Can you have spotting and cramping if not pregnant?

Yes, it is possible to have spotting and cramping if you are not pregnant. There are many other potential causes of these symptoms, including:

Hormonal changes such as those that occur during ovulation or before a period, can cause temporary spotting and cramping.

Uterine abnormalities such as polyps, fibroids, or adenomyosis, can also cause spotting and cramping.

Infections such as sexually transmitted infections (STIs), bacterial vaginosis, or pelvic inflammatory disease (PID), can cause spotting and cramping.

Trauma to the uterus or cervix, such as from a recent abortion, injury, or vigorous exercise, can cause spotting and cramping.

Certain medications, such as birth control pills, can cause spotting and cramping.

Stress can sometimes cause temporary spotting and cramping.

If you are experiencing spotting and cramping and are not pregnant, it is important to see a doctor to rule out any underlying medical conditions.