Identify the cause with a healthcare professional
Take hormonal birth control exactly as prescribed
Do not miss pills or delay injections, patches, or rings
Use condoms if spotting may be related to infection risk
Get tested and treated for STIs if needed
Treat vaginal or cervical infections promptly
Manage stress and maintain regular sleep
Maintain a healthy weight and balanced diet
Avoid smoking
Limit alcohol and recreational drugs
Review medications that may cause spotting
Ask a clinician about changing birth control methods
Track bleeding patterns and triggers
Seek urgent care for heavy bleeding, severe pain, dizziness, or pregnancy-related bleeding