[27F] Experiencing amenorrhea and mood swings

Patient Description

A 27-year-old female reports inability to get pregnant and absence of menstrual periods for over a year since discontinuing birth control. The patient also experiences mood swings, characterized by low energy during the day and high energy at night, which have been ongoing for several months and are exacerbated by stress. Additionally, the patient has noted weight gain. The patient's menstrual cycle was irregular before it ceased. There have been no significant changes in diet or exercise habits, no excessive hair growth, and no altered tolerance to cold, but the patient does report feeling unusually tired. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Polycystic Ovary Syndrome (PCOS): This condition is characterized by irregular periods, difficulty getting pregnant, and sometimes symptoms like weight gain and mood swings. It's caused by an imbalance in the hormones that regulate the menstrual cycle.

    • Treatment usually involves lifestyle changes like diet and exercise, and sometimes medication to help regulate the menstrual cycle and manage symptoms.
  • Hypothyroidism: This is a condition where the thyroid gland doesn't produce enough thyroid hormones. Symptoms can include tiredness, weight gain, and depression.

    • Treatment typically involves taking daily hormone replacement tablets to raise your thyroid hormone levels.
  • Premature Ovarian Failure (POF): This condition, also known as primary ovarian insufficiency, is when the ovaries stop working before age 40. Symptoms can include irregular or skipped periods (amenorrhea), infertility, mood swings, and fatigue.

    • Treatment for POF usually focuses on relieving symptoms and preventing complications, and may include hormone replacement therapy and supplements.

What you can do

  1. Consult with a healthcare provider: They can provide a formal diagnosis and discuss treatment options with you. This might involve blood tests, an ultrasound, or other diagnostic procedures.

  2. Lifestyle changes: Regular exercise and a healthy diet can help manage symptoms of these conditions, particularly PCOS.

  3. Mental health support: If your mood swings are causing distress, consider seeking support from a mental health professional.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, make sure to consult with a healthcare provider.
  • If you're feeling particularly down or depressed, reach out to a mental health professional or a trusted person in your life.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular menstrual cycles, difficulty getting pregnant, weight gain, acne, and sometimes excessive hair growth. Mood swings and fatigue can also be associated with PCOS.


How is hypothyroidism diagnosed and treated?

Hypothyroidism is typically diagnosed through blood tests that measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH). Treatment usually involves taking daily thyroid hormone replacement medication to normalize hormone levels.


What is Premature Ovarian Failure (POF) and how does it affect fertility?

Premature Ovarian Failure (POF) is a condition where the ovaries stop functioning properly before the age of 40, leading to irregular or absent menstrual periods and infertility. It can also cause symptoms like mood swings and fatigue. Treatment focuses on managing symptoms and may include hormone replacement therapy.


What lifestyle changes can help manage symptoms of hormonal imbalances?

Lifestyle changes that can help manage symptoms of hormonal imbalances include maintaining a balanced diet, engaging in regular physical activity, managing stress through techniques like yoga or meditation, and ensuring adequate sleep. These changes can be particularly beneficial for managing PCOS symptoms.


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