Brief Answer:
Can expect withdrawal bleed 3-7 days later
Detailed Answer:
Hi XXXX,
Thanks for posting your query.
If you have always been regular with your cycles, you should definitely suspect
pregnancy if you are sexually active without any
contraception. The spotting you have had may be due to some
implantation bleed if pregnancy is confirmed.
If pregnancy is excluded then this may be due to
hormonal imbalance. If pregnancy is excluded you can expect a withdrawal bleed to happen 3-7 days after completion of hormone treatment and as such, you may need to wait for another couple of days. If you still do not see a period even after 7 days, you should get a trans-vaginal sonogram to clarify the issue; you may also need hormonal assays.
In the absence of pregnancy, such irregular bleeds can be seen with stress, weight changes,
polycystic ovaries, cervical polyps, erosions and infection and use of certain medications. Appropriate treatment along with a course of hormones for one or two cycles usually settles the issue.
Hope your query has been clarified. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.