Weird Spotting

So my last period was on the fifth of August, and now just 4-5 days before my period, I have been spotting on and off and I use birth control and my partner has never ejaculated inside of me. Pre-ejaculation may have at times, but we usually use condoms. I've also started running a lot. I wanna know if I'm just spotting more, because I've never spotted this long. I'm scared.

[Bhupinder Kaur, MD]

Hello,
Main causes of spotting between periods could be due to ovulation, implantation bleeding during pregnancy, infection in an area of the body related to menstruation (including the vagina, the cervix and even the bladder).

Other causes could be polycystic ovarian syndrome, diseases of pituitary gland, hormonal imbalance of estrogen and progesterone and uterine abnormalities like fibroid and  cervical dysplasia. Get your serum HCG levels done or do a highly sensitive urine for pregnancy test to clear the status of your pregnancy.
I hope it helps. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.