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Vaginal spotting could be suggestive of various underlying causes like pregnancy, infections like Gonorrhea or Chlamydia, PID, vaginitis, ovarian cysts, uterine fibroids, use of hormonal contraceptives itself, endometritis, endometriosis, adenomyosis, cervical dysplasia, etc. Only after a careful examination and investigations (vaginal swab/smear test, PAP smear test, hormonal analysis, HCG test) the exact cause can be made out. The hormonal and blood work-up done will help in ruling out hormonal derangements and bleeding problems. Ultrasound scan will help to rule out structural problems and possibility of ovarian cysts, presence of polyps, fibroids etc. PAP smear will test for cervical erosion/dysplasia and vaginal swab/smear test will help to rule out infective causes. Treatment as needed (based on your examination and investigation results) would be started to help you. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any unusual/abnormal/new symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet and lifestyle. Avoid vaginal douching, use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid tight fitting clothes. Avoid caffeinated and carbonated beverages. If infective cause is detected (and if you are sexually active), get your partner also treated simultaneously to prevent re-infection.
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