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Doctor insights on: Mid Cycle Bleeding And Cramping

See an OB/GYN: This sounds like you need an exam and to make sure you have not become anemic from bleeding. Go and see someone.

Treatment options: The cause of the heavy periods is not something we can always answer. There are lots of treatment options you can discuss with your doctor. Lysteda is a nonhormone medication designed for heavy periods. Some benefit from birth control pills, patch or nuvaring. Mirena (levonorgestrel) iud can stop your period in some cases. Consider an endometrial ablation if you are done having children.

See doctor ASAP: Any unexplained vaginal bleeding needs professional evaluation. There are several potential causes, including endocrine (hormone) problems, uterine or cervical diseases like pre-cancer, STDs, and pregnancy, maybe with impending miscarriage. All are more or less likely depending on sexual lifestyle and partnerships, contraceptive method, and so on. See a doctor (preferably gyn) ASAP. Good luck.

Old blood: Most of the time, brown spotting or bleeding represents older blood that the uterus, cervix or upper vagina had been "holding onto" for various reasons. W/ the cramping I would guess uterus as the source. It very well may be midcycle bleeding due to ovulation or other ovulatory abnormalities. I don't see a birth control method; sometimes that causes unscheduled bleeds. If continues, have an exam done.

Unlikely: Your menstrual cycles are fairly regular, but can vary by up to a week occasionally, mostly when you are very young or perimenopausal. Your age would suggest you are neither of these. I think this is spotting, and if it's light and goes away, this perfectly normal. If you are concerned, see an OB for an exam and more specific answers

It happens sometimes: Many women have occasional variation of their mucus discharge, some spotting between periods, a heavier period, a lighter period, a longer or shorter period, or even a missed period. Having one or two of these symptoms doesn’t necessarily mean there is a medical problem, but a visit to one’s primary care or Ob-Gyn doctor is a good idea if symptoms are persistent, recurring, or worrisome.

Consider STD: If you have been sexually active without protection (i.e. condom) then you could have a sexually transmitted disease (STD). Most health departments will provide confidential screening for STD without cost to the patient.

Evaluation: There are many options for treating heavy periods caused by fibroids. Treatment options vary according to your age and fertility plans. They also vary depending on the size and location of the fibroids.

See GYN...: Depends upon what is causing the bleeding; "normal" menses cycle; or dysfunctional uterine bleeding? Hard to comment without knowing at least your age (which women do not like to reveal :) and without having examined you. Better for you to have your existing gyn examine you and then take it from there.

Mettleschmertz: This can sometimes occur in mid cycle as a result of ovulation. It is called mettleschmertz...Or "middle pain". It should be very, very limited bleeding and pain you do well to note this and keep track of this. I would advise your family doc of this if this gets worse or changes, you need to see your ob/gyn physician. And, as always, regular check-ups are advised..

Bleeding: Emergency contraception symptoms can include spotting or bleeding, changes in menstrual flow or your period may be late or early. Notify your gyn if your period is 7 or > days late.

Yes, but: You're probably not ovulating, and if you don't produce an egg, there can be no fertilization. See your gyn to get to the bottom of this.

Low BBT (basal body: Temperature)? - haven't got a clue on that one. However, it can cause irregular bleeding- changes in menstrual flow (spotting, bleeding, early or late period).

Go see your GYN and: Get checked for hormonal imbalance or it could be a side effect of your herbal meds. Take care!

Was early period?: Mid cycle bleeding for 9 days is unusual, Your period may be affected next time and may need to see a gynae physician

Mid cycle Bleeding: No bleeding like that is never normal. There are several potential causes the worst being some type of tumor. Please see your doctor soon for an examination, ultrasound and further testing based on those results.

Irregular periods: Irregular periods are one of the most common problems obgyns treat. If this is one time problem it usually resolves on its own. If this is a recurring problem you should be evaluated. Infections ; hormonal changes can cause spotting. If there is a concern for pregnancy then do a home pregnancy test. There are many options available to help regulate the menstrual cycle. Schedule a visit.

Not likely: If your pap was normal three years ago, it is very unlikely that you have advanced cancer. However, it is time to see your doctor for a repeat pap and discuss the mid-cycle bleeding so that s/he may do an evaluation.

Mid-cycle bleed: It's not possible to tell why you had mid-cycle bleeding from the information posted. Also impossible to say whether the next period will come when expected. If having sex, first make sure you're not pregnant by running a home urine pregnancy test. If negative, repeat in 7 days. If both negative, it's ok to watch if the cycle gets back to normal next month. If not, seek care to figure out cause.

See below: Because of your age you should have an endometrial curettage or biopsy also a repeat pap smear with an hpv test should be done that should take care of what yo have told me.