I have been having a light red type spotting for the last 2 weeks. And now I am suppose to be getting my period and I have a very heavy dark brown spotting for the second month in a row. Is this normal?

Spotting is a condition where vaginal blood discharge occurs outside menstrual period. The proper medical term for this kind of bleeding is metrorrhagia.

There can be several reasons as to why a women experiences metrorrhagia. One of the common causes is hormonal imbalance in the body. Use of oral contraceptives and hormone inducing medicines can interfere the hormonal balance in the body and can lead to metrorrhagia. Internal injury to the uterine area can also cause bleeding. Fibroids and polyps, which are noncancerous growth inside uterus, may also be the reason for metrorrhagia. Infection of the uterus may be another reason for this kind of bleeding. Miscarriage, complication in pregnancy, use of blood thinners or anticoagulants, use of intrauterine device (IUD), underactive thyroid gland, stressful lifestyle are some other known causes of metrorrhagia. And in some cases, it may also be a sign of cancer of the uterus.

Besides discharge of blood, spotting can also show symptoms of pain and cramp. Although slight bleeding may occasionally occur, depending on the severity of the symptoms one should give proper attention to treat this condition. The most important thing to do is to consult a gynecologist and ask for proper medical advice. There may be some underlying disease that is causing this bleeding; therefore, it is advisable to ascertain the exact cause and follow proper medical tests and treatments to remedy the condition.

It is difficult to answer whether this change in color of spotting, as you have mentioned, is a sign of something. Unless you go through proper medical examination it is difficult to infer and arrive at a conclusion about this. So, rather than speculating, it is better to consult a gynecologist.

The treatment for metrorrhagia depends on the cause. If it is due to hormonal imbalance, a proper medical procedure will need to be followed to bring back the balance. If it is due to some kind of infection, the infection will need to be taken care of. If an IUD is the cause for bleeding, it will need to be removed at the earliest. If the cause is polyps or fibroids, they will need to be treated with proper medical procedures. If bleeding happens due to miscarriage or uterine cancer, immediate action may be required from a physician or gynecologist.

There's not much to be done unless the exact cause of bleeding is found out. However, take care to eat healthy, rest properly, and avoid any kind of stress.

answered by M W

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