Thanks for writing back.
In spotting between periods
(intermenstrual spotting ) it is a must to ascertain the source of bleeding as many a times you may confuse anal or urinary bleeding with vaginal bleeding.
Physical examination by a gynecologist is the best thing to do in such a case.
The reasons for your bleeding can be :
1. Vaginal dryness
associated with other menopausal symptoms you have.
2. Cervical lesions like erosions, cervicitis
3. Altered hormonal levels especially progesterone deficiency
which causes thinning of the lining of uterus and to break off. This can occur due to declining ovulation with age.
These causes can be best ascertained by an XXXXXXX examination followed by appropriate tests.
Annual Pap smear
is a must in all sexually active females so if you have not got the same in the past one year, you need to get it done. It will help in ruling out any cervical changes responsible for spotting you have.
Considering your age, you should not ignore any kind of menstrual problem you have. This is because at times it can be due to serious causes like genital tract cancers.
Do not panic.