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I have not had a period for 3 months, almost 4. Last month, I spotted a little for 5 days. Yesterday, I started spotting again just around the same time I did last month. I'm not on any birth control, nor have I been on birth control for over 4 years. I noticed that my libido had dropped over the past few months, but when I spotted last month as I am doing now I feel like I'm more interested in having sex. I took a pregnancy test two months ago that came back negative, and I also took a ovulation test that showed that I wasn't ovulating. I took the ovulation tests at the beginning and end of that month. I'm overweight, I don't have health insurance, I just want an idea of if this is something I should rush to a doctor for. Could blood be building up inside and not passing through because I'm overweight? I have had regular heavy periods my whole life, and this is very frustrating. And yes, my boyfriend uses condoms and we've tried to be as careful as possible. Spotting bright red blood.

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replied April 25th, 2010
Womens Conditions Answer A11516
Hello, Welcome to the ehealthforum and I am really glad to help you out.

As you are overweight and have mentioned about the irregular cycles, there’s possibility of Polycystic Ovarian Syndrome.

The confirmation of the diagnosis is done by doing an ultrasound of the ovaries and measuring the hormone levels.

For PCOS, you need to have a control on your diet which you are already doing. Exercising is also important.

Unfortunately, there is no general or lifestyle treatment other than this and the treatment may include hormonal therapy consisting of birth control pills, anti-androgen medications, and other special hormone-regulating drugs.

Metformin (Glucophage) is a medication used to treat type 2 diabetes. This drug affects the action of insulin and is useful in reducing the symptoms of PCOS.

Finally, a surgical procedure known as ovarian drilling can also be used in severe cases.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.

For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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