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I have experienced some bleeding between periods today. Why would this happen?

I am experiencing irregular vaginal bleeding two weeks before my period is due. I had sexual intercourse two days ago and did not bleed after but now I have some pinkish brown discharge and a very small amount of bright red blood. The vulva is also a little painful to touch. I had a smear test in march and my results were normal. I also had a pelvic exam which my dr said everything seemed normal  and I also had a pelvic ultrasound and an abdominal ultrasound and everything was all clear. I am currently taking metformin for an increased insulin level. I am also taking vitafen for some back pain that my dr thinks is an inflamed facet joint and flucloxicillian for a painful lipoma the abdomial ultrasound picked up. I am also on the contraceptive pill yasminelle.
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973741 tn?1342342773
Hi. We all need phd's to be women and figure out our cycle, don't we?  It can be so complicated. My guess is that this is spotting due to either a hormonal fluctuation which wouldn't be uncommon if you are taking metformin (it is fairly common).  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3125003/.  And some women do spot slightly when they ovulate.  Was the sex unprotected?  There is also that implantation bleeding.  But I will tell you that no one I know actually has ever had that happen.  It's something that I guess does to some people but don't think it is all that common. I have had spotting when my hormones are wacky.  Is it just the spots or does it fill a pad/tampon or anything like that?
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