Causes of spotting

Intermenstrual bleeding is also called spotting and occurs outside the menstrual period. They can be over after a few hours or last for several days. The causes are varied and rarely give cause for serious concern - but they should not simply be ignored. If intermenstrual bleeding occurs regularly, you should definitely consult a doctor.

Hormonal changes cause brownish discharge

The female cycle is a highly sensitive interplay of hormones. It begins with the first menstruation during puberty and ends after the menopause with the last menstrual period. In both cases, the hormones first have to stabilize, the cycle fluctuates greatly and this leads to spotting. All of these causes are harmless, but should be monitored.

Bleeding between periods despite the pill

The pill interferes with the hormone balance - if you have just started taking the pill or are switching to a different preparation, intermenstrual bleeding is common and usually harmless. They usually subside after a few days. These spotting periods are also not as heavy as normal periods. If you have abdominal pain or a fever, you should consult a doctor.

The psyche also plays a role

The psyche also has a major influence: Stress, sadness, heartache or joy can certainly be triggers for intermenstrual bleeding.

Implantation bleeding as a possible cause

When the fertilized egg implants in the uterine lining at the beginning of a pregnancy, small blood vessels can be damaged. This is noticeable in around a third of women as short, bright red bleeding.

Inflammation of the fallopian tubes

If severe lower abdominal pain, vomiting, fever and pain during sexual intercourse occur in addition to intermenstrual bleeding, you should see a doctor immediately. The inflammation can become chronic and make you infertile.

Spotting due to fibroids or polyps

Women between the ages of 35 and 50 are often affected by fibroids. These are benign growths in the uterus, but they often cause prolonged menstruation and spotting. Polyps on the uterus can also cause discharge, as well as a foreign body sensation and pain during sex. Please consult your doctor.

Bleeding as a possible indication of cervical cancer

The tumor is usually caused by the human papillomavirus (HPV). It grows painlessly and unnoticed. Occasional spotting or bleeding during sexual intercourse can be a first indication of cervical cancer. A smear test can provide clarity.

Keep a diary

To give your gynaecologist a better picture of the problem, it is helpful if you keep a diary of your spotting: When do they occur? How often? How heavy? You can use the same diary in which you document your periods. Always write everything down carefully and take the notes with you to your doctor's appointment.

Date: 29.01.2021

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