Doc here. Should I go to the ER?

Hi guys, so I am a resident in pediatrics and I am getting out of my shift and freaking out a bit ..

So, 27-year-old woman, history of a ruptured hemorrhagic ovarian cyst two years ago. I’ve been taking combined contraceptive pills for suspected polycystic ovary syndrome (PCOS) for five months. While still on the pill, I started bleeding and experiencing pelvic pain similar to menstrual cramps.

I find it very unusual to bleed because I usually take the pill for three weeks and then have withdrawal bleeding. However, what worries me is that today I bled heavily and passed some clots that scare me—they resemble placental tissue or a miscarriage. But I haven’t had recent sexual intercourse.

If the bleeding continues, should I go to the emergency room? I have a scheduled consultation in three days.

So yeah, I am a doctor and asking if I should go to the emergencies but I don’t feel that painful but it is just the clot and the volume of bleeding that scares me ..

I am also exhausted after work and wanna see if you gyn think it is not something unusual and I can wait until 3 days to see my doctor.

Thanks!