Hello,
You are 38 yrs of age and have a clamp on the tubes. Presently, you are experiencing menstrual like bleeding with clots after intercourse. The symptoms may be indicative of PCOS, abnormal
thyroid levels, early
pregnancy (ectopic pregnancy), early
menopause, rough sex, dry vagina, penetrating injury to the vagina/cervix, etc. Medical conditions that may cause such symptoms are polyp (endometrial or cervical), fibroid or
endometriosis.
You are suggested to get clinically examined by an
OBGYN. Get the required tests and investigations done. Get STD tests done to stay on the safer side. You will be accordingly treated. You are suggested to avoid doing any heavy work, stay away from stress. Take home made nutritious food rich in iron, calcium and protein. Take adequate rest. Stay well hydrated.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician