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Contact your GP or healthcare provider if you experience : Complete absence of periods (amenorrhoea) for three months or more, particularly if you previously had regular cycles Very heavy bleeding requiring pad or tampon changes every hour, or passing large clots Bleeding between periods (intermenstrual bleeding) or after intercourse Severe pelvic pain accompanying menstrual changes Any possibility of pregnancy , especially if you have PCOS and were previously not ovulating regularly Seek urgent medical attention if you have : Heavy bleeding that soaks through pads/tampons hourly for more than 2 hours Dizziness, fainting, or severe weakness with bleeding Severe abdominal pain with a positive pregnancy test Your GP may recommend investigations depending on your symptoms and medical history