Hi, If you have been sexually active throughout cycle without any protection, you should definitely exclude/confirm pregnancy. Else, the clinical picture is suggestive of a metropathic cycle and hence, you should get a complete hormonal profile, trans-vaginal sonogram, blood counts and urinalysis and get a specialist opinion. You may need a hormone supplementation to arrest the spotting if pregnancy has been excluded. Anemia should be corrected and so are any hormonal deficiencies detected. Please maintain a healthy weight and a healthy diet. Take care.