Conversation: The conversation between human and AI assistant.
[|Human|] I have been feeling light headed, dizzy, and tired lately. At first I thought it was my period coming, but I started spotting 9 days before it was supposed to come. It has been 4 days now and I am still spotting and feeling extremely light headed. I don t have any lower abdomen pain or anything like that... what could it be?
[|AI|]  Hello, I have gone through your query and understood your concern. If you have never had a disturbance of the menstrual cycle earlier and if you are sexually active, please confirm/exclude pregnancy first. This should be done in the current scenario through an estimation of the serum beta-ChatDoctor titles as the urine test may not read well at this stage. A trans-vaginal sonogram also helps to know the status of the pelvic organs and thereby helps to know if you are pregnant. If positive, you can attribute your symptoms to this and the spotting could be an early implantation bleed. If negative, this spotting is likely to be due to hormone deficiency and can be corrected with supplements. This may be a transient defect only. Hope your query has been answered. Take care.