Spotting Before Your Period; a Medical Insight

Spotting is any bleeding outside the normal cycle. They can be of different types like red or brown. Periods are the most important aspect of woman’s life. Normal cycles vary from 28 to 35 days with slight variations which are normal if naturally occurring. Normal days of menstruation vary from 3 to 7 days with slight variations again. This article is meant for information and doesn’t equate a medical advice and medical treatment in any way.

Is it normal to bleed before your period?

Few women complain about spotting between periods on unusual days like before and after the normal ranges. This might be due to different cases. In few cases it can also be normal, which is slight spotting few times and not a frequent observation. However, it may also indicate and underlying disease which mandates a check-up by doctor.

What does spotting mean before your period:

Spotting before period means that a woman menstruates slight before the usual time of menstruation. This can be picked as a slight spot over pads or over the undergarments and clothes. We have mentioned the usual ranges for menstruation and menstrual cycle.

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Does spotting before period mean pregnancy?

Periods occur due to sloughing off of the endometrial lining of the uterus which is the layer of the uterus developed for supporting a possible pregnancy. However, if the pregnancy doesn’t occur the endometrial lining subsides and bleeding ensues.  In case if pregnancy has occurred periods do not ensue on the usual date.

So absence of menses in a sexually active fertile woman makes pregnancy the top most possibility. However, few women might observe slight spotting before the usual time for onset of menses. And this is normal in pregnancy due to hormonal variations as the body is setting for breeding the foetus the hormonal changes makes the womb suitable for maintenance of pregnancy.

Together with this maternal physiology changes a lot during pregnancy. So, it is normal. However, bleeding warrants checking  if it is progressive, continues for longer time periods or develops all of a sudden after a long interval or after a gap when your pregnancy test was positive.

Reasons for Normal Spotting:

1. An-ovulatory Bleeding:

This occurs in young teens that are in the process of development of mature reproductive systems. In early teens cycles can be anovulatory such that there is no egg hatched out. As a result hormones controlling menstrual cycle are slightly unbalanced causing anovulatory bleeding.

2. Breakthrough Bleeding:

Occurs in those women who have been taking oral contraceptive pills. These pills alter the hormonal level and may result in mild spotting.

3. Alarming Associations for Spotting Before Period:

  • Smelly vaginal discharge.
  • Abdominal cramping.
  • Vaginal burning and itching.
  • Painful micturition.
  • Age is also an important factor. Spotting is alarming in women who are post-menopausal.

Some of these signs and symptoms might indicate Sexually Transmitted Disease and infections. However medical diseases like Asherman Syndrome, myomas, endometriosis and others can also cause bleeding.

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