Hello ,
Thanks for the query
These types of symptoms indicate premenstrual syndrome or can be seen in case of endometriosis.

You should get your investigations done like Haemogram , thyroid profile , Vit B12, folic acid and an ultrasound.
You can take Simrose capsules and Vitamin E capsules 10 days before periods , one capsule daily.
Reduction in salt intake and sugar with exercise also helps in relieving these symptoms.
Increase in calcium intake is also useful.

Spotting after 5 days needs proper investigations like ultrasound for an ovarian cyst , endometriotic cyst and endometrial thickness.
Without investigations I would not suggest you to start any hormones.
Waiting for your reply
Best wishes
Take care
Regards

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Hello,

Thanks again for writing back.

Though breast cancer and cervical cancer can be hereditary, just spotting doesn't mean cancer. When there is bleeding during intercourse or contact bleeding only then it is cause of concern.

Ultrasound will be sufficient to guide. Pap's smear should be done as a routine screening test.

I suggest 'Tranexamic acid' for 5 days. You may discuss about this medication with your primary doctor who can also prescribe them to you. And when bleeding stops you can go to gynaecologist for per vaginal examination. If bleeding is not controlled then Primolut N which is Norethistrone may be helpful. But my advice is to take any hormone after pelvic examination by a qualified gynecologist.

Cysts can be cured with medicines as well as surgery depending upon the size and their nature. But in your case symptoms indicate that they can be cured medically.

Do not forget to take iron supplements.

I do not think your symptoms is related to Meftal spas. And irregular period is a serious illness is not always true. I encourage you to consult a competent gynecologist who can throw light on the nature of the problem.

Hope my answers are reassuring and informative.

Wish you good health.

Best wishes

Take care

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