Noticing unexpected changes in your period is unsettling and can have you wondering if it’s normal or a sign of something more serious. While occasional spotting is harmless and may occur from stress or a change in contraception, it’s not something you want to brush off.
Spotting between periods isn’t normal, and it may even be a sign of a more serious health issue.
Our women’s health experts at Obstetricians & Gynecologists, PC, don’t want you to ignore any symptoms of concern. In this month’s blog, we cover spotting, possible causes, and why you should come in and see us.
Everyone’s menstrual cycle is different, but they typically range from 21 to 37 days with up to seven days of bleeding during your period. Any deviation from your typical cycle is considered abnormal bleeding, whether your cycle is shorter or longer or you’re bleeding when you normally wouldn’t.
Spotting refers to any bleeding that occurs outside of your usual period and is therefore not normal. The amount of blood loss varies from very light to heavy. The unusual bleeding may occur from any number of causes, some harmless and some more serious.
While you may dismiss it if the bleeding is light, any spotting, whether it’s light or heavy, benefits from a visit with your OB/GYN.
Though not normal, there are instances where we might expect spotting. Some women may have spotting while ovulating, when the ovary releases the egg during your menstrual cycle. Birth control may also cause bleeding in between periods, especially those with little or no estrogen.
Spotting is also common in early pregnancy when the embryo implants itself into the uterus. We also see spotting in the months or years leading up to menopause due to hormonal changes.
Stress, extreme dieting, and excessive exercise may also affect your menstrual cycle and lead to spotting.
It’s easy to dismiss spotting if it’s light or if you can explain it away with a new contraceptive method. However, abnormal bleeding also can be a sign of gynecological conditions such as:
Given the potential seriousness of spotting, it’s always best to schedule an appointment with your doctor before dismissing it as nothing. Especially if you have other symptoms like pelvic pain, heavy menstrual bleeding, or going months without your period.
We review your symptoms, perform a physical and pelvic exam, and run diagnostic tests to confirm or rule out a more serious cause to explain your spotting.
In some cases, spotting may resolve on its own. Management of spotting depends on the cause and may include medication, an in-office procedure, or surgery.
Keeping a menstrual cycle diary can help you track patterns and identify factors that may contribute to the abnormal bleeding, such as stress or extreme dieting.
Occasional spotting between periods may be harmless, but don’t dismiss it before talking to your doctor. If you have abnormal bleeding, even if it’s light or infrequent, call us or book an appointment online — we’re located in Hastings and Grand Island, Nebraska — so we can provide an accurate diagnosis and effective treatment plan.
