Thanks for writing to us with your health concern.
Stress and exercise can lead to irregular periods
However, for the spotting, a gynecological opinion is a must.Endometrial hyperplasia
, PCOD should be ruled out.
An internal exam plus pelvic ultrasound
and hormonal assay should be done.
FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone
should be done.