Spotting then stopped: what to know

Light bleeding between periods can occur with changes in hormonal contraception, ovulation, irritation of the cervix, or an infection such as Chlamydia. Polyps or fibroids can also cause intermittent bleeding. A symptom stopping does not identify its cause. Repeated episodes, bleeding after sex, or bleeding after menopause deserves a clinical review. Cervical dysplasia and cervical cancer can present with abnormal bleeding, although spotting alone cannot diagnose either condition.

Note the date, colour, amount, duration, relation to sex or your cycle, contraception, and any pain or discharge. Take a pregnancy test if pregnancy is possible and follow the test instructions. Arrange a routine appointment if the spotting returns, becomes a pattern, or occurs with pelvic discomfort or unusual discharge. A clinician may discuss an examination, pregnancy testing, infection testing, or cervical screening based on your history.

Seek urgent medical help for heavy bleeding, severe or one-sided pelvic pain, fainting, marked weakness, fever, or bleeding during a possible pregnancy with pain. Contact a clinician promptly for bleeding after menopause, bleeding after sex that keeps recurring, or new bleeding with foul-smelling discharge. Do not wait for another episode if you feel seriously unwell.

Could my contraception, pregnancy, an infection, or a cervical or uterine change explain this episode? Which examination or tests fit my symptoms? What changes should prompt urgent help?