Birth control

Patient : Okay, i have been taken the depo shot the past two years. I recently have gotten off of it in september. now during the depo i never really recieved a period, maybe once twice, a dark brownish blood discharge spotting but since ive recently been off ive been bleeding for the month and a week now, its been heavy and light and that brownish red. ive also remember having sex before this happened and ive also bleed after sex. but since this month with bleeding, i have horrible back pain some days and sometimes i get a sharp pain in my pelvic area. now i havent had sex since the bleeding started but im a little concered if the depo had anything to do with it or if it may concern something else.
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