The conversation between human and AI assistant.
[|Human|] I am on a birth Control pill and have been on it since the end of June...about 15-16 days ago i was suppose to start my period. I was roughly a day or two late, but had very light bleeding...1-2 tampons a day bleeding...three days ago my lower back started hurting really bad. It felt/feels like a fist is being drove into my lower spine near the tailbone...when the back pain started i also started bleeding again with a lot of blood clots...am i having a miscarige?
[|AI|]  Hi and thanks for the query, You need not worry of the bleeding in case this is the first time you are on birth control pills. This is a common side effect experienced by some women on birth control pills. Your doctor shall carefully examine you to be sure that there is no other condition is causing this. In case nothing is seen, the pills could be removed or replaced with another carefully discussed and accepted upon birth control method. The pain in the tail bone area might not actually have to do with the bleeding at times. However, conditions more serious like some cancers of the uterus could spread to nearby bones and cause such manifestations. I strongly suggest you consult your gynecologist for a complete physical examination, ultrasound, uterine biopsy to exclude any cancerous process and get a spinal x-ray done around the tail bone area. Thanks and hope this helps as I wish you the best of health. Kind regards. Bain LE, MD
