Premenstrual spotting is very common and usually caused by minor hormonal fluctuations, such as temporary low progesterone. To treat this, a doctor might recommend generic medications like: \n\n1. **Progesterone supplements** (such as micronized progesterone) to support the second half of your cycle.\n2. **Combined oral contraceptives** (containing ethinyl estradiol and levonorgestrel) to regulate your hormones.\n\nPlease consult a gynecologist before starting any medication. They can perform a simple ultrasound or blood test to rule out benign causes like thyroid imbalances or uterine polyps and tailor the right therapy for you. There is no need to panic, as this is a very manageable and common issue.