Long story short, I’ve had an issue with irregular periods for about 10 years. While on various forms of oral birth control, I had spotting mid-cycle. It generally was light and short lived, so while I always mentioned it during OB appts and switched pills occasionally, the general consensus was that the bleeding was caused by hormonal birth control. This seemed to be true bc when I went off it for pregnancy, my cycles were normal during the months we were trying to conceive.

Cut to last year when I got my period again after delivering my second baby. Suddenly I was getting basically two periods a month while on the mini pill. My OB assumes it was caused by hormonal imbalance from pill, pregnancy, breastfeeding, etc. I gave it time to resolve, did ultrasounds (found ovarian cysts but those resolved on their own), and went off the pill a few months ago since husband had a vasectomy.

Overall the midcycle bleeding is better since going off the pill but my cycles have shortened to 21 day cycles and this month I’ve having spotting again. I’m supposed to have an annual exam this week and I’m worried that this ongoing issue is going to result in ongoing testing to figure out what the deal is since my OB mentioned doing another ultrasound (check again for cysts, fibroids) and uterine biopsy if things didn’t completely resolve a few months after going off the pill. I also was going to ask about blood tests to check my thyroid and to see if anything else is off balance.

With so many possible causes to midcycle bleeding and changing cycles, I was just curious if others went through a similar issue and what their various diagnoses were....of course I always focus on the worst ones and scare myself silly.

As an FYI, I’m in my mid 30s so I doubt it’s menopause related....

Thanks all