What Causes Abdominal Pain With Vaginal Spotting?

Posted on Fri, 21 Apr 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 21 Apr 2017 Answered on

Mon, 8 May 2017 Last reviewed on

Question : I Have Been Having Abdominal Pain For 3 Days Which Has Switched To The Right Side Mainly In My Back, I Came On My Menstrual On The 19th This Cycle Is Not Like Any Other It Is Very Light Use One Pad A Day, A Few Drops Of Blood When I Urine But Not Everytime The Color Of The Blood Is Not Really Red But Pinksh Or Brown When I Wipe ..Am I Experiencing A Light Period This Month Or Is Something Else Going On?

Answered by Dr. Shanti Vennam (1 hour later)

Brief Answer:
You need clinical evaluation.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

If you are sexually active and always have regular cycles, this sort of presentation calls for further evaluation. I would suggest a proper clinical exam by a gynecologist to exclude pelvic causes and also hormone imbalances.

A sonogram of the pelvis, pregnancy test, urinalysis and blood counts are needed. If pregnancy is excluded as the cause, presence of any cysts or infection should also be excluded. The color of the discharge suggests fresh bleeding followed by altered color due to retained collection. This can happen most often with episodic discharge. An ectopic pregnancy/ a ruptured ovarian cyst/ pelvic inflammation are the most likely causes. When pain persists in every cycle, endometriosis also should be considered.

Hope I have clarified your query. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar