Brief Answer: MOST LIKELY PERIOD - HORMONES WILL CONFIRM. Detailed Answer: Hello Thanks for writing to us with your health concern. The effect of chemotherapy is varied, and can differ from woman to woman. Some women experience less frequent cycles, and gradually a complete cessation of the menstrual cycles, others might have more frequent menstrual bleeding. Others experience no difference in the change in length of cycles, but might have a heavier / lighter flow. Many women who are not yet menopausal will retain and recover their periods due to resumption of the ovarian function partially / completely after completion of treatment. This depends on various factors - the age of the woman, the inherent natural ovarian reserve of the woman, the type and regimen of drugs used for chemotherapy etc. So, to answer your question, yes, the spotting could be a sign of resumption of the ovarian activity. However, any kind of bleeding occuring after a gap of 2 years should be investigated by your gynecologist. As your recent pap smear is normal, I do not suspect any risk, but still an XXXXXXX exam ( per vaginum and per speculum ) and a pelvic ultrasound scan should be done. Also, you can have estimation of hormonal levels ( FSH, LH, estradiol ) to know if the ovaries are now near to functioning again. Just a word - many women , after chemotherapy, stop menstruating, however ovulation might sporadically still occur, so if pregnancy is something you wish to avoid, it is better to use contraception. Take care, and please feel free to ask for further clarifications.

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