[22F] With irregular periods and subcutaneous cysts
Patient Description
A 22-year-old female reports a history of irregular periods since menarche at age 14, with the last menstrual period occurring 12 months ago. The patient has firm, movable cysts under the skin on the breasts, inner thighs, and rib cages, which occasionally cause intense pain rated 8-9/10. The pain sometimes subsides if a cyst pops. An ultrasound ruled out PCOS, and no hormonal tests, such as thyroid function tests, have been conducted. The patient has experienced weight fluctuations but no excessive hair growth, persistent acne, or changes in energy levels or mood. There is a preference for consulting with a female healthcare provider. The patient has no known allergies, is not taking any medications, and suspects ADHD or autism without a formal diagnosis.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
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Hormonal Imbalance: Irregular periods and cysts could be related to hormonal imbalances. Conditions like thyroid disorders or other hormonal issues might affect your menstrual cycle.
- Testing: Blood tests to check hormone levels, including thyroid function, could be helpful.
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Fibrocystic Breast Changes: These are non-cancerous changes that can cause lumps and pain in the breast tissue, often related to hormonal fluctuations.
- Treatment: Over-the-counter pain relief and supportive bras can help manage symptoms.
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Lipomas or Sebaceous Cysts: These are benign lumps under the skin that can occur in various body areas.
- Treatment: They often don't require treatment unless they cause discomfort.
What you can do
- Consult a Specialist: Consider seeing a female gynecologist or endocrinologist for a thorough evaluation.
- Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
- Pain Management: Over-the-counter pain relievers like ibuprofen may help with discomfort from cysts.
- Lifestyle: Maintain a balanced diet and regular exercise to support overall health.
What you should look out for
- Seek Medical Attention: If you experience severe pain, notice any new or rapidly growing lumps, or have other concerning symptoms.
- Monitor Changes: Keep an eye on any changes in your symptoms and report them to your healthcare provider.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.
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2 mo ago