[18F] Experiencing irregular menstrual cycle and increased hunger

Patient Description

An 18-year-old female reports experiencing her first instance of menstrual irregularity, with her last period being a week late, mostly spotting, and lighter than usual. It has been six weeks since her last period ended. Additionally, she has been experiencing an unusual increase in hunger for the past three weeks, feeling constantly hungry without ever reaching fullness. Despite this, she has possibly gained a little weight, but her clothes are not tighter, though her stomach appears bigger and more protruded than usual. There are no other symptoms reported, and the patient is not on any medications. This is the first time she has experienced such symptoms, and she has no pre-existing conditions or chronic illnesses.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Pregnancy: The symptoms you're experiencing, such as a late period, lighter than usual flow, nipple tenderness, increased appetite, and a larger looking stomach, can all be signs of pregnancy.

    • Pregnancy can be confirmed with a home pregnancy test or by a healthcare provider through a blood test.
  • Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods. Increased appetite and weight gain can also be symptoms of PCOS.

    • Diagnosis of PCOS is usually done through a combination of physical examination, blood tests, and ultrasound.
  • Premenstrual Syndrome (PMS): This is a condition that affects a woman's emotions, physical health, and behavior during certain days of the menstrual cycle, generally just before her menses. PMS is a very common condition. Its symptoms include bloating, breast tenderness, and mood swings among others.

    • There is no definitive test to diagnose PMS. Your doctor may ask you to keep a diary of your symptoms for a few months.

What you can do

  1. If you're sexually active and there's a chance you could be pregnant, consider taking a home pregnancy test. These are available at most pharmacies and can give you a result quickly. If the test is positive, make an appointment with a healthcare provider to confirm the result and discuss next steps.
  2. If the test is negative and your symptoms persist, make an appointment with a healthcare provider. They can help determine if there's another underlying cause for your symptoms, such as PCOS or PMS.
  3. In the meantime, try to maintain a balanced diet and regular exercise routine. This can help manage your symptoms and improve your overall health.

What you should look out for

  • If your period is late by more than a week and you're sexually active, it's important to take a pregnancy test as soon as possible.
  • If you experience severe abdominal pain, heavy bleeding, or other severe symptoms, seek medical attention immediately.
  • If your symptoms persist or worsen, make an appointment with a healthcare provider.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

Show More

2
 Hugs
1
 Comments

Save

7 mo ago


People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include a missed period, nausea or morning sickness, breast tenderness, increased urination, fatigue, and changes in appetite or weight.


How is Polycystic Ovary Syndrome (PCOS) diagnosed?

PCOS is usually diagnosed through a combination of a physical examination, blood tests to check hormone levels, and an ultrasound to look for cysts on the ovaries.


What are the typical symptoms of Premenstrual Syndrome (PMS)?

Typical symptoms of PMS include mood swings, bloating, breast tenderness, fatigue, irritability, and changes in appetite or sleep patterns.


When should I take a pregnancy test if my period is late?

If your period is more than a week late and you are sexually active, it is advisable to take a home pregnancy test. These tests are most accurate when taken after a missed period.

1 Comments


Madelyn#4031

7 mo ago

sorry to ask the obvious, but did you take a pregnancy test? I know lots of women who had symptoms just like these when they first got pregnant but didn't put two and two together

1
 Hugs
Reply

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback