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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes persistent mid cycle spotting?

I m 27 years old and after I had my last period I ve been spotting on and off, more on than off. I went to see my doctor she told me my cervix was a bit irritated but everything else was normal. After seeing the doctor the very same day I started having a foul smell, much like something had died in my vagina, along with the spotting. Now my period is due in 6 days, I m still spotting but now I m having bad cramps. At first I thought all this was due to stress because I am going through a lot but could there be any other reason for this?
Thu, 8 Apr 2021
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General & Family Physician 's  Response
Hello,

Since you are having a foul discharge with spotting it can be indicative of bacterial vaginosis. Inflammation of the vagina is often caused by three types of infections, yeast infection, bacterial vaginosis and trichomoniasis. Get clinically examined, if it is BV, you should take an oral course of Metronidazole, (Flagyl) 500 mg pills twice a day for 7 days. Take care of your hygiene.

Since your cervix is irritated your treating doctor may recommend pap smear, to stay on the safer side. Spotting may be a sign of STD, get STD tests done, if positive you will be treated with antibiotics and antivirals. Spotting may be a sign of implantation bleeding, if you miss periods you should get pregnancy tests done. Take home made nutritious food rich in iron, calcium and protein. Avoid stressful life and take quality sleep. Avoid addictions if any.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What causes persistent mid cycle spotting?

Hello, Since you are having a foul discharge with spotting it can be indicative of bacterial vaginosis. Inflammation of the vagina is often caused by three types of infections, yeast infection, bacterial vaginosis and trichomoniasis. Get clinically examined, if it is BV, you should take an oral course of Metronidazole, (Flagyl) 500 mg pills twice a day for 7 days. Take care of your hygiene. Since your cervix is irritated your treating doctor may recommend pap smear, to stay on the safer side. Spotting may be a sign of STD, get STD tests done, if positive you will be treated with antibiotics and antivirals. Spotting may be a sign of implantation bleeding, if you miss periods you should get pregnancy tests done. Take home made nutritious food rich in iron, calcium and protein. Avoid stressful life and take quality sleep. Avoid addictions if any. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician