Hello dear,
Understand your concern.
Following are the reason
abdominal cramp f/b vaginal spotting:
1. High level of stress
2. Change in life style
3. Late ovulation
4. Excessive exercise
5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine
6. Thyroid problem
7. Hormonal imbalance
8. Endometriosis
9. Molar pregnancy
10.
Precancerous condition of cervix/uterus, fibroid
11. PCOS
For pain: Take tablet Meftal Spas Two times a day for 3-4 days.
Do regular walking and exercise.
Eat healthy diet
Also note that
Menstruation required co ordinate action of various hormone that secreted by ovary (estrogen and
progesterone) and brain (FSH and LH).
If any above hormone is decreased or increased there is imbalance in menstruation.
So please do full hormonal profile : Estrogen, progestron, LH, FSH, HCG and thyroid hormone.
That help to diagnose hormonal imbalance.
Also do
USG
PAP smear
Endometrial biopsy
Ovarian follicle study
Hysteroscopy
After confirmation you can take treatment according So please go ahead.
Hope this may help you
All the best.
Stay healthy.