[26F] Experiencing hair loss, night sweats, and menstrual irregularities

Patient Description

A 26-year-old female reports significant hair loss occurring in clumps, primarily noticed during brushing or showering over the past few months. She also experiences night sweats and severe menstrual cramps rated at 10/10 in intensity, lasting two days, with periods occurring twice in one month. The patient has a history of gestational diabetes but no other chronic conditions. Recent medications include Lexapro 20mg, Ativan 1mg twice daily, Ambien 10mg at bedtime, and long-term use of Adderall XR 20mg daily. No significant changes in symptoms have been noted since starting these medications. The patient denies recent illnesses, infections, or family history of thyroid or hormonal disorders. She has experienced weight loss and palpitations but no changes in appetite or skin texture. No known drug allergies.

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Arora's Assessment

What might be happening

Your symptoms could be related to several potential issues:

  1. Hormonal Imbalance: Irregular periods, hair loss, and night sweats can be signs of hormonal changes. Conditions like polycystic ovary syndrome (PCOS) or thyroid issues might be involved, even if previous tests were normal.

  2. Stress or Medication Effects: The recent addition of medications like Lexapro, Ativan, and Ambien might contribute to changes in your body, including hair loss and night sweats.

  3. Nutritional Deficiencies: Sometimes, hair loss and fatigue can be linked to deficiencies in vitamins or minerals, such as iron or vitamin D.

Typical treatments or tests might include blood tests to check hormone levels, thyroid function, and nutritional status.

What you can do

For Hair Loss and Night Sweats:

  • Consider seeing a healthcare provider to discuss your symptoms and potential tests.
  • Maintain a balanced diet rich in vitamins and minerals.
  • Use gentle hair care products and avoid excessive heat styling.

For Irregular Periods and Cramps:

  • Keep a menstrual diary to track your cycle and symptoms.
  • Over-the-counter pain relief like ibuprofen can help, but consult your doctor if it's ineffective.
  • Consider lifestyle changes like regular exercise and stress management techniques.

General Tips:

  • Stay hydrated and maintain a healthy diet.
  • Use MDandMe to journal your symptoms and track any changes, which can be helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening symptoms.
  • New symptoms like unexplained weight loss or palpitations.
  • Any side effects from medications that concern you.

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

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4 mo ago

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People Also Ask


Can hormonal imbalances cause hair loss and irregular periods?

Yes, hormonal imbalances can lead to symptoms like hair loss and irregular periods. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders are common causes of these symptoms.


Could my medications be contributing to my hair loss and night sweats?

Yes, medications like Lexapro, Ativan, and Ambien can sometimes cause side effects such as hair loss and night sweats. It's important to discuss these symptoms with your healthcare provider.


What nutritional deficiencies might lead to hair loss and fatigue?

Deficiencies in vitamins and minerals, particularly iron and vitamin D, can contribute to hair loss and fatigue. A blood test can help determine if you have any deficiencies.


How can I manage severe menstrual cramps and irregular periods?

To manage severe menstrual cramps and irregular periods, consider keeping a menstrual diary, using over-the-counter pain relief like ibuprofen, and incorporating lifestyle changes such as regular exercise and stress management techniques. Consult your doctor for personalized advice.


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