Hi, thank you for the question. In your case, you are having spotting with irregular periods. 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 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, oral contraceptive pills usage, physical condition (fibroid or polyps), pelvic inflammatory diseases, urinary tract infection and during your ovulation period.

Therefore, the more likely causes in your case could be due to pregnancy or some physical condition. Given that your last period was 48 days ago, it is important to tell me the time you did your urine pregnancy test. You should repeat the urine pregnancy test one more time to determine your pregnancy. As i mentioned above, pregnancy can be a cause of spotting.

Besides that, if you have ectopic pregnancy, spotting can happened with abdominal pain. Besides that, a fibroid or polyps in your uterus/cervix can cause spotting. 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.

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