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Bleeding and cramps between periods

I'm 21 and have been experiencing bleeding and mild cramping between periods. It lasts for days at a time, is a dark rusty red in colour with occasional small blood clots, and is not consistent with a certain time in my cycle (e.g. sometimes occurs days before ovulation, sometimes after).  It is heavier than the light, brown spotting I have experienced between periods in the past, but not as heavy as a period. An ultrasound and a blood test showed no worrying results, I am not pregnant or on the pill, and the gynecologist I visited dismissed it as stress (I have in recent months moved to a new country with a different language). However, I feel that he did not take my concerns seriously, especially coupled with the fact that I have had difficulties with pain during sex also. Do you think it is worth getting a second opinion or should I just dismiss my concerns altogether given that the ultrasound was clear?
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134578 tn?1614729226
I'd talk to another doctor. What was the blood test for, were they checking your hormone levels? It sounds like breakthrough bleeding, but someone (that is, a doctor) should be interested in figuring out why it is happening.
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