Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query I think you really need to meet a good gynecologist. All your symptoms- the spotting, the backache,- all can be explained by the possibility of some gynecological problem. Now it would be inappropriate to comment on what kind of gynecological disorder can be causing this, But I think an examination and an ultrasound may be able to give some information I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck.