Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Abnormal vaginal bleeding between periods is also called intermenstrual bleeding, spotting, and metrorrhagia. When bleeding occurs between normal periods, there are many possible causes. While some causes may be easy to treat, others can indicate a serious underlying condition. Whether you notice spotting or heavier bleeding between periods, it’s important to see your doctor for testing, diagnosis, and treatment options. Potential causes of bleeding between periods include: 1. A growth in your uterus or cervix. 2. Stress. 3. A change in medication. 4. A miscarriage. 5. Vaginal dryness. 6. A hormone imbalance. 7. Cancer. I suggest you to consult a gynecologist. When you see your doctor about bleeding between periods, be prepared to answer questions about your symptoms. It’s helpful to keep a record of your cycle. Take note of when your periods begin and end, the heaviness and duration of your flow, and when and how much you bleed between periods. Your doctor will want to know about any other symptoms that you’ve experienced and any medications you’re taking. Your doctor will also likely give you a physical exam, including a pelvic exam. Diagnostic tests can help your doctor find the cause of the bleeding. Your doctor may draw blood to check hormone levels. You may need to have cultures taken or tissue removed from your cervix or the lining of your uterus for testing, which is called a biopsy. Your doctor may also want to perform an ultrasound. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini