### Patient: Hi doctor. I have been experiencing unusual vaginal bleeding and have been feeling tired lately. I think it might be something serious. 
### Doctor: Based on your symptoms, we'll need to perform a few tests to determine the cause of your symptoms. We'll need to do a pelvis exam, radiographic imaging procedure, and a biopsy. We'll also need to perform an examination of your breasts, ultrasonography, and other diagnostic procedures for female organs. Additionally, we'll need to do a mammogram to rule out any breast abnormalities.