What does it mean when you go to the bathroom and there is some red on toilet paper but never spot or bleed between periods?

It is possible that the red you are seeing on the toilet paper is caused by something other than menstruation, such as:

- Hemorrhoids: These are swollen veins in the rectum or anus. They can bleed, especially if they are irritated or strained.

- Anal fissure: This is a tear in the skin of the anus. It can also bleed.

- Constipation: Straining to have a bowel movement can cause blood vessels in the rectum or anus to burst, leading to bleeding.

- Urinary tract infection (UTI): This is a bacterial infection of the urethra, bladder, or kidneys. It can cause urine to appear red or pink.

- Sexually transmitted infection (STI): Some STIs, such as chlamydia and gonorrhea, can cause bleeding between periods.

- Ectopic pregnancy: This is a pregnancy that occurs outside of the uterus, usually in the fallopian tube. It can cause spotting or bleeding.

If you are concerned about the red you are seeing on the toilet paper, it is important to see a doctor to rule out any underlying medical conditions.