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Why am I spotting dark blood years after my tubal sterilization operation? #964/6
I have been spotting dark brown blood instead of my period. I have had two babies and my tubes tied. Do I need to be concerned? This has never happened before.

There are a number of possibilities.  It sounds as though you have simply had a very light period.  You may want to wait and see if more bleeding occurs or you may want to go to the physician you are seeing now.  Several questions:

  1. How old are you? I am 28 years old.
  2. Do you happen to know what procedure was done to occlude your fallopian tubes?  How was the operation done? My tubal was during my C-section 3 years ago.
  3. Are you experiencing any pain? I have no pain.
  4. Have you had any symptoms of pregnancy? I have no symptoms of pregnancy but I didn't when I was pregnant either.
  5. Anything else I should know about your past history?  I have been previously diagnosed as having a mild case of endometriosis with long periods and lots of pain!

Spotting is quite common for women at many times in their reproductive years.  Often it improves over time with no treatment. 


      Blood is darker when it sits for a while in the uterus before passing down into the vagina and then to the outside.  It is not a reason for concern, nor does it suggest pregnancy.


My reply to her answers above:  I don't think you need to be overly concerned about the pattern of bleeding you have had, but this is something you will want to discuss with your doctor.  It does not sound as though this bleeding had anything to do with your tubal sterilization procedure.


Good luck.  


The following questions from our website will provide additional information about dark blood:


I started bleeding again (dark blood), even though my menstrual cycle just ended a week ago.  If this is not my normal period, what is it? Click here

I'm having an odd black discharge.  Could you please tell me WHY?  #852/6 Click here

Key Words:              tubal sterilization, dark brown blood, period, concerned, pregnant  

Posted 10-11-2006, Updated 10-13-2006, Updated 10-19-2006                                          


Robert A. Hatcher MD, MPH
Emeritus Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA

Managing Contraception for Your Pocket 2013-2014

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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