Could I be pregnant if husband didn't ejaculate inside?

The brown discharge could be old blood and early signs of the period starting. The routine of the ECp may have altered your cycle. Cramps are usually mild during periods. The bleeding should cease within a few days. It’s fine to observe for now. If it becomes heavy or lasts for a long time then you might want to have it looked at.

You can wait a few more days before considering a blood test for pregnancy. Home pregnancy tests detect pregnancy hormones (hCG) in your urine, but the levels might not be high enough to register immediately after a missed period.

Your body might be dealing with premenstrual symptoms. Cramping and bloating often indicate that your period is about to begin. These symptoms are due to the hormonal changes that occur in your body. Water drinking, eating healthy, and getting rest can play a big role in feeling better try these ones. However, sometimes gentle exercises like walking can also help. 

In some cases, doctors may refuse hysterectomy due to ethical or moral objections like in sterilization surgeries. Some doctors may also be bound by institutional or legal guidelines that restrict certain surgeries based on age, medical necessity, or other factors.

Endometriosis is a situation where the tissue is growing outside its proper location and this leads to the formation of cysts and causes pain. Ayurvedic treatments can be used to shrink the 30x20mm cyst on your right ovary. To reduce manifestations such as discomfort and untimely monthly cycles, herbs such as turmeric and ashwagandha may be beneficial. In addition, following a healthy diet, practicing relaxation techniques, and doing light exercises such as yoga can be promoted.

It sounds like you had an ectopic pregnancy, which is a serious medical condition that requires prompt treatment. In most cases, surgery is necessary to remove the pregnancy and prevent life-threatening complications. As for removing both tubes, this may have been necessary depending on the extent of damage or scarring. It's important to follow up with a gynecologist or reproductive specialist to discuss any concerns or questions you may have about your fertility.