[20F] Experiencing weight gain and amenorrhea

Patient Description

A 20-year-old female has reported a weight gain of approximately 20 pounds over a few months and has not had her menstrual period for over two months, which is inconsistent with her usually regular cycle. The last recorded menstrual cycle was on December 5th. The patient has not made any attempts to regulate her menstrual cycle and reports no changes in stress levels, lifestyle, diet, or exercise routine. She experiences acne breakouts when anticipating her period, but the period does not commence. Additionally, she suffers from frequent headaches that are sometimes accompanied by blurred vision. She has no pre-existing conditions or chronic illnesses, takes no medications, and has an allergy to penicillin.

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Arora's Assessment

What might be happening

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

  • Polycystic Ovary Syndrome (PCOS): This condition is characterized by hormonal imbalances that can cause irregular periods, weight gain, and acne. It's also associated with the development of small cysts on the ovaries.

    • Diagnosis usually involves blood tests to check hormone levels and an ultrasound to look for cysts on the ovaries.
    • Treatment typically involves lifestyle modifications and medications to manage symptoms and prevent complications.
  • Hypothyroidism: This is a condition where the thyroid gland doesn't produce enough thyroid hormones. Symptoms can include weight gain, fatigue, and irregular periods.

    • Diagnosis is typically made through a blood test to check thyroid hormone levels.
    • Treatment usually involves taking a daily hormone replacement tablet.
  • Pregnancy: Even though you've said you're not pregnant, it's worth mentioning that weight gain and missed periods are common signs of pregnancy. If there's any chance you could be pregnant, it would be worth taking a home pregnancy test to rule this out.

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

What you can do

  1. Schedule an appointment with a healthcare provider: They can perform a physical examination and order necessary tests to help determine the cause of your symptoms.
  2. Keep a symptom journal: Documenting your symptoms, when they occur, and any potential triggers can be helpful information for your healthcare provider.
  3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage symptoms and improve overall health.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe abdominal pain
  • Difficulty breathing
  • Severe headache
  • Sudden, severe weight gain
  • Swelling in your hands, feet, or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for accurate information.

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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 menstrual cycles, weight gain, acne, excessive hair growth, and sometimes small cysts on the ovaries. Diagnosis often involves hormone level tests and an ultrasound.


How is hypothyroidism diagnosed and treated?

Hypothyroidism is diagnosed through blood tests that measure levels of thyroid hormones. Treatment typically involves taking a daily hormone replacement medication to normalize hormone levels.


Can stress or lifestyle changes cause missed periods?

Yes, stress and significant lifestyle changes can affect menstrual cycles, potentially causing missed or irregular periods. However, if there are no changes in stress or lifestyle, other causes should be explored.


What should I do if I suspect I might be pregnant despite negative tests?

If you suspect pregnancy despite negative tests, consider retesting after a few days or consulting a healthcare provider for a more accurate test, such as a blood test, to confirm or rule out pregnancy.


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