<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi doctor. I have been experiencing unusual vaginal bleeding and have been feeling tired lately. I think it might be something serious.  <response>: Based on your symptoms, well need to perform a few tests to determine the cause of your symptoms. Well need to do a pelvis exam, radiographic imaging procedure, and a biopsy. Well also need to perform an examination of your breasts, ultrasonography, and other diagnostic procedures for female organs. Additionally, well need to do a mammogram to rule out any breast abnormalities. 