[22F] Experiencing intense hot flashes, sweating, and uterine discomfort

Patient Description

A 22-year-old female reports experiencing intense hot flashes, continuous heavy sweating particularly severe at night and in the morning, and involuntary shaking coinciding with hot flash episodes. These symptoms have been worsening since January, following a rare menstrual cycle after a prolonged absence since July of the previous year. Additionally, the patient has discovered a soft mass in the uterus, described as feeling like a small soft ball, and experiences pain during intercourse, particularly with pressure applied to the cervix. The patient has a history of colitis diagnosed at age 11 and was diagnosed with a skin condition known as HS approximately 1.5-2 years ago. The patient also reports fatigue, bloating, light PMS-like symptoms around the expected time of her menstrual cycle, and recent chills. There is no current medication or known allergies. The patient's menstrual cycle has been notably irregular, with significant gaps between periods.

Arora's Assessment

What might be happening

Based on the information you provided, here are a few possibilities:

Premature Ovarian Insufficiency (POI): This condition, also known as premature menopause, occurs when a woman's ovaries stop working normally before she is 40. Symptoms can include hot flashes, night sweats, irregular or skipped periods, and difficulty sleeping. However, this condition is relatively rare, especially at your age.
Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone, leading to symptoms like increased sweating, shaking, and irregular periods.
Uterine Fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. They can cause a variety of symptoms, including an enlarged uterus, pressure or fullness in the lower abdomen, and pain during sex.
Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Symptoms can include irregular periods, heavy sweating, and difficulty sleeping.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Seek medical attention: Given the variety and severity of your symptoms, it's important to see a healthcare provider for a thorough evaluation. They may order tests such as blood work, imaging studies, or a biopsy to help determine the cause of your symptoms.
Track your symptoms: Keep a record of your symptoms, including when they occur, how long they last, and any factors that seem to make them better or worse. This information can be helpful to your healthcare provider.
Stay hydrated and eat a balanced diet: This can help manage symptoms like sweating and fatigue.
Practice good sleep hygiene: This includes maintaining a regular sleep schedule, creating a comfortable sleep environment, and avoiding stimulating activities close to bedtime.

What you should look out for

Seek immediate medical attention if you experience:

Severe abdominal pain
Heavy vaginal bleeding
Rapid weight loss
Signs of infection, such as fever or chills

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Painful Periods (Dysmenorrhea)