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Spotting After Period : Causes and Treatment - NaturalHealthPolice.com
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Spotting After Period : 12+ Causes and Treatment


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Spotting after period is not a normal problem. It can happen for many reasons. Spotting after period ends completely depends on the different stages of a woman’s life and it influences almost all women at some point during their reproductive years. Spotting after period occur for many reasons, and in this article, we will describe most of them. With that, we will describe which changes women have to do in their lifestyle as a step of precaution. Do not worry ladies and read the article calmly.

Spotting After Period

Contents

WHAT IS SPOTTING?

When a small amount of blood is spotted from vagina outside of women’s mensuration period, it refers to spot. Spotting before, after or between periods is known as intermenstrual bleeding. It appears as blood-tinged mucus, or brown or red vaginal discharge and can occur for a variety of reasons. Most possible reason for Spotting after period ends describe below.

DIFFERENCE BETWEEN SPOTTING BLEEDING AND SPOTTING:

Bleeding is an escaping of blood in heavier form. When you are bleeding, you will need a pad or a pant liner to prevent the blood from soaking your pants.

On the other hand, spotting is any light vaginal bleeding which you experience outside your monthly period. The quantity of blood during spotting is not so much so that it can soak on our clothes.

CAUSES OF SPOTTING AFTER PERIOD

  1. First period:

For many girls, their few mensuration periods of starting are very confusing and new accompanied by painful feelings like tampons, cramps, and irregular menstrual cycles. With this experience, many girls experience off-schedule spotting.

If the spotting occurs during this stage, then it is normal and usually, caused due to hormonal changes that remove blood from the system at the wrong time of the month. Doctors say that it is normal and it happens as a body is trying to accept and understand the changes and work out all the shades of the reproductive system and becoming a woman.

  1. Taken “the morning after pill” :

Emergency contraception, the morning after pill- AKA, can cause light spotting. The spotting after period due to AKA is not a side effect, the progestin or progestin and estrogen in the medication can cause spotting at off menstrual cycle time, and it is completely normal. Keep a note in mind that spotting does not indicate you have your period, and therefore Spotting after period ended could I be pregnant is a question that rise in your mind.

  1. Inserted an object into your vagina/ a vaginal injury:

If there is anything that inserted in your vagina like tampon or penis, there is a chance of spotting. Even during sex, if your vagina is not completely lubricated, then friction can cause spotting. You can also have spotting even if your partner’s penis is thick or large or you have a small vagina. If you have deep penetration during sex, then it can lead to cervical bleeding.

During early pregnancy, the blood vessels in the cervix get engorged with blood and result in irritation of vaginal and cause postcoital bleeding. Tampon inserting can also cause spotting if you are too dry or doing it too forcefully.

  1. Perimenopausal :

When you reach to menopause period, you may start to experience light bleeding or pink or brown spotting before and after your period. During this time, your mensuration periods may be more irregular and heavier with occasional spotting approx. A week before the period date.

When you are in perimenopause period, the hormonal level becomes irregular and cause spotting. Once you enter the menopause, all menstrual bleeding stops. Hormonal changes can be a common cause of vaginal bleeding and spotting in menopause, but it can be a sign of also be a sign of other serious condition like cancer, too, so it needs medical attention.

  1. Implantation spotting :

If you are in the period of starting of pregnancy, then it is normal. If you are spotting, but your mensuration period does not appear for another few weeks, it could be possibilities that it is because of implantation spotting.

Implantation bleeding or Implantation spotting is when a fertilized egg attaches itself to the inside wall of your uterus. At the beginning of implantation in the uterus, tiny blood vessels can vent and cause the mother to spot a pink or brown discharge before period.

Implantation spotting usually occurs five to ten days after conception and before your next period. Approx. 1/3 of women claimed that this type of spotting was different than menstrual spotting who is having experienced implantation spotting.

Reasons incorporated the different color in the spotting, texture, and pain associated with spotting. The risk level of this type of spot is low, but if you find that you are pregnant, get in touch with your doctor as soon as possible.

When the fertilized embryo develops outside the uterus, in such case spotting is a sign of ectopic pregnancy, and when ectopic pregnancy left unattended, it can be life-threatening for the woman.

  1. Ovulation spotting:

For certain women, Ovulation spotting is very regular, and it is completely normal. Women can see spotting a day or two into ovulating when there is a decline in estrogen. In such case, you experience spotting usually pale pink.

There are many reasons for ovulation spotting like the surfacing of ovarian follicles, increase your estrogen levels. Note that ovulation period is when you are most prolific. So do not take ovulation spotting as mensuration spotting.

  1. Contraceptives pills:

Many women throughout the world are nowadays using some form of contraceptive pills for birth control. So if you are starting, stopping or switching medicines, then it is a common and normal side effect of it. While one takes such birth control pill, the pills change the estrogen level of the body. As estrogen keeps the covering of the uterus in place, altering with it cause spotting after period on birth control.

Spotting due to this types of medication doesn’t stay for longer than one to three months. During this period the body tries to adopt a new level of estrogen levels. Once the body will compatible, the spotting will stop. Spotting is typically a side effect of using hormonal contraceptives which may include injections of long-acting artificial progesterone, oral contraceptive pill, a rod containing slow-release progesterone or intrauterine system devices.

Even those treatments that include progesterone alone often result in spots due to drop in hormone levels. With the hormonal contraceptives, spotting last for around two weeks after your last period. Due to hormonal contraception, spotting most of the time stop after one or two month of starting and also reappear when stopping it.

Using birth controls such as an intrauterine device (IUD) can cause Spotting. It is a device that is inserted into the uterus and leaves to avoid pregnancy. In the IUD, hormones release slowly. As a result, it controls reproduction abilities and the menstrual cycle.

In the first three to six months, a spot from an IUD is prevalent as a side effect of it. Even on use of hormonal contraceptives like a rod or depot injection, one may find spotting between first two-three periods after the installation. Another reason for spotting is Hormone replacement therapy and oral contraceptives.

  1. Stress:

Stress is the major reason to disturb all your body. It can cause spotting by creating many imbalances in your body. Emotional stress like depression, worry, insomnia and physical stress like weight loss or gain, poor diet, over-exercising can cause spotting and also affect your period cycle.

It happens because extreme stress release cortisol hormone in more amounts, and it ultimately results in less release of estrogen and progesterone. This imbalance of hormonal can mess up your period cycle, and can make them late, early or irregular and cause spotting in after a period or before period.

To relieve stress exercising is a good way. Note that I said exercise, not over-exercising as it can also cause an absence of menstruation and also cause spotting.

  1. A decline in estrogen:

A study reveals that one out of ten women experiences spotting during ovulation in their menstrual cycle because of a decline in their estrogen levels. Most of the time it happens when an egg is out from an ovary.

Due to estrogen level, spotting occurs about 10 to 14 days before the next period and usually leads to ovulation. This type of spotting occurs due to change of the amount of estrogen that is exciting the endometrium. The decline in estrogen causes women to experience light to brown spotting after period and cramps or vaginal discharge. With spotting women also experience slight pain and cramping.

  1. Vaginal dryness:

When vaginal tissues are no longer elastic or moist, become irritated due to a change in estrogen causes vaginal dryness or vaginal atrophy. If you feel vagina to feel itchy or irritated, there may be chances of disruption of production levels of estrogen.

Most of the women who are in menopause are likely to experience vaginal dryness. The reason behind it is, the ovaries are producing less estrogen. As a result, decrease in the number of a lubricating gland that leads to a thinner vaginal tissue layer.

It is also possible that the women who are not in the menopause state can also experience vaginal dryness due to various factors. Some of the reason is friction during sexual intercourse, Childbirth and its result, hormone treatments, medications such as antidepressants, contraceptives, and too much of alcohol consumption.

If you are in the menstruating period nothing to worry about vaginal dryness but if you are experiencing menopause, then vaginal dryness is a thing to give attention.

  1. Delayed ovulation:

Those women who ovules from the ovary later in their cycle, it may lead to mittelschmerz. Mittelschmerz is lower abdominal one-sided pain that is related to ovulation in the middle of your menstrual cycle, usually about 13-14 days before your next mensuration period. The pain continues on-and-off for a few days that last from a few minutes to hours.

What happens in this situation is it usually the side of the ovary that is releasing an egg and cause pain. With the pain, mittelschmerz can cause spotting or vaginal bleeding. Postponed ovulation can also mean you have a small swelling on the surface of your ovary, which causes breaking of an egg through and lead to vaginal spotting.

  1. Urethral prolapse:

A tube that attaches your bladder to the outside of your body and carries urine from the bladder to the urethral opening is known as urethra tube. Urethral prolapse happens when the inner wall of your urethra swells through the crack of the urethra. Due to this, the opening of your urethra can follow a pink doughnut or ball and seem more massive and more swollen than usual. It can hurt the vagina, and small amounts of spotting or blood, to occur. It is easily treatable with medications such as estrogen cream, antibiotics and sitz baths.

  1. Impregnated:

If you in a starting period of pregnancy, then there are chances of experiencing spotting. It is normal to spot during the first few months of your pregnancy as there are frequent changes in hormones.

If you are not sure about your pregnancy, then consult your gynecologist or take a pregnancy right away. Your doctor will guide you in the right direction, confirm pregnancy and also confirm the spotting is normal if you are pregnant. And if not then tell the reason for spotting, and it is dangerous or not.

  1. Impending miscarriage:

Before a miscarriage, women commonly spot. A miscarriage is the failure of the pregnancy before the fetus or embryo is fully grown to live outside the mother’s womb. In the unfavorable case of a threatening miscarriage, one might experience distinct symptoms like back pain, abdominal cramping, spotting and lower abdominal pain. These signs also sign of first place of pregnancy. Many cases spotting is an indication of miscarriage and occurs in the first 20 weeks of pregnancy.

If the vaginal bleeding becomes heavier than usual and carries clots or when the blood color changed, it no longer spots but a miscarriage. To make sure check yourself to the gynecologist. An ultrasound scan can help to confirm if an embryo is still alive or not. It is normally likely between 5 to 6 weeks of pregnancy. If you’re concerned about a possible miscarriage, you should visit your doctor.

There is a chance that some leftover products of conception in the uterus after a miscarriage result in spotting. A woman who had half-done miscarriage requires having a curette while women with Rh Negative blood group need to be delivered Anti D injection to prevent future spotting.

  1. Slow thyroid or low thyroid levels:

Women body plays with hormones and imbalance in Hormonal level is one of the reasons for spotting after period. The high risk of thyroid in women might be too much estrogen production. Hypothyroidism or a slow thyroid can causes changes and imbalances in your metabolism, period and body temperature sense. It is in rare case life-threatening.

Low thyroid hormones can cause other scarier symptoms such as constant fatigue, significant weight gain, irregular body temperature, neck pain and hair loss. In such symptoms visit doctors immediately. Except that it is normal and usually treatable with medication.

  1. Post pregnancy or an abortion:

Light spotting to heavy bleeding can occur for the first few weeks after childbirth or abortion. It happens because your uterus has not contracted to the pre-pregnancy size or because there is remaining fetal tissue in your uterus. While this spotting can be normal, it should be checked by your doctor.

  1. Taking drugs like anticoagulants:

Drugs that help prevent existing clots from growing or prevent your blood from clotting are known as preventing your blood from clotting. These drugs help keep accumulations blood from forming in your veins, heart, or arteries and only take after doctor’s advice and prescription. These drugs prevent from clotting as a side effect is caused bleeding more than normal period and spotting after period.

Also, medicine like phenothiazides, which are tricyclic antidepressants and antipsychotic tranquilizers affected serotonin uptake and resulted in spots. Women who are taking corticosteroids (anti-inflammatory) drugs, spotting is also common in them. Drugs like Heparin, Warfarin or Aspirin, which are blood thinner also result to spot.

  1. Delayed or partial period:

When the mensuration period starts, it causes flowing of blood from the vagina. The blood is coming from the vagina that consists old blood, endometrial lining, and dead tissue. When you have a partial period or delayed period, blood flushing does not complete and leaves a small amount of lining behind.

It is left in the uterus for up to a month, and when this tissue expels, it leaves a pinkish or brownish color behind, which is known as spotting. This type of spotting is normal, do not worry about it.

  1. Cervical erosion- Cervical ectropion:

When the cells from inside your glandular cells or cervical canal, are present on the outer surface of your cervix than in medical term it is known as glandular cells. If you get a cervical screening test or smear test, it can easily find out. The infected area appears red because glandular cells are red.

There are chances that you born with cervical erosion or due to hormonal changes it develops. For many women, there are no difficulties compared with cervical erosion. However, for some, it can create spotting as glandular cells bleed more efficiently and can produce more mucus than squamous epithelial cells.

  1. Polycystic Ovary Syndrome (PCOS):

When there is a hormonal imbalance that interferes with normal ovulation and causes spotting or abnormal bleeding between or after periods, then it is known as Polycystic Ovary Syndrome (PCOS). PCOS affected to one out of every ten women. It can accompany by irritating things like acne and unwanted hair. IPCOS is common in young women and teen girls.

If your ovaries are not getting the right hormonal signs from your pituitary gland, then you have PCOS. Without these signals, you cannot ovulate each month, which changes your menstrual cycle. It also causes irregular periods and spotting in between periods.

If you are undergoing symptoms such as extra hair on your face, irregular periods, and hair on other parts of your body, weight gain, patches of dark skin on the back of your neck or other areas and acne. Birth control or other hormonal therapy is a most common treatment for PCOS.

  1. Inflammation or infection of the cervix (cervicitis):

Cervicitis recognized by the irritation or inflammation in your cervix. The symptoms are very similar to vaginitides, like itching, vaginal discharge, pain with intercourse, and spotting. If ureter or the urine tube, gets infected, you can feel pain and burn when you go for urine discharge; it is also a sign of cervicitis.

Cervicitis can cause by non-infections such as frequent douching, trauma, or exposure to chemical irritants. Cervicitis can also be by infections, like STDs- several sexually transmitted diseases. Once it diagnoses, it can treat in just a few days. Sexually transmitted diseases are a significant reason for cervicitis. So use the condom for protected during intercourse.

  1. Uterine Fibroids:

Uterine Fibroids/leiomyomas/myomas are noncancerous growths of the uterus that can occur during your childbearing years. The size ranges from tiny growths (undetectable to the human eye) to large bulky growths that can enlarge and alter your uterus. At a time you have multiple fibroids at a time. At some point in life, it is common for women to have fibroids, and don’t show any symptoms.

However, who experience uterine fibroids have symptoms such as spotting between periods, heavy menstrual bleeding, frequent urination, pelvic pressure or pain, and constipation. Although uterine fibroids are not usually dangerous, it can cause discomfort and pain and lead to heavy blood loss and anemia. If you are experiencing pelvic pain, then go to a doctor because it will not go away, and causes overly heavy, prolonged, painful periods, or spotting between periods.

  1. Sexually Transmitted Disease-STDs

As I stated above, sexually transmitted diseases can lead to cervicitis and hence spotting. Most common types of STD and spotting are gonorrhea and chlamydia.

Gonorrhea is common Sexually Transmitted Disease. If it is untreated, then cause life threating diseases such as infertility and HIV and spread to parts of the body such as the joints, heart, blood, or even the brain. Symptoms of Gonorrhea are yellow vaginal discharge with smell bad, pain during sex, a burning sensation while urinating, and spotting between periods. It can also be in other parts of your body, like anus or throat.

Chlamydia is common STD and if it not treated at a time then can cause serious health issues such as infertility and PID- pelvic inflammatory disease, etc. as it doesn’t show much of symptoms. However, certain symptoms include spotting between periods, unusual vaginal discharge, pain in your stomach, burning while urinating, nausea, back pain, and pain during sex. So check yourself each year to doctor.

Cervicitis also caused by Trichomoniasis and genital herpes. To prevent any types of STDs, regularly tested at your doctor or local clinic.

  1. An ovarian cyst:

Ovarian cysts can cause spotting after period. Small sacs when developing in ovaries and are filled with fluid then it termed as an ovarian cyst. You may not know you have ovarian cysts until one burst. If one bursts, a woman can experience spotting, lower pelvic pain and severe discomfort. If you feel extreme pain, then go to the doctor in an emergency. Doctors will wait to check if the cysts resolve themselves or not. If not then the last option is an operation to remove a cyst.

  1. Polyps:

Endometrial Polyps or Uterine Polyps are noncancerous growths that are attached to the inner wall of the uterus that extends into the uterine cavity. Polyps may associate with fibroids.

When there is an overgrowth of cells in the lining of the uterus, it growths Polyps and mostly found in women who have finished or going through menopause, but younger women also get polyps as well but in rare conditions.

Polyps are noncancerous most of the time, but some are cancerous and have potential to turn into cancer. Polyps can also travel through the -opening of the uterus into the vagina. Symptoms include spotting before periods, irregular menstrual bleeding, infertility, vaginal bleeding after menopause. So if you find any of above symptoms, visit your doctor.

  1. Pelvic Inflammatory Disease (PID):

PID-Pelvic Inflammatory Disease is an infection in reproductive organs of women. It often caused by infections such as Sexual Transmitted Diseases, like chlamydia and gonorrhea, and use of Intrauterine Contraceptive Devices and douches.

You are more expected to get PID if you do not treat STD a, have had PID before, have more than one sex partner, douche, or use an IUD. PID can affect the fertility of women, and hence it is a serious health concern. The study reveals that one out of eight women who have PID find difficulties getting pregnant.

It might be hard to detect it, as there is no test and cannot show particular symptoms but some common symptoms include fever, pain in lower abdomen, bleeding during sex, unusual discharge and bad odor from your vagina, burning sensation when you urinate and spotting between periods.

If you are experiencing any of above symptoms, visit your doctor and also get tested every year for STDs to prevent PID. If it found early, it is curable. However, treatments will not recover the damage that already happened to your reproductive system. So don’t wait to take treatment because at the time it will cause more damage your reproductive system.

PID can cure by Antibiotics but only if you finish your entire dosage and to finish the treatment the first key is Detection. Leaving PID untreated can lead to the formation of scar tissue inside and outside the fallopian tubes leading to long-term pelvic/abdominal pain, tubal blockage, ectopic pregnancy, and infertility.

  1. Adenomyosis:

Adenomyosis is a growth of endometrial tissue into the muscular walls of your uterus.it is noncancerous. The endometrial tissue first thickens, then breaks down, and bleeds, like a normal menstrual cycle. However, it causes spotting after period ends, heavier periods and pain due to an enlarged uterus. Though the cause of Adenomyosis is unclear, it usually occurs after menopause. Some treatments can relieve pain due to the enlarged uterus, but the only cure is a hysterectomy.

  1. Malignant cancer:

Spotting can also be a sign of malignant cancers, such as ovarian, cervical or endometrial cancers. Endometrial cancer is typical of the gynecological fatalities, and the most treatable. It starts from the glandular tissue within the uterine wall. Unfortunately, until cancer has widely metastasized, most patients do not experience symptoms.

Symptoms include bloating, fatigue, change in bowel movements, abdominal swelling, gastrointestinal issues: nausea, gas, and indigestion, and vaginal spotting.

Ovarian cancer is a tumor of unusual malignant cells that originate in the ovaries. Women with ovarian cancer said that the symptoms are determined and are strange for their bodies. Symptoms include pelvic or abdominal pain, bloating, difficulty eating, abnormal spotting, feeling full quickly, or urinary symptoms.

Cervical cancer detected through pelvic examinations and Pap smears screenings. The first type of symptom of the disease is vaginal spotting. And other symptoms are heavy vaginal discharge, heavier vaginal bleeding, and lower abdominal pain. Early detection is key to prevent all these cancers. So check yourself frequently and talk to your doctor if you experience any of above symptoms.

  1. An ectopic pregnancy:

Ectopic pregnancy, or eccyesis or tubal pregnancy, is a difficulty of pregnancy where the fetus forms and attaches to the outside uterus. In a healthy pregnancy, a fertilized egg attaches itself to the wall of the uterus.

An ectopic pregnancy cannot normally end as in it the fertilized egg befalls in one of the tubes that take eggs from the ovaries to the uterus. In such case, the fertilized egg has no chance of survival, and also the chances of destroying some reproductive parts due to growing tissues. As a result, mother experience extensive blood loss and it also life-threatening for her. In the starting, an ectopic pregnancy may be showing any symptoms. If symptoms do occur, then they are same as any pregnancy, like tenderness in the breasts, missed a period, and nausea but if you find light vaginal bleeding, spotting and pain in your abdomen and pelvis then they are first signs of an ectopic pregnancy.

If you are experiencing symptoms of vaginal bleeding, severe pain in your pelvis or abdomen, extreme lightheadedness, shoulder pain and fainting, then check with your doctor immediately. It is a serious matter. Ectopic pregnancies can happen for some reasons, including infection, structural concerns in your body, inflammation, fertility issues, contraceptives, and smoking.

 

SPOTTING AFTER PERIOD-TREATMENT AND REMEDIES:

If your doctor says that the spotting is due to normal reason, then there are some remedies you should follow to get rid of spotting after period.

  1. Weight control:

  • Obesity linked to an extensive range of diseases, like uterine cancer, high blood pressure, spotting after period and many more. To control your weight or reduce it to minimize the possibility of uterine cancer.
  1. Proper Lubrication:

  • Improper lubrication can cause crevices in the genital areas, and cause spotting after period. So lubricate the private parts properly before entertaining in sexual intercourse.
  1. Change Birth Control Methods:

  • If you want to prevent or control spotting after period, change your birth control methods like contraceptive pills, intrauterine devices, etc.
  1. Stress Control:

  • As I stated above, stress is also one of the reasons behind spotting after period, so keep your stress under control. Try different techniques like yoga, calm breathing, aerobics, meditation to reduce stress level.
  1. Hormone Therapy

  • Take hormone pills as per doctor’s prescription and for additional dosage ask your doctor.
  1. NSAID-Nonsteroidal Anti-inflammatory Drugs

NSAIDs, such as ibuprofen, reduce bleeding during menstruation period. The suggested dosage is 400 mg at every 6 hours from the beginning of the period to the end. While taking NSAIDs, follow the precautions given below:

  • Do not exceed recommended dosage
  • Carefully read instructions on the label
  • Call a physician if told to avoid taking NSAIDs
  • Avoid NSAIDs if allergies are known
  • Call a doctor before taking any medicine if pregnant

DIFFERENT SIGNS OF SPOTTING AFTER PERIOD ENDS

The unusual spotting can happen anytime like after, before or in between the periods. The different patterns of spotting after period are as follows:

Pink Spotting After Period Ends:

There are many reasons for light pink spotting. One of the common reasons is uterine incapacity and weak uterus. In this case, the light pink spotting appears a couple of days after the period, and if blood mixes with vaginal discharge, then you may see the pink spotting right after the period. Even the rough sexual intercourse can swell the vagina and produce light spotting.

Dark Red Bleeding After The Period

It is normal if dark bleeding occurs after a period, but if there is smelly discharge or vaginal itching, then it becomes a concern. Other causes of dark red spotting after period is implantation. When pregnancy is in starting a period, it is normal to experience light spots due to implantation cramping. If the spotting is substantial, the period may have begun.

A Week After The Period Light Pink Spotting

When ovulation is about to start, you might see light pink spotting a week after the period. But it does not mean surly pregnancy. In such case, Ovulation has not started. Do not confuse with light pink spotting a week before period and after a period. In the case of spotting before period could be an indicator of pregnancy.

Pink Spotting 3-4 Days After The Period

It is not convincing a woman is pregnant if light pink mucus shows up three to four days after the period ends. The ovulation cycle has not occurred yet, and it is natural if you notice the pink spotting four days after the period. Some serious symptoms are itchiness, smelly vaginal discharge, or itchiness in the vaginal opening.

SPOTTING AFTER PERIOD ENDED COULD I BE PREGNANT?

As I stated above, one of the initial indications of pregnancy is implantation bleeding. The spotting occurs after the fertilized egg places itself on the lining of the uterus and it happens six to seven days before ovulation and a few days before the next period.

One of the symptoms, if the bleeding is from pregnancy, is the color of the blood. The color of the blood is light pink or light red. It also indicates that it is fresh blood from implantation cramping. Other signs of pregnancy include vomiting, nausea, fatigue, missed period and food cravings.

WHEN TO VISIT A DOCTOR?

Spotting after, before or between your periods is common, but you should take advice from your doctor if it happens more than once or twice in a series to determine the cause and guarantee that it does not create any health risk. If it needed then take medical guidance or treatment with the help of doctor like:

  • You cannot explain why you spot between periods
  • You are pregnant
  • If the spotting moves from spotting to heavy menstruation type bleeding
  • With the spotting, you feel exhausted, pain, or feeling dizzy.
  • The spotting occurs after menopause

CONCLUSION:

Vaginal spotting after period has many potential causes. They can be normal, or serious or even life-threatening. It is essential to understand your symptoms, your body and regularly go to the doctor. Note that all the cause listed here is for information purpose only. So before you predict anything, visit your doctor first. Thank you!


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