The blood discharge may be bright red, pink tinged mucus or rusty brown that may get secreted for one day or lasts for few hours or days. But, it is not to be considered as the first day of a period as the first day is the one when actual bleeding happens.
Normal spotting mostly occurs at the end of bleeding days, usually for a day or two after normal bleeding of 3 to 5 days, and is considered as an absolutely normal sign of the end of the menses. But, at times, spotting may appear before a period or in the middle of the menstrual cycle.
Spotting which occurs in the middle of the cycle, is probable sign of ovulation and considered as an excellent sign of fertility. There could be a slight pain around the ovary, followed by bit of spotting in a few days. This is known as spotting after ovulation.
Of, utmost concern is the spotting that occurs before a period. There could be many reasons for spotting before a period and it becomes really essential to figure it out as it could be a real worrisome situation.
Various Significant Reasons Of Spotting Before A Period
Spotting occurring one week before a period, lasting for less than a day is called implantation spotting. This occurs due to implantation of the fertilized ovum into lining of the uterus.
It also occurs due to a decrease in progesterone and an increase in estrogen levels, before corpus luteum start producing more of progesterone, after receiving a signal of pregnancy initiation from implanted embryo. Spotting that may continue for days is not considered as implantation spotting.
Low Progesterone Levels
Spotting may also be observed few days before a period due to reduce levels of progesterone, which is essential to maintain the lining of uterus and prepare it for pregnancy. Progesterone helps to keep the uterus lining strong and in place, to support the beginning of new life.
In case of low progesterone, the lining is not effectively hold on to its position, resulting in spotting several days or a week before the due date. This may result in early miscarriage of pregnancy or minor infertility issues in non pregnant women.
Short Luteal Phase
When a luteal phase (phase from ovulation to menstruation) gets shortens and reduces to less than 10 days, it becomes insufficient to support all requirements of a pregnancy. Such shorten luteal phase results in spotting before periods due to irregular disruption of endometrial lining.
Certain medications, vitamin B6 supplements and progesterone cream may be used to cure and develop a proper luteal phase by extending it to more than 10 days.
Birth Control Pills
Majority of contraceptive pills containing only progesterone causes a high incidence of spotting in women, who use them. Women usually observe spotting during initial few months of consuming birth control pills. At times, spotting may occur when a woman forgets popping a pill or delays taking it.
Various Medical Conditions
Under certain medical conditions, a woman can observe spotting that may also extend up to cause bleeding.
Infections of cervix or uterus, fibroids, polyps, problems of clotting or cancer of vagina or uterus can be few of the possible conditions. Diabetes, thyroid problems or certain sexually transmitted diseases may also show abnormal spotting issues.
Polycystic Ovary Syndrome (PCOS)
In PCOS, a woman tend to have multiple cysts formation in her ovaries due to an increased levels of luteinizing hormones that inturn raises levels of estrogen, disrupting menstruation and ovulation cycles. Symptoms of PCOS include spotting, irregular menstrual cycles, weight gain, hair thinning, facial hair growth and diabetes.
Spotting may be caused by uterine fibroids, which are quite harmless but still need to be kept under check.
Uterine fibroids may scavenge blood from the uterus as they get attached to uterus wall, and may lead to spotting and bleeding between periods.
Medical condition where endometrial tissues start growing outside uterine cavity or on the ovaries, during reproductive years of women is known as endometriosis.
The condition affects around 15 percent of women and includes symptoms of spotting before periods and irregular menstruation cycles. It may become problematic for women’s fertility and health.
All women with recurring spotting before a period should consult the gynecologist and get a detailed examination done to rule out any serious underlying ailment.
One need to treat the cause of frequently observed spotting problem to protect from any unforeseen troubles that could hamper the fertility of a woman.