For 3 months now I have been spotting on and off. Usually a pantiliner is all I need to use. The bleeding seems to be getting worse though (bleeding everyday now and heavier) with cramping and back pain everyday for the last week. I was seen by a doctor a month ago and all seems fine--no cyst, vd, or pregnancy, cervical cancer, good cbc, thyroid etc. But, the bleeding continues. Sometimes it is red w/ no smell, sometimes black with a fowl smell. Last year the same thing happened for 4 months straight and then an MD put me on the pill. After 2 months on the pill and no improvement I stopped taking the pill and the bleeding stopped the next day! But now, a year later, it is back. I started "the ring" 2 weeks ago to try and regulate things. But, the bleeding is only getting worse. What could be happening to me? I have had an IUD for 3 years--with no bleeding the first 1 1/2 years. My periods have always been irregular (45-60 days apart). I'm a 37 years old diabetic. Could a hormonal imbalance cause this bleeding?