[25F] With irregular periods and mood changes

Patient Description

A 25-year-old female reports experiencing irregular periods, with her cycle becoming unpredictable over the past few months. Her period came twice last month, less than a week apart. After removing her IUD in 2022, her periods were irregular but returned to normal in 2023 until recently. She has been experiencing fatigue and worsening mood swings over the last month. Additionally, she reports changes in appetite, finding it difficult to eat, and sleep disturbances, feeling uncomfortable. There have been recent changes in her physical activity levels, but no recent illnesses, infections, or changes in medications. She has no known allergies or chronic illnesses, except for a C-section in 2017.

Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

Hormonal Imbalance: Stress, changes in routine, or physical activity can affect hormone levels, leading to irregular periods, mood changes, and fatigue.
- Treatment often involves lifestyle adjustments, stress management, and sometimes medication prescribed by a doctor.
Polycystic Ovary Syndrome (PCOS): This condition can cause irregular periods, mood swings, and fatigue. It often involves hormonal imbalances.
- Treatment may include lifestyle changes, medications to regulate periods, and managing symptoms.
Thyroid Issues: An underactive or overactive thyroid can affect your menstrual cycle and cause fatigue and mood changes.
- Blood tests can diagnose thyroid issues, and treatment usually involves medication.

What you can do

Track Your Symptoms: Use MDandMe to journal your symptoms, track your cycle, and note any changes in mood or energy levels. This information can be helpful for your healthcare provider.
Manage Stress: Practice relaxation techniques like deep breathing, yoga, or meditation to help manage stress.
Maintain a Balanced Diet: Even if your appetite is low, try to eat small, nutritious meals to maintain energy levels.
Stay Active: Gentle exercise can help improve mood and energy levels.
Consult a Healthcare Provider: It's important to discuss these symptoms with a doctor to rule out any underlying conditions and receive appropriate treatment.

What you should look out for

Seek medical attention if you experience severe pain, heavy bleeding, or if your symptoms significantly worsen.
Monitor for additional symptoms like unexplained weight changes or persistent fatigue, and report these to your doctor.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

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