Bleeding inbetween periods with sides on one side

Patient : Since december 2011 i have been on my period 5 times i started bleeding on sunday 22nd january with pains this bleed is alot heavy then my normal periods and the blood in alot darker and with little clots in i have lower pains on my left side which are getting worse and the bleeding is too.. could this be a cyst or maybe an ectopic pregnancy ?
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