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What Causes Mid Cycle Vaginal Spotting?

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Posted on Tue, 9 Sep 2014
Question: I'm 26 years old. I've been having midcycle vaginal spotting for the past 7 years or so usually lasting 3 days. I've also had spotting with exercise and when I wear high heels. Lately within the past 3 cycles I've had bloody vaginal discharge on and off. I'm having this with walking and even bowel movements. I had a transvaginal ultrasound about 1.5 years ago showing a cyst on my right ovary that eventually went away with a follow up ultrasound. I recently had a papsmear which was negative and also a endometrial biopsy that was negative. I've also been tested for STD's they were negative as well and no I'm not pregnant never have been. I'm also not on birth control and never have been. Any ideas what may be causing this spotting?
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Answered by Dr. Bhagyalaxmi Nalaparaju (6 hours later)
Brief Answer:
It could be due to hormonal imbalance.

Detailed Answer:
Hello XXXX,
I can understand your concern.

It sounds good all of your tests were negative.

Spotting in mid cycle is most of the times due to your ovulation which occurs during mid cycle.Yes, spotting can increase with physical exercise. But you mentioned last three cycle you had bloody discharge on and off this needs to be evaluated. This could be due hormonal imbalance which leads dysfunctional uterine bleeding or recurrence of ovarian cyst and anemia.

I would suggest you visit your gynecologist for clinical examination to evaluate these causes by doing blood tests and ultrasound scan. I would also suggest you get your thyroid profile if you have not done in past.

Hope I have answered your query.
If you have any queries I will be happy to help you.
Thank you.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Bhagyalaxmi Nalaparaju

General & Family Physician

Practicing since :2007

Answered : 492 Questions

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What Causes Mid Cycle Vaginal Spotting?

Brief Answer: It could be due to hormonal imbalance. Detailed Answer: Hello XXXX, I can understand your concern. It sounds good all of your tests were negative. Spotting in mid cycle is most of the times due to your ovulation which occurs during mid cycle.Yes, spotting can increase with physical exercise. But you mentioned last three cycle you had bloody discharge on and off this needs to be evaluated. This could be due hormonal imbalance which leads dysfunctional uterine bleeding or recurrence of ovarian cyst and anemia. I would suggest you visit your gynecologist for clinical examination to evaluate these causes by doing blood tests and ultrasound scan. I would also suggest you get your thyroid profile if you have not done in past. Hope I have answered your query. If you have any queries I will be happy to help you. Thank you.