:$ I am 31 years old. I have know I have Pcos since I was 18. My cycle has always been irregular and birth control pills no longer work to regulate it. I have also always had heavy rectal bleeding along with my heavy periods (I have to wear 2 pads at a time). I can go a year with or without bleeding. Currently it has been 8 months without the bleeding. However Friday I started spotting. It is dark brown in color. This has never happened to me before. I notice it mainly when I wipe but there has been a little on the panty liners. I am having severe cramps right now. I tried calling the doctor but they are not in today. I don't know if the following is related or not (doubtful) but I was diagnosed in April with diabetes and hypertension. Around the same time I started experiencing numbness and tingling in my arms and hands which was diagnosed as pinched ulnar nerves. My neck and back have been hurting a lot lately too. MRI was done to rule out pinched nerves in neck and was diagnosed instead with psoriatic arthritis. I am currently going to physical therapy for that. I have also had a headache for the past week. Migraines and nausea are normal for me too. Really the brown spotting is my concern I just wanted to include the rest incase any of it might be related. Thanks for any help.