[18F] Experiencing mood swings, irregular periods, and other symptoms

Patient Description

An 18-year-old female has been experiencing mood swings, irregular periods, changes in appetite, increased hair growth, headaches, and pain in the ovaries. The mood swings have been present for a couple of years and occur weekly, lasting approximately 3-4 hours each time. The patient finds that being around enjoyable people helps regulate her emotions. Her periods have been irregular since the age of 16, sometimes going months without one. She has also noticed an increase in hair growth and acne. She has been experiencing headaches but no vision changes. There is no significant weight change, pre-existing conditions, allergies, or current medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, a few possible conditions could be causing your symptoms:

  • Polycystic Ovary Syndrome (PCOS): This condition is characterized by irregular periods, excessive hair growth, and sometimes ovarian pain. Mood swings could be related to the hormonal imbalances associated with PCOS.

    • Diagnosis usually involves blood tests to check hormone levels, and an ultrasound to look for cysts on the ovaries.
    • Treatment typically involves lifestyle changes, such as diet and exercise, and sometimes medication to manage symptoms and prevent complications.
  • Premenstrual Dysphoric Disorder (PMDD): This is a severe form of premenstrual syndrome that can cause significant mood swings, among other symptoms. However, these mood swings usually occur in the week or two before your period starts and stop a few days after your period begins, which doesn't seem to match your symptoms.

    • Diagnosis is usually based on a detailed review of your symptoms.
    • Treatment can involve lifestyle changes, counseling, and sometimes medication.

Please note that these are just possibilities, and only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Schedule an appointment with a healthcare provider. They can review your symptoms, perform an examination, and order tests if necessary.
  2. Keep a symptom diary. Note when your symptoms occur, how long they last, and any potential triggers. This can help your healthcare provider make a diagnosis.
  3. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage many symptoms.

What you should look out for

Contact a healthcare provider immediately if:

  • Your mood swings become more frequent or severe
  • You experience severe abdominal pain
  • Your periods become even more irregular or stop altogether
  • You notice any other new or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What are the common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular periods, excessive hair growth (hirsutism), acne, weight gain, and ovarian pain. Some women may also experience mood swings and difficulty with fertility.


How is PCOS diagnosed?

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


What lifestyle changes can help manage PCOS symptoms?

Lifestyle changes that can help manage PCOS symptoms include maintaining a healthy weight through diet and exercise, managing stress, and getting adequate sleep. Some women may also benefit from medications prescribed by their healthcare provider.


What is the difference between PMS and PMDD?

PMS (Premenstrual Syndrome) involves a range of physical and emotional symptoms that occur before menstruation, while PMDD (Premenstrual Dysphoric Disorder) is a more severe form of PMS with significant mood disturbances. PMDD symptoms are more intense and can interfere with daily life, typically occurring in the luteal phase of the menstrual cycle.


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