I’m here because i am 21 yrs old and struggling with premenopausal symptoms, such as hot flashes, night sweats, pain after sex, hair loss and constant fatigue. The only issue is that i still spot from time to time despite being on birth control to stop this. My doctor is truly unhelpful and I’m not sure what to do, so i have pretty much had to look up my symptoms by myself and self diagnose. Any help/advice would be nice. Thank you!