This is my first month using Endovan. I did notice my monthly spotting has not been a factor. I had no spotting at all. I still suffered from painful cramps but there was no clotting. It was watery. Two advil stopped the pain instead of naproxin. I have more energy and have begun working out again running on my treadmill. I did not experience any pain that would normally accompany the spotting between periods. I’m sold just not to have the spotting and the low energy.