Dear Liz,
You have had a good evaluation. It is reassuring that your pap smear and biopsy of the uterus are normal. It is important to be sure that there are no lesions in the vagina. Sometimes lesions can be hidden under the speculum. the other reasons for abnormal bleeding include vaginal or cervical infection. Some women have chronic inflammation of the cervix (cervicitis) without a particular infection. There are also certain dermatological conditions that include ulcers in the vagina (such as lichen sclerosis, lichen planus)
you should:
-ask your doctor for a repeat examination of the vagina and cervix. Be sure that she/he turns the speculum sideways to see all the surfaces of the vagina. Also makes sure your doctor palpates the whole vagina to be sure there are no nodules or irregularities that could be missed by visual inspection
-ask your doctor to check you for infections (chlamydia, gonorrhea, yeast)
-if you use tampons, stop .It is possible that you may be causing chronic irritation or even an allergic reaction in the vagina
As far as your family history - you may be at risk for ovarian cancer. You should ask your doctor for a referral to a genetic counselor. You may want to consider genetic testing for the genes associated with breast and ovarian cancer BRCA1/2. If you are at high risk, you should consider the prophylactic removal of your ovaries and fallopian tubes after you have competed your family
take care
Thank you so much for taking the time to answer my post. I really appreciate it!