Medical issue or pregnancy?

From what it sounds like from April... feeling fatigue, and not having a period, I would say Congratulations. You are however are supposed to take the pregnancy test first thing in the morning. The first time you urinate is what will tell you. And sometimes test can come back negative but once a doctor does a blood work and looks at your hormones, they can catch something. I have 3 kids and with my 2nd one, I went to doctor 3 times to have test done and they kept telling me no, but then I got a call from a nurse who said she looked at my hormone levels and said they were extremely high, so the doctor did an ultrasound, and I was 4 months preganant! But you will feel that tiredsome feeling, like you just can't keep your eyes open. But not having a cycle doesn't always mean your pregnant. You could be stressing about the situation which can also cause a miscarriage, So be careful of that!