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I am a 24 year old woman with an extremely REGULAR period. I have never had issues with spotting until today. I am on ortho-evra, and have been on the patch for almost two years now with no problems. I experienced no cramps or any indication my period was coming. Actually , my period is due in two weeks. Any ideas?

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Hello! If this is the first time it happened, maybe you should see a gynecologist and have it checked. Doctors usually say to wait three cycles to see if the irregularities may happen again. If they show up three times in a row, it would be indicating that something may be wrong. Otherwise, it could be something transient that even a doctor couldn’t figure out what.

I can make some suggestions but you won’t know with certainty until you have it checked. Cysts may form on ovaries and these cysts often cause breakthrough bleedings and spotting. These cysts are usually harmless and go away on their own in three months time tops.

Contraceptive do not protect against vaginal infections, so you are still vulnerable to infection both regular (gastrointestinal bacteria) and STD. Vaginal infections often cause spotting and bleeding.

Thyroid gland disorders may mess up your cycle and cause strange menstrual symptoms.
There are many other possible causes and you won’t know for sure until having it checked.
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