instruction: hello doctor I am a 23 year old female who is currently struggling with the unknown of what is happening to my body since I first started menstruating I have always been heavy and longer than average my normal periods last for 10 days and I use typically 5 complete boxes of tampons during a cycle I am in a long term relationship and have only had this singular sexual partner since 2017 I am not on birth control of any means and in some cases I have had to use emergency contraceptives post intercourse in the past two months I have used contraceptives twice once in the end of march and most recently about two weeks ago since then and this is the first time experiencing this I have had dark brown clumpy discharge the closest comparison would be like damp coffee grounds within the past week I had also gotten a thing flesh toned or white clot with blood on it about 5 inches in length I am started to feel concerned as the discharge has not stopped and I believe that is occurring rather than a menstrual cycle at the time I am writing this I should have had my period cycle now but instead I have this dark brown discharge at this time I fear the idea of going to a doctors office for the safety of myself during this pandemic but also do not want to prolong any critical issues I may be facing I have taken photographed images of all of this in worry that the typed description does not come across correctly please help
output: hi do not be stressed I am here to help according to your history you have not got periods this month and you are having some abnormal discharge I saw the picture my first suggestion would be to do get a urine pregnancy test I understand that you have used emergency contraceptive but sometimes it fails we need to know whether you have a pregnancy in which cases sometime the discharge is of nature as you described you may be in the process of a miscarriage if this is negative then the next step would be to get a pelvic ultrasound done because the discharge seems unusual but let me assure you that there are more chances of you having a miscarriage due to the failure of emergency contraceptives in case your urine pregnancy test is positive you need to take proper treatment like pregnancy termination kits or misoprostol tablets depending on the condition of the concepts baby at this time in case your pregnancy test is negative you need a pap smear ultrasound and sos biopsy of the tissue you are discharging whatever it is it can be managed properly if it is addressed on time there is no need for panic please follow up with your pregnancy test results I hope this helps failure of emergency contraception pregnancy test endometrial hyperplasia according to the test results