Why am I experiencing a bloody discharge after taking ovarian cyst medication for the past 4 months?

Hello doctor,

I am a 27-year-old female. Taking the tablet Slynd for the management of ovarian cyst pain. Also take a multivitamin, black cohosh, fish oil, vitamin D, collagen, and a probiotic. I have two confirmed complex cysts on both ovaries that were seen in the ultrasound four months ago. An ultrasound two days ago showed them a little smaller. The pain is dull and achy. It is usually felt when sitting or doing any movement that applies pressure to the abdomen. Since starting Slynd, my periods are longer, and I have spotting before and after my periods. I ended my period four days ago and woke up to spotting again. I have never had spotting before and am starting to wonder if I am not actually spotting it and if it is a bloody discharge (an infection). I have to wear a pantsuit, and the color is dark dusky brown or rose. Not the bright period color or consistency that I know. It happens between periods, so I assumed spotting, but I am someone who has a pH level that likes to hover around BV levels. I have gotten BV six times in four years. I have been with the same partner for four years now, and I was tested for STDs three months into our exclusive relationship. I was negative. I did pop positive for HPV two months ago (negative for the scary strands). With all this, should discharge be a concern? How do I know it is "spotting" and not my body telling me there is an infection?

Kindly help.

Hello doctor,

I would appreciate it greatly.

Thank you.