Hi. Thanks for your query. Noted your history of bloating with tiredness, amenorrhea of 2 months but pregnancy negative, vaginosis cleared and STI negative. Wants to know the reasons. Since you have not mentioned the age, any comment on perimenopause is not possible. The causes can be hypothyroidism, pseudocyesis, chronic intestinal infection causing gases and thus bloating which in turn can cause other symptoms. I would advise you the following: Consult a Doctor to get a clinical evaluation and thus the relevant investigations of blood like for thyroid, sugar and Enteric fever ans so on. This way alone you can get a proper diagnosis and a plan of treatment. Till then take a course of an antibiotic if the blood/stool/urine tests indicate so. Multivitamins as you are tired, take therapeutic dosages of Vitamin A and D if blood shows deficiency.