Hello, thanks for using health care magic Spotting is not an uncommon symptom in females. However, though it might be just an alteration in hormonal levels occuring occasionally during the menstrual cycle or due to a pregnancy, it could as well indicate a potentially severe condition such as pelvic inflammatory diseases or an ectopic pregnancy. The first thing to do will be to rule out a pregnancy by doing a home pregnancy test with early morning urine. If its positive then you will have to do an ultrasound ( endovaginal most probably) to get the location of the pregnancy. If the test is negative, then it is likely an occasional issue; you might want to observe for a while and if it persist then you meet your gynecologist. Best regards Dr Achuo