### Patient: Hi Doctor, I've been having irregular menstrual cycles for the past few months, and it's really been affecting my daily routine. I also experience extreme mood swings during this time. What could be the possible cause of this?
### Doctor: Based on what you've told me, it's possible that you have an idiopathic irregular menstrual cycle. To confirm this, we will need to conduct a series of medical tests including a complete blood count, hematologic tests, pelvis exam, urinalysis, standard pregnancy test, examination of breast and an ultrasound to check for any abnormalities. These tests will help us understand what is causing your menstrual irregularity and we can then decide on the best course of treatment.