Brief Answer:
Please answer the following quesitons...

Detailed Answer:
Hello,

1. Tell me about the regularity of your cycles - have they been regular over the last 6 months?
2. Have you checked a pregnancy test?
3. What do you use for birth control?
4. Is this pinkish discharge in any way associated with recent intercourse in the days prior?

Dr. Tim

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Brief Answer:
Pregnancy is possible.

Detailed Answer:
Thank you for the follow up information and I am sorry about the delay.

1. You have had bleeding / spotting / blood-tinged discharge unrelated to your cycle
2. You are having unprotected intercourse

First, the cervix, which is located at the top of the vagina, is prone to bleeding. It is common for the cervix to bleed a little bit with intercourse. This might be noticed as a pinkish discharge that turns into more of a brownish discharge. This would most likely occur over the 24 hours after intercourse. Next, unpredictable bleeding or spotting can be related to anatomic changes such as polyps. These are easy to evaluate with ultrasound. Finally, you have been pregnant in the past and you are not using protection. Absolutely you could be pregnant and you need to check a pregnancy test. Even though you lost one tube, the other is likely still functional. You need to:

1. Check a pregnancy test - if it is positive you need to get in to your doctor immediately to make sure that you do not have a pregnancy in one of your tubes
2. Regardless of the pregnancy test results, you need to get in to your doctor to be evaluated and schedule an ultrasound of the uterus
3. In women over the age of 40 with abnormal bleeding, the standard of care is to consider sampling of the inside of the uterus to rule out pre-cancerous changes.

Does this help?
Dr. Tim

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