[21F] Experiencing more frequent periods and hives

Patient Description

A 21-year-old female reports a change in menstrual cycle frequency from every 5 weeks to now every 2 weeks, without any changes in flow or associated systemic symptoms. Additionally, she has been experiencing hives for the past 4 months, which have not been linked to any known allergens or substances. She has been treating the hives with daily Cetirizine (10 mg). The patient has a known allergy to penicillin-based medications and is also taking spironolactone (100 mg daily). There is no reported weight change, no history of heavy or prolonged menstrual bleeding, no systemic symptoms such as fever, joint pains, or new rashes, and no recent injuries. She has no family history of menstrual irregularities or blood disorders, no pre-existing conditions, and is not taking any other medications, supplements, or recreational drugs.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions might be considered:

  • Polycystic Ovary Syndrome (PCOS): This condition is characterized by hormonal imbalances that can lead to irregular periods, among other symptoms. However, you haven't reported other common symptoms such as weight gain, acne, or hair growth in unusual places.

    • Diagnosis typically involves blood tests to check hormone levels and an ultrasound to look for cysts on the ovaries.
    • Treatment often involves lifestyle changes and medication to manage symptoms and prevent complications.
  • Chronic Urticaria: This is a condition where hives or welts appear on the skin, last for more than six weeks, and often come and go. The cause is usually not identified, but it can be associated with autoimmune diseases.

    • Diagnosis is typically based on a physical examination and medical history. Further testing might be needed to rule out underlying conditions.
    • Treatment usually involves antihistamines to control symptoms.
  • Thyroid Disorders: Both hypothyroidism and hyperthyroidism can cause menstrual irregularities. However, you haven't reported other common symptoms such as changes in weight, fatigue, or changes in your hair or skin.

    • Diagnosis usually involves blood tests to check thyroid hormone levels.
    • Treatment typically involves medication to restore normal hormone levels.

What you can do

You should make an appointment with a healthcare provider to discuss your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can do the following:

  1. Keep a symptom diary. This can help you and your healthcare provider identify patterns and potential triggers for your symptoms.
  2. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage symptoms and improve your overall health.
  3. Continue taking your prescribed medications as directed.

What you should look out for

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

  • Severe abdominal pain
  • Heavy bleeding (soaking through one or more pads or tampons every hour)
  • Shortness of breath or chest pain
  • Swelling of the face, lips, tongue, or throat

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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8 mo ago


People Also Ask


What could cause a sudden change in menstrual cycle frequency?

A sudden change in menstrual cycle frequency can be caused by various factors including stress, hormonal imbalances, thyroid disorders, or conditions like Polycystic Ovary Syndrome (PCOS). It's important to consult a healthcare provider for a proper diagnosis.


What are common treatments for chronic urticaria?

Common treatments for chronic urticaria include antihistamines like Cetirizine to control symptoms. In some cases, doctors may prescribe stronger medications or recommend lifestyle changes to help manage the condition.


How can thyroid disorders affect menstrual cycles?

Thyroid disorders, such as hypothyroidism or hyperthyroidism, can lead to menstrual irregularities by affecting hormone levels. Symptoms may include changes in cycle length, flow, or frequency. Blood tests can help diagnose thyroid issues.


What lifestyle changes can help manage symptoms of PCOS?

Lifestyle changes that can help manage symptoms of PCOS include maintaining a healthy weight through diet and exercise, managing stress, and possibly using medications to regulate menstrual cycles and address other symptoms.

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