Had last period on 4/21 through 4/27 This month on

Patient: Had last period on 4/21 through 4/27. This month on the 16th woke up to bleeding with cramps. Had to use tampon. 17th was lighter only needing pantyliner. 18th was red spotting and today I haven’t had anything until I use the bathroom and wipe. Any ideas? History of ovarian cysts.

Symptoms: Sore breasts, fatigue

Doctor: