What could be the cause of the heavy bleeding and clotting?

I have been using the Gynera oral contraceptive pills for more than 2,5 years now. Just this past weekend I started again with a new pack but someone I have some rather heavy bleeding and some abnormal blood clotting. What could be the cause of the heavy bleeding and clotting?

Age: 31
Medications: Gynera, Vexal, Depakine
General Information: I have gone open water diving last weekend and ever since the weekend it has been like this. I had some spotting only last week Thursday and Friday. Saturday it was a little more and then after the diving it has just been an abnormal flow

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Dr. Deepak Patel

Hello. Open water diving will not affect your menstrual flow. And if you have been using Gynera for 2 years, your body is accustomed to it and it should not have caused abnormalities. So if you are experiencing a serious abnormal flow it is probably due to Uterine or Hormone related problems. To determine the exact nature of the problem you should consult your gynecologist for a blood, pap test and ultrasound. Regards

Dr.Honey Arora
8:51 am

It looks like Dysfunction uterine bleeding that can be due to a number of causes like hormonal imbalance.
But a clinical examination and investigation like Ultrasonography is important along with a hormonal profile for ruling out the cause.
The Gynaecologist can also advise you a combination of Mefenemic acid and Traxenemic acid to reduce bleeding.