What causes intermenstrual spotting with regular menses?

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Spotting could be due to hormonal induction as you are taking or hormonal imbalance inside the body. It would be better if you avoid similar contraceptive pills for a long time as this cause short and long-term effects on the body. So better try to have other contraceptives. I suggest you use Mirena (but not to be used for three years) it is an intrauterine device and gradually reduces menstrual bleeding. Or injection of Medroxyprogesterone for three months for contraceptive purposes or progesterone-only pills or implants etc. Avoid strenuous exercise. Have a walk, light exercise, and yoga to have a balanced BMI (body mass index) and weight . For now, I suggest you take a tablet of Postan 500 mg (Mefenamic acid) and a tablet of Tranexamic 500 mg eight hourly for two to three days. If it helps to reduce bleeding it means it is just hormonally stimulated bleeding. You can have one cervical smear,one thyroid function test, and a local outpatient hysteroscopic examination by a gynecologist specialist to exclude any abnormality. Get your results and discuss them here. Try to change contraceptives.

Thank you.