### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi im a 28 year old female, since july 2010 i have  had pain in my right abdomen ever since i had painful protected sex with my boyfriend.the pain never went away, but is alot more manageable.despite being agoraphobic i made it to the hospital to have a scan, and it showed i do not have any cysts.the problem at the moment is i have been bleeding for 12 days in a row now and feel very sick, it doesnt seem like  a period, and i also had a period earlier on this month. i have lack of appetite aswell. i have never ever bled for this many days in a row.not so much blood on the pad, but when i wipe after i have been to the toilet there is blood, and has changed to a brown colour instead of usual red colour. please help. due to my agoraphobia i find it impossible to access medical help. i have been in bed since Thursday, i felt fine on Wednesday, but severely sick since Thursday.the pain in my abdomen got worse for a couple of days, but subsided again.this morning the bleeding seemed to have stopped and i was feeling less sick,but still in bed due to not feeling well enough to get up, then by 2pm i felt sick again, and went to the bathroom, and the bleeding had re-started.

### output:

Hi! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out, and then consider this not to be related to a missed pregnancy. Also, I would go for an ultrasound of abdomen to rule out any pelvic pathology for the problem. Over and above, a gram staining and a culture and sensitivity test of the brownish discharge per vagina would also either confirm or rule out a pelvic inflammatory disease (PID) which is not uncommon. Further management would depend on the investigation report and a clinical examination by a gynecologist in your area. So, I would advise you to take an appointment with a gynecologist to avoid more trouble of not being treated appropriately. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.