Spotting is different from your period, which is the cyclical shedding of your uterine lining, your endometrium. Heavier spotting is most often from the uterus, while lighter spotting can come from the upper or lower tract 3. Spotting is a common side effect of hormonal contraception , especially during the first few months of starting a new method 4. If spotting between withdrawal bleeding continues, your pill may not be the best fit for you , and you may want to try another brand with a different chemical formulation 4.
Spotting is common and often unpredictable with the hormonal IUD , the contraceptive implant, the contraceptive shot injection, and the mini-pill a progestin-only pill 5. Spotting is also a common symptom of early pregnancy. About 1 in 4 people experience spotting, usually gestational weeks 5 and 8 or about 1 to 4 weeks after someone expects their period 6. However, heavy spotting or bleeding may be more of a concern.
It may actually be related to hormonal changes, as the production of progesterone switches from the ovary to the forming placenta 6.
Spotting can be a symptom of an ectopic pregnancy 7. This is a pregnancy that is growing somewhere other than the uterus, usually the fallopian tube. If you experience symptoms of spotting and suspect you may have an ectopic pregnancy, seek immediate medical help. Spotting can also be caused by infections and physical changes in the reproductive tract, or hormonal imbalances. Physical conditions that can cause spotting episodes include fibroids abnormal growth of muscle tissue on your uterus , uterine or cervical polyps abnormal growths on your cervix or the inside of your uterus and endometriosis 8.
Pelvic inflammatory disease PID , which happens when certain pelvic infections like STIs go untreated, can also be another culprit for unscheduled spotting. Other symptoms of PID can include pain in the lower abdomen, unusual vaginal discharge , and fever 9. Urinary tract infections UTIs can cause bleeding from the urethra where you pee from, between your clitoris and vagina.
Pain while urinating, paired with a small amount of blood on the toilet paper, might be signs of a UTI Consistently spotting after penetrative vaginal intercourse is not considered normal. When a fertilized egg embryo attaches to the lining of the uterus womb and begins to grow. Hormone changes. Hormones are chemicals made by the body. Changes in your cervix. The cervix is opening to the uterus that sits at the top of the vagina. Certain types of testing during pregnancy like an amniocentesis or Chorionic villus sampling CVS.
These are tests that are done to check for genetic abnormalities in your baby. Genetic abnormalities are changes in the genes that are passed down to a baby from mom or dad. These genetic changes can cause health problems for a baby. Problems related to smoking. Sometimes bleeding or spotting in the first trimester is a sign of a serious problem, like: Miscarriage. Almost all women who miscarry have bleeding or spotting before the miscarriage.
Ectopic pregnancy. This is when a fertilized egg implants itself outside of the uterus and begins to grow. An ectopic pregnancy cannot result in the birth of a baby. It can cause serious, dangerous problems for the pregnant woman. Molar pregnancy. This is when a mass of tissue forms inside the womb, instead of a baby. Molar pregnancy is rare. What causes bleeding or spotting later in pregnancy? Bleeding or spotting later in pregnancy may be caused by: Labor Having sex An internal exam by your health care provider Problems with the cervix, like an infection, growths, inflammation or cervical insufficiency.
Inflammation of the cervix is when it may be painful, swollen, red or irritated. Bleeding or spotting later in pregnancy may be a sign of a serious problem, like: Preterm labor. This is labor that happens too early, before 37 weeks of pregnancy. Placenta previa. This is when the placenta lies very low in the uterus and covers all or part of the cervix. Placenta accreta. This is when the placenta grows into the wall of the uterus too deeply.
Placental abruption. Keep a diary or use a period app on your phone to record when your monthly bleeding starts and ends each month, and when you have spotting. Share it with your doctor to see if you can find any patterns. Ask your doctor about hormone treatments that can help regulate your periods and prevent spotting. During pregnancy you can manage bleeding by getting as much rest as possible and by not lifting anything heavy.
Until you can get your spotting under control, always keep panty liners close by. Have a box at home and carry a few in your purse, just in case you start to bleed. Here are eight myths about periods we need to stop spreading. Learn when a light period is nothing to worry about, and when it may be the sign of something more serious.
Worried about a late period, but know you aren't pregnant? Missed or late periods can happen for plenty of other reasons. Read on to learn about them.
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