Q. What could be the cause of intermittent spotting after the menstrual cycle?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Please send me your detailed gynecological, medical, surgical, and drug history. It is better to have a serum beta hCG blood pregnancy test immediately so you can know whether there was any pregnancy.

Have you recently noticed any abnormal symptoms such as abnormal hair growth, weight gain or weight loss, hormonal imbalance, thyroid dysfunction, or any medical issues? Check these as well.

1. In case of a positive pregnancy test, if no cramps, abdominal pain, or bleeding are present, repeat the test to be on the safe side to check the progression of conception.

2. If serum beta hCG level shows reduction, it is a miscarriage, but if it shows an increase of more than 60 %, then it is alarming and needs to be checked for any intervention.

3. If the pregnancy test comes negative, then you check for the next two to three months for irregularity; otherwise, I suggest you can take combined oral contraceptive pills for three months. However, please consult a physician, discuss with them and start taking the medications with their consent.

Please consider undergoing the following test.

1. Get a transvaginal scan and blood test done.

2. Get your serum testosterone, serum progesterone, prolactin, serum insulin, FSH (follicle stimulating hormone), LH (luteinizing hormone), and thyroid function test (on the second day of the period) done.

3. Get your cervical smear and high vaginal swabs done.

Have a healthy diet, daily walking, exercise, and normal BMI (basal metabolic rate) and weight.

Hope this helps.

Thank you and take care.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam

Experience: 20 + Yrs

Obstetrics And Gynecology

---

Related Questions:
I had bleeding after I was fingered. Am I pregnant?

I was having pain at that part the day he did it which is just a day before and I had a bleeding patch along with my secretions yesterday ... But if you have been sexually active there could be other reasons for   Read full

Is it normal to get spotting during fertile period?

If you are not, then the most common cause of mid-cycle spotting is ovulation bleed which is physiological in most women ...   Read full

I had bleeding with dark brown mucus after intercourse. Is this normal bleeding?

.. for reaching out. Based on the history and symptoms you have provided, you are having midcycle spotting. It is a kind of light vaginal bleeding that happens in women who have ovulatory cycles. It usually lasts for 3 to 4 days and stops on its own.   Read full