Hello, Thanks for letting us know your health concern. In the current scenario, the source of the bleeding should be visualized through a speculum examination. The origin can be from the urethra, the anal canal or from the genital tract itself. If there is no obvious reason to suspect the discharge to be issuing from the anal canal or the urethra, it is likely that the intrauterine collection is expelled as pressure is exerted during defecation or micturition. Else, the cause for the abnormal bleeding should be further explored and managed appropriately. Hope this helps.