Endometriosis was found significantly more often among women who reported premenstrual spotting compared to women without this symptom, according to the study’s lead investigator Dr. The study defined premenstrual spotting as very light bleeding that lasts for two days or more before the start of your true menstrual flow. A small study from 2014 published in the American Journal of Obstetrics and Gynecology (AJOG) shows that premenstrual spotting was the clearest predictor of endometriosis among other possible warning signs. If you are someone who regularly experiences spotting before your menstrual flow begins, it may be an indication that you have endometriosis. Endometriosis tends to get progressively worse, and can lead to fertility issues in addition to severe inflammatory pain from trapped blood, adhesions, and scarring. This misplaced tissue responds to hormones the same way as regular uterine tissue, thickening when estrogen is high, sloughing off or bleeding when progesterone levels drop off. Premenstrual spotting could be a predictive sign of endometriosis-but it might not be the best oneĪn estimated 5.5 million American women suffer with endometriosis, a mysterious condition which causes uterine tissue to grow outside of the uterus. Your spotting may be regular (always coming at the same time in your cycle, such as during ovulation), or it may be sporadic. You may notice spotting in your underwear, or when you wipe, and it may be a different color (light pink or brown) than your typical period flow (red). Spotting is usually light, and typically, it will not fill a pad or tampon. But simply put, spotting is any bleeding that occurs outside of your normal menstrual bleeding (your period). It’s important to note that each woman may experience spotting differently, and different kinds of spotting may mean different things. In the following article, we’ll tell you how you can accomplish both. The challenges of getting to the root cause of spotting are twofold: The first is knowing how to track and document the type of spotting you experience, and the second is finding a doctor who can use this information to help you. But spotting before your menstrual flow begins could be a sign of an underlying issue or disease, such as uterine fibroids, polyps, or hormonal issues, and even possibly endometriosis. Yes, a lot is written about spotting between periods, and some causes can easily be verified and eliminated, whether it’s your birth control method (the pill or IUDs), a pregnancy, an STI, or another kind of infection. What happens when you complain about spotting to your doctor? If you are dismissed, you may need to look further. But a certain kind of spotting could be a sign of a very serious disease: endometriosis. Spotting between periods might not seem like too bothersome of a problem to have in and of itself.
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