u/LegitimateRhubarb650

hey y'all. i'm a 22 year old trans man with PCOS, and as the title suggests i also have had an IUD (liletta) for the past two years, as well as taking testosterone for almost as long. i don't get a period anymore, but i do get cramping still sometimes likely due to the PCOS and very light spotting on occassion. like almost no blood, just a tinge. but last night, i was cramping pretty bad, and i woke up to a lot more blood than i'm used to, like soaked through my underwear, period levels. i'm not sure what's going on and i guess i just wanted to see if anyone else has experienced this or if anyone has any advice? i'm assuming it's due to PCOS but it's never happened before and it freaked me out a little to be honest. just unsure if there's anything i can do or if it's a sign of a different problem or what. thanks in advance!