[23F] Experiencing fatigue and missed period

Patient Description

A 23-year-old female reports feeling tired and has not had her menstrual period this month, which is unusual for her regular cycle. She has never missed a period before. The patient also had unprotected sexual intercourse on February 14th. She has not experienced any severe abdominal pain, unexpected heavy vaginal bleeding, nausea, vomiting, breast tenderness, lightheadedness, dizziness, or fainting. There is no known history of pre-existing conditions, allergies, or current medication use.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following are possible explanations for your symptoms:

  • Pregnancy: Given that you've missed a period and had unprotected sex, it's possible that you could be pregnant. Pregnancy can cause fatigue and missed periods.

    • A home pregnancy test can help confirm if you are pregnant. It's best to take the test after your period is late.
  • Hormonal Imbalance: Hormonal imbalances can cause missed periods and fatigue. Conditions such as Polycystic Ovary Syndrome (PCOS) or thyroid disorders can cause these symptoms.

    • Blood tests can help identify if a hormonal imbalance is causing your symptoms.
  • Stress or Lifestyle Changes: High levels of stress, significant weight loss or gain, or intense exercise can disrupt your menstrual cycle and cause fatigue.

    • Treatment typically involves addressing the underlying cause of the stress or lifestyle change.

Please remember that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  1. You can take a home pregnancy test to see if you are pregnant. These tests are typically accurate about a week after a missed period.
  2. If the test is negative and you continue to miss periods, you should schedule an appointment with a healthcare provider. They can perform further tests to determine the cause of your missed periods and fatigue.
  3. Try to maintain a balanced diet and regular sleep schedule to help manage your fatigue.

What you should look out for

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

  • Severe abdominal pain
  • Heavy bleeding
  • Severe dizziness or fainting

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


Can a missed period and fatigue be signs of pregnancy?

Yes, a missed period and fatigue can be signs of pregnancy, especially if you have had unprotected sex. It is advisable to take a home pregnancy test to confirm.


What are some common causes of a missed period besides pregnancy?

Common causes of a missed period besides pregnancy include hormonal imbalances such as Polycystic Ovary Syndrome (PCOS) or thyroid disorders, stress, significant weight changes, and intense exercise.


How accurate are home pregnancy tests, and when should they be taken?

Home pregnancy tests are generally accurate if taken about a week after a missed period. They detect the hormone hCG in urine, which is present during pregnancy.


What lifestyle factors can affect the menstrual cycle and cause fatigue?

Lifestyle factors such as high stress levels, significant weight loss or gain, and intense physical activity can disrupt the menstrual cycle and lead to fatigue. Addressing these factors can help regulate the cycle.


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