Persistent Cramps, No Period & Fatigue: Possible Causes & What To Do

Possible causes:

- Implantation bleeding. If you are pregnant, the fertilized egg may implant in the lining of the uterus, which can cause light bleeding or spotting. This can be accompanied by cramps and fatigue.

- Hormonal imbalance. An imbalance of hormones, such as estrogen and progesterone, can cause irregular bleeding and other symptoms, such as cramps, fatigue, and creamy white discharge.

- Ovarian cyst. An ovarian cyst is a fluid-filled sac that develops on the ovary. Ovarian cysts can cause pelvic pain, irregular bleeding, and fatigue.

- Uterine fibroids. Uterine fibroids are non-cancerous growths of the uterus. Fibroids can cause pelvic pain, heavy bleeding, and fatigue.

- Pelvic inflammatory disease (PID). PID is an infection of the reproductive organs. PID can cause pelvic pain, irregular bleeding, and fatigue.

- Sexually transmitted infection (STI). STIs, such as chlamydia and gonorrhea, can cause pelvic pain, irregular bleeding, and fatigue.

- Ectopic pregnancy. An ectopic pregnancy occurs when the fertilized egg implants outside of the uterus. Ectopic pregnancies can be life-threatening and require immediate medical attention.

If you are experiencing any of these symptoms, it is important to see a doctor to determine the cause and receive appropriate treatment.