What causes spotting, fatigue and abdominal cramps?

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From your history, I presume you have PCOD ( Polycystic ovarian disease). This is a congenital condition, I mean it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone. You might have seen obese men developing breast and young obese girls, who develop periods at younger ages - they all have high levels of estrogen hormone or the female hormone). In your body too, when the body fat is more than normal, it is converted to a hormone, which tips the balance between Follicle stimulating hormone (FSH, from the brain ) and the ovarian hormone. FSH, as the name suggests stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone comes from fat, the brain is confused and the follicle growth stops early at a smaller follicle size. It will not rupture, next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later, heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop an extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, no fat beyond the elbow and knees, excessive body hair growth, hair fall, dark shade over the lower half of the face, acne, oily face, black skin over the back of the neck, inner thighs and under the surface of the breast. You may have a family history of diabetes, especially your father or his family. Most of the symptoms you have mentioned are due to the hormonal imbalance. Once your hormones are normal, these will disappear on their own.

This will not allow ovulation to occur at any time and so you may find it difficult to get pregnant until treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your ideal weight has to be 100 minus your height in centimeters. Hence, your expected weight is about 136.7 to 143.3 lbs. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant. You will have a healthy pregnancy as well. I suggest you some tips to reduce weight:

1. No fasting.

2. No junk foods, fast foods, red meat, etc.

3. Reduce snacks in between meals.

4. Have low-calorie, high-protein food.

5. Exercise regularly (especially for the waist and hip area). You can do something like aerobics, yoga, or brisk walking (swing your hands well).

Try to reduce 4.4 to 8.8 lbs per month. Do not hurry on weight reduction, as it will be difficult to maintain. You will begin to see changes as soon as you reduce at least 11 lbs.

I hope your query got resolved.

Please feel free to reach me again, in case of further queries.

Thank you.