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Can Weight Loss Lead to Spotting Between Periods?

Spotting, or menstrual bleeding that occurs between your regular periods, can happen for a number of reasons, according to MedlinePlus. Stress, eating disorders, excessive exercise, and extreme weight loss can all cause menstrual irregularities, Kaiser Permanente says. These irregularities can include spotting, cycle length changes, or a lack of periods altogether.

Significance

Spotting isn’t uncommon, and it can range from a small amount of blood in vaginal discharge to a heavy, period-like flow, the Cleveland Clinic says. Aside from spotting due to weight loss, excessive exercise, and eating disorders, many young women have irregular periods, including breakthrough bleeding. It’s also common in menopause if you take hormone replacement therapy. You should always talk to your doctor about breakthrough bleeding between periods, as it can indicate more serious health issues as well.

Spotting can occur due to hormonal changes. These hormonal fluctuations can be due to your body’s response to stress, whether it’s from excessive exercise, a restrictive diet, or an eating disorder, the Cleveland Clinic says.

When Periods Stop

Rapid or significant weight loss may also lead your periods to stop. This is called amenorrhea, according to UCHealth, a healthcare system affiliated with the University of Colorado. Amenorrhea is often caused by eating disorders such as anorexia or bulimia, stress, and over-exercising.

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