What causes brown spotting in periods and post-sex bleeding?

Question

Hello doctor,

I am having brown spotting with blood clots, and there is no pain or cramps. I had my period in the first week of June. I had unprotected intercourse in the first week of October, but my partner did not ejaculate inside me.

I again had intercourse (protected), and I had slight bleeding after that. Whenever I have an orgasm, I bleed, which has never happened before. I have had an irregular cycle for one year.

My periods come in about three or four months' duration. Now it is four months already, and I am experiencing this dark brown spotting instead of my periods. Why is this happening?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Because you have irregular periods for a long time and the interval is three to four months, then for sure, you should be evaluated for causes of oligomenorrhea like PCOD (polycystic ovary disease), hypothyroidism, and hyperprolactinemia.

Also important is to rule out pregnancy, as you have been sexually active. Once ruled out, then a per speculum examination can be conducted to rule out cervicitis or erosions, which can cause post-coital bleeding. So a gynecologist examination would be recommended.

I hope this helps you.

Take care.