????????


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replied June 21st, 2011
Menstruation Answer A24255
Hi,
Welcome to ehealthforum,
It is not uncommon to find women getting pregnant while being on hormonal contraceptives. Your symptoms (abdominal cramps, heavy bleeding, clots & tissue in bleeding, extreme fatigue, nausea) could be suggestive of possibility of pregnancy and probable ongoing miscarriage. If you suspect to be pregnant, consider visiting your doctor/gynecologist for further examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately). An ultrasound scan done will help to confirm if uterus is empty or with retained products of conception. Take adequate rest. Drink plenty of water. Maintain healthy diet. If pregnancy gets ruled out, get further evaluation done to rule out hormonal imbalances, contraceptive related problems (due to prolonged use), endometrial hyperplasia etc as causes for the prolonged and heavy bleeding. Go ahead with evaluation done for current status of endometriosis. If found to be flared up, laparoscopy should be considered to remove the growths and get started on regression therapy for control of endometriosis.
Take care.



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