<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing intermenstrual bleeding, absence of menstruation, hot flashes, weight gain and painful menstruation. What do you think could be wrong with me?  <response>: Based on your symptoms, it is likely that you have Polycystic Ovarian Syndrome PCOS. We will need to order some tests to confirm the diagnosis. 