Hello, I would be happy to help you with your question.

I first have some questions for you:

1. Are you trying to get pregnant?
2. Have you had any workup in the recent past that might have included an ultrasound
3. Are you having any pain or cramping?

Please answer and I will get back to you shortly - DR XXXXXX

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Thanks for the followup. Here are the three clues to your problem:

1. Your age
2. History of recurrent miscarriage
3. Abnormal discharge / bleeding

The most likely causes would include:

1. Anatomic changes within the uterus (polyps, fibroids)
2. Irregularity in when you ovulate (can lead to irregular bleeding)

In any case, this requires evaluation. Your doctor needs to:

1. Perform an exam
2. Perform an ultrasound of the uterus
3. Consider a biopsy of the inside of the uterus (very easy to do) to rule out pre-cancerous changes - though this is highly unlikely, it should be part of the evaluation.

I hope this helps!

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Thanks for the followup. The pH of the vagina is usually on the low end, indicating that it is an "acidic" environment. The elevated pH indicates an abnormal alteration of the vaginal environment. This can be for abnormal reasons, but also normal reasons. They include:

1. The presence of blood (even small amounts)
2. A vaginal infection called bacterial vaginosis (BV) - this is usually associated with a discharge and odor
3. Semen - in the case of recent intercourse
4. If any water was present - for example after a shower or bath

In any case, I do not think it is a clue to the question above or problem I had commented on before. It is most likely related to a blood tainted discharge. In the absence of any symptoms, it is probably not really that significant.

I hope this helps - DR XXXXXX

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