Hello and good morning.
Thank you for raising your health concern on this platform.

Based on your question, I understand that you are worried about your problem. I will try to help you.
You started having blood spotting after your 4 day menses and interested about its possible causes.
There are few category of reasons for abnormal vaginal bleeding include，

• Polyp
• Adenomyosis
• Leiomyoma/fibroids
• Malignancy
• Coagulopathy/abnormal bleeding
• Ovarian disorders
• Endometrial disorders
• Iatrogenic/ due to previous treatment
• Non-classified

Based on your condition, I would like to advise you on self monitoring of symptoms whether blood spotting alone or combination of other symptoms like abnormal lower abdominal pain and dragging sensation or altered urination or defecation, or any other symptoms like dizziness, fatigue and chest palpitation. Followed by a visit for gynaecologist if possible to look out for root cause of abnormal spotting. The investigations for the cause of bleeding is important for you to take next actions to stop the bleeding effectively via methods of drugs or surgical procedures based on your overall profile.

You can also contact our doctor online for further information and management.
I hope this answer helps you. Thank you.
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