### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
43 female I have fibromyalgia. Conflictive to diagnosis I am also told I have High tolerance to pain! Had 2 kids 45 mins after arriving to hospital no drugs. Serious spinal damage that I thought was just muscles (firbromyalgia)until I was exrayed 10 yrs later! For at least 6 mos now I have had more fatigue and a oh well attitude! No self discipline extremely forgetful and just the last 30 days I have had 2 periods 16 days from each other. Each one very very heavy and lasting 5 days. Heavy FAST flow the first two days difficult to control. I have history of heavy fast flow only in the last year have I showed some irregular tendencies. Some hormonal changes less oily skin/hair, no mood issues except the apathy lately. I do take a vitamin capsule to combate becoming anemic. My iron levels are good. Additional D3 because my level was 19. Muscle relaxers as needed. My only regular medication is Nuvigil for a sleep disorder. It is used to keep me alert during the day. I sleep at least 10 hrs a day. From 10/11 to 8/9. Two periods in 2wks is too much???

### output:

Hi, As far as your periods is concerned it is quite common to have irregularities at this age, as it is the time for menopause. As far as fibromyalgia is concerned it is more of a psychological rather than physiological. It is not necessary for a fibromyalgia patient to have a lower threshold for pain as per your symptoms it appears to be fibromyalgia. You need to incorporate exercises in your schedule, go to bed on time, improve your sleep. Take care. Hope I have answered your question. Let me know if I can assist you further. 