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I had unprotected sex, and now I have spotting, cramps, and nausea. What could be the reason?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a height of 5.4 feet and a weight of 169 lbs. I have nausea, insomnia, fatigue, dizziness, leg cramps with back pain for a week. Today is my period day. I had spotting and cramps one or two times. I faced a sharp pain in the left lower abdomen. I had unprotected sex. I have thyroid and taking synthetic thyroid 75 mcg. What is the reason?

Answered by Dr. Nnaedozie Umeani

Education:

MBBS

Professional Bio:

Dr. Nnaedozie Umeani is a General Practitioner with extensive years of clinical experience. He is a General practitioner with the sole interest of bridging gaps in healthcare delivery. He also seeks to thrive in state-of-the-art health practices, mental health, and emergency medicine while working as a team to ensure quality service delivery.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern. You are having nausea, insomnia, fatigue, dizziness, leg cramps, back pain, lower abdominal pain for a week with spotting. You have hypothyroidism also. You can have these symptoms due to ectopic pregnancy, normal uterine pregnancy, primary dysmenorrhea, and hormonal imbalance due to hypothyroidism. You can do a serum pregnancy test and an ultrasound scan of the abdomen to rule out an ectopic pregnancy. It is an emergency condition and it has to be ruled out soon. Have an urgent review soon.

Investigations to be done

You can do a serum pregnancy test and ultrasound of the abdomen and pelvis. It needs to be done immediately.

Differential diagnosis

You can have normal uterine cysts with primary dysmenorrhea.

Regarding follow up

Please report to a gynecologist to rule out ectopic pregnancy immediately and revert back with the reports soon.
Medically reviewed by Dr. Sneha Kannan
Published At October 9, 2020
Reviewed At September 8, 2023

Education:

MBBS

Professional Bio:

Dr. Nnaedozie Umeani is a General Practitioner with extensive years of clinical experience. He is a General practitioner with the sole interest of bridging gaps in healthcare delivery. He also seeks to thrive in state-of-the-art health practices, mental health, and emergency medicine while working as a team to ensure quality service delivery.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Nnaedozie Umeani is a General Practitioner with extensive years of clinical experience. He is a General practitioner with the sole interest of bridging gaps in healthcare delivery. He also seeks to thrive in state-of-the-art health practices, mental health, and emergency medicine while working as a team to ensure quality service delivery.

This doctor is not available for online consultations on the platform anymore.

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