Periods and Spotting: What’s The Difference?

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Have you ever noticed a red or brown stain on your underwear when your period isn’t due? It can be confusing and even scary if you don’t know what’s happening. Most likely, you’re spotting.

Spotting is light bleeding that occurs when you’re not on your period. It can happen for several reasons, including hormonal fluctuations, urinary tract infections (UTIs), fibroids, hormonal contraception, or other health issues. If you’re unsure, visit your gynecologist for a proper check-up.

What Is Spotting?

Spotting is vaginal bleeding outside of your period. Unlike your regular period, it is usually light and may only leave a few drops on your underwear.

Key differences between spotting and periods:

  • Spotting: Light, pink or brown blood, not enough to fill a panty liner, can happen any time in your cycle.
  • Periods: Heavier flow, usually about 2 tablespoons of blood each cycle, occurs at the start of your menstrual cycle.

Spotting can also occur:

  • Between periods
  • During pregnancy
  • After sexual activity
  • Following a gynecological exam

When and Why Spotting Happens

  1. During Menstruation

Spotting can happen a couple of days before your period begins or on the first day itself. It signals that your period is about to start.

  1. Taking Contraceptives

Oral or injectable contraceptives can alter estrogen levels, sometimes causing spotting. Usually, this lasts 1–3 months as your body adapts.

  1. During Ovulation

Light pink spotting is common around ovulation due to hormonal changes.

  1. Implantation Spotting

Early pregnancy can cause spotting when a fertilized egg attaches to the uterine wall. This usually appears as pale pink or brown spots.

  1. Stress

Physical or emotional stress can disrupt hormone levels, leading to irregular cycles and spotting.

  1. Infection or Disease

Spotting may indicate infections such as STIs or reproductive issues like Pelvic Inflammatory Disease (PID). Regular gynecologist check-ups (every 3–6 months) are recommended.

When Should You Call a Doctor?

Spotting is usually harmless, but consult a doctor if you experience:

  • Pain or cramping during spotting
  • Pregnancy
  • Unprotected sex
  • Consistent or repeated spotting
  • Suspected medication side effects

 

About Author

Dr. Kanika Jain

Dr. Kanika Jain is a highly qualified and experienced medical professional specializing in Obstetrics and Gynaecology. She holds an MBBS degree from Kasturba Medical College, Manipal, and further pursued DGO from Stanley Medical College. She completed her DNB in Obstetrics and Gynaecology at Chanandevi Hospital, Delhi.