Mid-cycle Spotting

Vaginal bleeding that occurs outside your menstrual periods is called mid-cycle spotting. Some of the causes are hormonal imbalance, ovarian cyst rupture, uterine fibroids, after sex or vigorous exercise, pelvic inflammatory disease, and use of progestin-only birth control pills.

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Is spotting after 20 days of intercourse, a sign of implantation bleeding?

Query: Hello doctor, About 20 days ago, my fiancee and I had sex. When she was getting off, the condom slipped but my semen did not come in contact with her. Just to be sure, we had a pregnancy test after four days, and it showed negative. We repeated the test again after 14 days, and it showed negative a...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hello, How are you doing? The only way to confirm her pregnancy, is to take the urine pregnancy test at least one day after the expected date of periods. If a confirmation is required, take a serum beta hCG test. This can detect a pregnancy, even in its earliest stage. This shows a positive even b...  Read Full »

Why do I have spotting for more than 15 days after my periods?

Query: Hi doctor, I have been spotting for more than 15 days without any pain. I had periods before 20 days, and it has not completely disappeared. I am married but had not had sex in the last two years. I had missing and irregular menstrual cycle once a year, but never like this. I had progesterone six ye...  Read Full »


Dr. Aishwarya Parthasarathy

Answer: Hi, Welcome to icliniq.com. If you are spotting for the first time, then I suggest tablet Trapic (Tranexamic acid) thrice daily until bleeding stops. If it persists, then visit your nearest obstetrician and gynecologist and get an internal examination and pap smear. For further information consult...  Read Full »

Will taking of Provera for irregular periods cause intermittent bleeding and spotting?

Query: Hello doctor, My fiancee has a history of irregular periods, and her periods gets delayed every month. Recently, her period got delayed for two weeks, so she took Provera for five days. After the second day of stopping Provera, she got her periods. On the second day of her bleeding, we got sexually ...  Read Full »


Dr. Garima Sawhney

Answer: Hi, Welcome to icliniq.com. There is very less chance of conceiving when a female is menstruating. In your case, there was no intercourse, so the chances are very less. But, we need to know the reason for spotting: Some hormonal imbalance. PCOD (polycystic ovary disease). Pregnancy, wh...  Read Full »

After insertion of Mirena IUD, I have spotting every day. Is it normal?

Query: Hi doctor,I had a Mirena IUD inserted before 18 months. I used to spot for a day or so in every few months. But, for the last two weeks, I have been spotting every day. Is this normal?  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. It is one of the complications of LNG-IUD (Levonorgestrel-releasing intrauterine device) or Mirena. The Levonorgestrel being released by the IUD makes the inner lining of the uterus or the endometrium so thin that it will just give way. Let me give you a few facts. By ...  Read Full »

Should I get tested or consult a doctor for my mid-cycle spotting?

Query: Hi doctor, I am 23 years old. My period cycle (for the last four or five cycles) has been for 25 to 27 days. I have a partner, and we are sexually active. I have a history of PCOS. My current cycle began in the middle of this month, and the cycle before that started in the middle of last month. I h...  Read Full »


Dr. Reetika Joshi

Answer: Hi, Welcome to icliniq.com. I fully understand your concern and will surely help you. Firstly the medicines you are taking are perfectly fine for PCOS (polycystic ovarian syndrome). A period cycle of 25 to 27 days is perfectly fine. You said you are experiencing spotting, which is somewhat identic...  Read Full »

Is it normal to bleed in between periods?

Query: Hi doctor, I am 32 years old, and I am not married. I am overweight, and I have been experiencing regular ovulation bleeding or spotting for the last eight months. Unfortunately, the problem is getting worse. I consulted a gynecologist who pinned the problem to PCOS (which I do have, but I had neve...  Read Full »


Dr. Reetika Joshi

Answer: Hi, Welcome to icliniq.com. I fully understand your concern and will surely help you. PCOS (polycystic ovarian syndrome) can have hormonal imbalance resulting in abnormal uterine bleeding. Also, your weight is more for your height. Please give me some details about when you got your last period, cyc...  Read Full »

What is mittelschmerz syndrome?

Query: Hi doctor, I have been having very light spotting for two days, and today I spotted a blood clot. It was dark red. I have been exercising intensely for three days. Can that be the reason? Or is it something serious? Previously I have noticed such symptoms whenever I start heavy exercise like runnin...  Read Full »


Dr. Poonguzhali Liston

Answer: Hi, Welcome to icliniq.com. I understand your concern. Slight spotting or bleeding seen around 14 days of your cycle is due to ovulation. This is called mittelschmerz syndrome. Spotting or bleeding with or without pain occurs before ovulation (release of ovum or egg from the ovary). This is due to...  Read Full »

What is spotting and why does it occur?

Query: Hi doctor, Since last year I have spotting between my regular period. Last month, I had spotting for 34 days till my period started four days back. I did FBS, serum pregnancy test, CBC and platelet, CT, BT, protime, urinalysis, and transvaginal ultrasound. I want my results to be interpreted. And I...  Read Full »


Dr. Suhail Khanday

Answer: Hi, Welcome to icliniq.com. The endometrium has numerous glands, and endometrial polyps are an overgrowth of these endometrial glands that protrude into the uterine cavity. These polyps are benign. Endometrial polyps usually are asymptomatic, but in some patients, they may present with abnormal ut...  Read Full »

I have spotting with watery mucus mid-cycle after a miscarriage. Why?

Query: Hi doctor, I used to have a regular menstrual cycle. But since the last four months, I noticed spotting mixed with watery mucus in the mid of the cycle. I was put on birth control pills a year back, but I still got pregnant and had a miscarriage six months back. After two months of my miscarriage, I...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. After going through your reports (attachment removed to protect patient identity), I feel your weight is the biggest issue here. Try to reduce your weight by avoiding junk food, red meat, etc. Try having a high-fiber and protein-rich diet and doing regular exerci...  Read Full »

I was spotting and got a negative pregnancy test, which was positive before. Why?

Query: Hello doctor, My periods got over ten days back, but I started getting an itchy vagina and very thick white discharge from the next day onwards. After four days, I started bleeding again, but it was like spotting. After someone suggested, I did a pregnancy test, and it came out positive with a very...  Read Full »


Dr. Vidyaprem

Answer: Hello, Welcome to icliniq.com. The vaginal itching after cycles can most probably be a candidal infection. If it continues, you need to take antifungals. Was there a delay in this cycle (from your usual)? A weakly positive test, followed by a negative, is unlikely to be pregnancy. The spotting can...  Read Full »

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