### Patient: Doctor, I've been having a lot of issues with my menstrual cycle lately. It seems like my periods are happening more frequently and I'm experiencing cramps and lower abdominal pain between periods. I've also been having trouble getting pregnant.
### Doctor: Based on your symptoms, it sounds like you may have an idiopathic irregular menstrual cycle. This condition can cause frequent menstruation, cramps and spasms, lower abdominal pain, infertility, and even sharp abdominal pain. We can do some tests to confirm the diagnosis and discuss treatment options.