Question: Hi, I have posted questions on here about gyno issues I've experienced recently and I can't help but worry (worry wart). My gyno is great and I trust her competency very much. However, the recent issues I've been experiencing have me worried because they are so out of character for me. The most recent (this month) is that I completely and suddenly missed a period, which has never happened, ever, except when I was pregnant. The first thing was that I started spotting "old blood" about 1.5 weeks before I was scheduled to start. That has never happened. I just thought I was starting early, no big deal. I expected it to get heavier. But after about 4 days of very light, stringy brown spotting only when I wiped (no pads necessary), instead of getting heavier, it completely went away. My periods are usually like clockwork, around 28-30 days. My last period started on 5/22, lasted the usual 5-7 days - 1 day light, 3-4 days very heavy, followed by 1-2 progressively light brown, then ends. It was totally normal on 5/22, same pattern and nothing different. I have had no recent stress out of the normal, actually less stress than several months in Jan-March. This month I experienced all the signs of approaching my cycle with some added or abnormally "strong" PMS symptoms - extreme bloating (gained 5lbs, stomach distended), 2 days of SEVERE irritability, on and off cramping but nothing severe (but I usually don't cramp much at all), and severe fatigue. The worst part is the fatigue and bloating have lingered and I have had no relief.

Also new to me, was a hemorrhagic cyst found on transvaginal ultrasound (around Feb) with enlarged ovary. 6 weeks later it was shrinking, which was good news of course.

Anyway, after missing my period and knowing my history, I immediately suspected pregnancy. I took about 6 hpt, all negative, and finally saw the doc. Lab tests revealed negative pregnancy, completely normal FSH, TSH, and normal levels of prolactin. I also had a normal annual exam and pap (even negative HPV) in April.

Could we be missing something? I feel like my doctor has been very thorough, but I'm not quite sure what could be going on and I am afraid that something may be amiss. Should I worry about these changes in the most recent months? I know it is common for some women to sometimes miss a period because of an-ovulation and spot between periods, but this is NOT at all normal for me. Now that pregnancy and peri-menopause have been ruled out, I'm not sure what to think.

Thanks!