[22F] Experiencing menstrual issues and systemic symptoms

Patient Description

A 22-year-old female reports experiencing excruciating menstrual cramps, back pain, nausea, headaches, and muscle pain for the past 4 months. The patient describes the menstrual cycle as regular, occurring every 3 weeks, with very light flow at the beginning, heavy flow from day 2 to 4, and ending on day 7. The cramps and bloating have worsened over time, with the bloating being significant enough to resemble a 9-month pregnancy appearance by the end of the day or during the menstrual cycle. The patient avoids dairy due to an exacerbation of bloating. Additionally, the patient has noticed hair thinning over the past 2 years, particularly in the temple area, with a noticeable amount of hair loss during brushing and washing. Stress levels are not reported as high, and no recent injuries have been reported. The patient's nausea is rated at a severity of 7 and occurs only during the menstrual cycle, while headaches are described as throbbing, with severity ranging from 3 to 10, also associated with menstruation.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

  • Hypothyroidism: This condition occurs when your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, cold sensitivity, constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain, stiffness or swelling in your joints, heavier than normal or irregular menstrual periods, thinning hair, slowed heart rate, depression and impaired memory.

    • Diagnosis is usually confirmed with a simple blood test to measure your levels of thyroid-stimulating hormone (TSH), a hormone that's produced in the pituitary gland.
    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine, which restores adequate hormone levels, reversing the signs and symptoms of hypothyroidism.
  • 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.

    • Diagnosis is made based on the presence of at least two of the following findings: irregular periods, signs of high levels of androgens such as acne or excessive hair growth, and multiple cysts on one or both ovaries on ultrasound.
    • Treatment of PCOS typically involves lifestyle changes like weight loss and exercise. Birth control pills may be recommended to regulate periods and manage symptoms. If you're trying to become pregnant, you might need medication to help you ovulate.

What you can do

Please consult a healthcare professional who can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Maintain a healthy lifestyle: Regular exercise and a balanced diet can help manage some of your symptoms.
  2. Keep a symptom diary: This can help you and your doctor understand your symptoms better.
  3. Stay hydrated: This can help manage some of your symptoms, such as bloating and constipation.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Rapid weight gain
  • Difficulty breathing
  • Fainting or dizziness
  • Severe vomiting or diarrhea

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

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are common symptoms of hypothyroidism?

Common symptoms of hypothyroidism include fatigue, cold sensitivity, constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain, stiffness or swelling in your joints, heavier than normal or irregular menstrual periods, thinning hair, slowed heart rate, depression, and impaired memory.


How is Polycystic Ovary Syndrome (PCOS) diagnosed?

PCOS is diagnosed based on the presence of at least two of the following findings: irregular periods, signs of high levels of androgens such as acne or excessive hair growth, and multiple cysts on one or both ovaries on ultrasound.


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, which can help regulate menstrual cycles and improve insulin sensitivity. Birth control pills may also be recommended to regulate periods and manage symptoms.


When should I seek immediate medical attention for menstrual-related symptoms?

You should seek immediate medical attention if you experience severe abdominal pain, rapid weight gain, difficulty breathing, fainting or dizziness, or severe vomiting or diarrhea.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback