 [ Symptoms ] could i be preg or is it something more serious  overly tired moodiness cramps nausea and heartburn last men nov 10th last time of sex nov 24 spotting on dec 7 still no period this month and negative on a home preg test on dec 8th when should i get a blood test and could this be something more serious i have had a history of ovarian cysts a little over a year ago have not had any rupture since then i also have not been to my obgyn since then [ Disease ] based on a list of symptoms alone there is really no way to blindly determine over the internet if a person is pregnant or have something more serious you will need to have a hands on examination with your primary care medical provider or your obgyn you will most likely need some diagnostic blood tests or perhaps even an ultrasound