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It’s always a good idea to seek medical attention as soon as you notice any unusual bleeding or symptoms that were different than before. Depending on how long it had been going on or how much you bleed, you’re more at risk for severe anemia, which may be treated right away. It can also be caused by other issues as mentioned, including endometriosis, which can be treated by some forms of birth control. If you’re experiencing heavy bleeding, especially while you’re pregnant, this is always a level of concern which may affect the health of yourself or your baby, so you should have that checked right away.