Hi, The possible causes of your problem are: - Mittelschmerz syndrome, in which during the ovulatory period due to the fluctuation in the reproductive hormone levels inter-menstrual spotting, abdominal cramps, etc. can be seen. - Sometimes a stress and strain due to surgery or medical treatment of ovarian cyst can affect the general reproductive hormonal balance in the body and can lead to intermenstrual spotting, early onset of menstrual periods, etc. Usually this type of symptoms will subside soon without the need of any medication. So you can wait and watch for a few more days. If the symptoms persist or recur in next menstrual cycles, better to consult your gynecologist once and get evaluated. Usually once treated the ovarian cyst may not recur this much earlier. But for exact diagnosis, clinical examination and ultrasound are needed, then treatment can be taken accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN