Hello Shainaz Ji,
Bleeding outside of your normal menstrual cycle, especially when it includes clots and is accompanied by stomach and back pain, can have several possible causes:
Hormonal Changes: Sometimes, irregular spotting or bleeding can be due to hormonal fluctuations, which might happen from stress, recent changes in weight, or even after sexual activity.
Urinary Tract or Reproductive Infection: Infections like a urinary tract infection (UTI) or a reproductive tract infection can cause symptoms like spotting, abdominal pain, and back pain. These often come with other signs like pain or burning during urination.
Implantation Bleeding: Since you mentioned a recent encounter with your husband, it’s worth considering implantation bleeding, which can occur in early pregnancy. However, this usually lasts only a few days, so an extended duration of spotting might indicate something else.
Other Gynecological Issues: Conditions like ovarian cysts, endometriosis, or fibroids could also cause irregular bleeding and pain.
It’s best to consult a gynaecologist to get a proper diagnosis. They may suggest a physical examination, urine test, ultrasound, or possibly a pregnancy test to determine the cause and guide you with the right treatment.