hi looking for some advice if at possible?

Background

39 year old

3 sections last 2 years ago

1 episiotomy

Tubal ligation 2 years ago

PCOS

Regular smear tests all been fine most recent 2 years ago.

No period for 20 years only started having a cycle after tubal ligation.

Just in the past few months noticed spotting in the middle of a cycle.

For the past 10 months I have noticed bloody discharge after sex (sorry TMI) not every time so real pattern.

Just recently I have noticed a bloody discharge from my vagina after a bowel movement. Again not every time so its really difficult to pin point what could be causing it.

I am booked to have a hysteroscopy for a biopsy.

The discharge can vary from a little bit when I wipe to needing a pad. Colour can light pink to bright red to brown only last a day or so.

So I am really not sure what to think I am googling and getting all sorts from cervical cancer, bowel cancer, hormones to endometriosis.

Has anyone experienced similar?