How to know the reason for spotting and painful bleeding?

Hi,

Welcome to icliniq.com.

I hope you are feeling better now with regard to the pain.

The cyst needs to be monitored by ultrasound. We will have to see whether the size is now less or not. Also, at the same time the lining of your uterus can be seen and judged. If these reports are normal, then no need to worry. I would suggest you get this done as soon an possible as you have been bleeding for a week now. You should also get a blood test done by the name of beta hCG to rule out pregnancy. Sometimes, tubal ectopic pregnancy can be mistaken for a cyst.The bleeding may just be your period. It is unlikely to be related to the cyst itself, but you need an ultrasound. Please share the reports once done.