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Pink brown spotting

Pink brown spotting could be very confusing and it is pretty complicated to discover the clear cause of it.

It is important to know that normal natural vaginal spotting is usually clear, creamy or very slightly yellow without unpleasant smell but could be very specific to each woman natural smell. The volume of normal vaginal spotting can be changed during different days of the menstrual cycle.

Brown spotting at any time of menstrual cycle is most often associated with old endometrial tissues. If your period is late you might get a brown, rather than red, spotting. It could also mean that for whatever reason during your last menses the entire uterine lining failed to make a timely exit. Brown spotting may happen right after periods, and is just “cleaning out” your vagina. Old blood looks brown.

Pink vaginal spotting is a symptom of fresh shedding of the uterine lining (during menstruation or implantation, after delivery, after or during hormonal treatment, uterine or vaginal trauma, etc.)

Combination of pink and brown spotting could be a symptom of several conditions.

Pink brown spotting – ovulation

If ovulation does not occur, the ovary is continuing making estrogen and it causing thickening of the endometrium (internal line of uterus). This often leads to a late menstrual period followed by irregular pink brown vaginal spotting.

Pink brown spotting – puberty

The most common cause of teenagers’ pink brown spotting is “hormonal storm”. Many girls could have episodes of pink brown vaginal spotting during the first few years.

Pink brown spotting – stress

Stress hormones such as cortisol are known to interfere with ovulation. Hormonal imbalances that interfere with ovulation can result in abnormal pink brown vaginal spotting. Fortunately this will usually be temporary, and rarely requires treatment.

Pink brown spotting – birth control pills

Pink brown spotting

The contraceptive effect of birth control pills is mainly due to inhibition of ovulation and absence of ovulation can be a reason for endometrium thickening with following pink brown vaginal spotting. If this occurs during the first few months, it may be due to changes in the lining of the uterus.

Pink brown spotting – fibroids

Approximately 30% of women have fibroids (benign uterine tumors). Fibroids typically grow larger as a woman ages, and usually decreases in size after menopause. Sometimes women could have several fibroids which can cause irregular pink brown vaginal spotting between periods.

Pink brown spotting – polyps

Polyps are another type of noncancerous growth that can invade the cervix or uterus. Endometrial polyps are growths in the lining of the uterus that are very common, and usually benign. They usually hang from the lining of the uterus like figs. Polyps may disturb uterine lining and cause pink brown vaginal spotting.

Pink brown spotting – adenomyosis

When the lining of the uterus grows into the wall of the uterus (abnormal grow!), the condition is called adenomyosis. When the lining goes into the muscle some of the blood may be trapped. When extensive, this may cause severe cramps, pink brown vaginal spotting and even heavy bleeding.

Pink brown spotting – pregnancy

Although usually a woman will stop having menstrual periods if she is pregnant, some pink brown spotting during pregnancy is not uncommon. Sometimes pink brown vaginal spotting could be a result of implantation – actually the first symptom of pregnancy.

Pink brown spotting – menopause

Menopause is known as “second hormonal storm” in women life (first “hormonal storm” happen during puberty). Sometimes women after 50 have pink brown vaginal spotting – it could be the first signal of cancer and all women in menopause should be tested.

Pink brown spotting – PID

Pelvic Inflammatory Disease (PID) is a condition in which the Fallopian tubes become inflamed, usually due to sexually transmitted infections. Inflammation of endomtrium can be a cause of irregular pink brown vaginal spotting.


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