[22F] With amenorrhea and associated symptoms

What might be happening

Based on the information you've provided, possible diagnoses 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.

  • Treatment of PCOS may involve lifestyle modifications and medication to manage symptoms and prevent complications.

• Hypothyroidism: You mentioned that you have subclinical hypothyroidism. Hypothyroidism 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.

  • Treatment of hypothyroidism usually involves daily use of the synthetic thyroid hormone levothyroxine.

• Stress or Weight Changes: Extreme stress or significant changes in your weight (either weight loss or gain) can also cause disruptions to your menstrual cycle.

What you can do

1. Consult a healthcare professional: It's important to discuss these symptoms with your doctor. They can perform tests to confirm a diagnosis and suggest appropriate treatments.

2. Lifestyle modifications: Regular exercise, a healthy diet, and maintaining a healthy weight can help manage symptoms of PCOS and hypothyroidism.

3. Medication: If you are diagnosed with PCOS or hypothyroidism, your doctor may prescribe medication to manage your symptoms.

What you should look out for

• If your periods continue to be irregular or absent, it's important to seek medical attention.
• If you notice other symptoms such as excessive hair growth, acne, or weight gain, these could be signs of a hormonal imbalance and should be discussed with your doctor.

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 appropriate examination, testing, and care recommendations.