[20F] Experiencing unexplained weight gain and other symptoms

What might be happening

Based on the information you've provided, possible conditions that could explain your symptoms include:

• 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 or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. Key symptoms can include weight gain, excess facial and body hair, and thinning hair on the scalp.

  • Diagnosis typically involves blood tests to measure hormone levels and an ultrasound to look for cysts on your ovaries.
  • Treatment typically involves lifestyle modifications such as diet and exercise, and medications to manage symptoms and prevent complications.

• Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Symptoms can include fatigue, weight gain, thinning hair, and heavy or irregular periods.

  • Diagnosis typically involves a simple blood test to measure your level of thyroid-stimulating hormone (TSH).
  • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.

• Cushing's Syndrome: This is a condition that occurs from exposure to high cortisol levels for a long time. The most common cause of Cushing's syndrome, also called hypercortisolism, is the use of oral corticosteroid medication. The condition can also occur when your body makes too much cortisol. Symptoms can include weight gain, fatigue, excess body hair, and irregular periods.

  • Diagnosis typically involves urine and blood tests to check your cortisol levels, and imaging tests to find any abnormalities in your adrenal or pituitary glands.
  • Treatment typically involves reducing cortisol production, such as surgery to remove a tumor, radiation, or medications.

Please note that these are potential explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may refer you to a specialist, such as an endocrinologist, for further evaluation.
2. Keep a symptom diary. Note when each symptom occurs and any potential triggers. This can help your healthcare provider in their evaluation.
3. Continue to eat a balanced diet and engage in regular physical activity. These can help manage your weight and overall health.

What you should look out for

Seek immediate medical attention if you experience:

• Severe pain in your lower abdomen or pelvis
• Severe depression or anxiety
• Rapid weight gain or loss

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 accurate information.