Hi, thank you for the question.

For your information, spotting refers to bleeding outside your menstrual period. Spotting can come from your uterus, cervix or vagina. If the spotting is heavy, it is most likely originate from the uterus.

There are different colours of spotting that ranges from pinkish to dark brown. The brown or black spots is due to old blood, meaning that the blood has been while in your body before passing out. There are various causes of spotting, such as

• pregnancy
• side effects of contraception
• physical condition (fibroid or polyps)
• pelvic inflammatory diseases
• urinary tract infection
• ovulation period.

Spotting usually not considered as menstural period. Therefore, you should talk to your doctor to find out the exact cause of your spotting. Doctor may need to perform ultrasound scan or procedure to confirm the diagnosis.

If you’re having any of these symptoms, I would encourage you to visit a doctor at your nearest clinic:

• foul-smelling discharge
• itching around the vagina
• swelling around the vagina
• trouble urinating
• fever

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