Question: I have polycystic ovary syndrome.. now I have spotting or bleeding every couple of days

I am a 23 year old female with normal weight. I have polycystic ovary syndrome (all female cousins on dad’s side have it, may be genetic?). I have had heavy periods since the start of puberty with bad cramping. I have been on different contraceptive pills for the last 5 years in an attempt to reduce pain and bleeding and now on Brenda Ed I have manageable period pain. In the last 6 months I have started bleeding more and more often between my periods, though I have been taking the pill every day. I have been sleeping a lot more than usual (<11 hrs/night) but have to wake up <2 times per night due to urinary urgency. This could be due to stress as I have been working long hours and have deadlines coming up. I am concerned now as I have spotting or bleeding every couple of days and for inconsistent times. In the past strenuous exercise has also triggered bleeding.

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