Bleeding between periods—also known as intermenstrual bleeding—can be unsettling. While it’s sometimes harmless, it can also indicate underlying conditions that require investigation.
Common causes
Hormonal contraception
Breakthrough bleeding is common, especially in the first few months.
Infections
Cervical or uterine infections may cause spotting.
Polyps or fibroids
Benign growths in the uterus can lead to irregular bleeding.
Ovulation bleeding
Some women experience light spotting mid-cycle.
Cervical changes
Including inflammation or abnormal cells.
Treatment options
Treatment depends on the cause:
- Adjusting or changing contraception
- Antibiotics for infections
- Monitoring if related to ovulation
- Minor procedures to remove polyps
- Further investigation (e.g. Smear test or colposcopy) if needed
When to seek help
- Bleeding happens regularly between periods
- You experience bleeding after sex
- Bleeding occurs after menopause
Final thoughts
Occasional spotting may be harmless, but persistent bleeding should always be assessed to rule out more serious causes.
Faqs
Is spotting mid-cycle normal?
It can be, especially during ovulation.
Can stress cause spotting?
Yes, hormonal disruption can lead to irregular bleeding
If you would like to discuss any concerns you have on this subject, please contact the London Gynaecologist to book an appointment
