[22F] Experiencing unusual spotting and late menstrual cycle

What might be happening

Based on the information you've provided, here are some possibilities:

• Pregnancy: Given that you're sexually active, have missed your period, and are experiencing spotting, increased urination, and fatigue, you might be pregnant. Spotting can sometimes occur when the fertilized egg implants itself in the uterus (known as implantation bleeding).

  • A home pregnancy test can help confirm this. If positive, you should schedule an appointment with a healthcare provider for prenatal care.

• Hormonal Imbalance: Conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders can cause irregular periods and spotting. These conditions can also cause fatigue and changes in urination.

  • Diagnosis usually involves blood tests to check hormone levels and, in the case of PCOS, an ultrasound may be performed.

• Side effects of medication: Some psychiatric medications, like the ones you're taking, can sometimes affect menstrual cycles.

  • If this is the case, your doctor may adjust your medication regimen.

What you can do

1. Take a home pregnancy test: This is a quick and easy first step to determine if you're pregnant. These tests are readily available at most pharmacies.
2. Keep track of your symptoms: This can help your healthcare provider make a diagnosis.
3. Schedule an appointment with a healthcare provider: They can perform tests to confirm a diagnosis and discuss treatment options.

What you should look out for

• Severe abdominal pain: This could be a sign of an ectopic pregnancy, which is a medical emergency.
• Heavy bleeding: If your spotting turns into heavy bleeding, seek medical attention.
• Other symptoms: If you develop new symptoms or if your current symptoms worsen, you should contact a healthcare provider.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.