[27F] Experiencing irregular menstrual cycles and weight gain

Patient Description

A 27-year-old female presents with a history of irregular menstrual cycles, including a current episode of amenorrhea lasting 40 days. The patient has experienced similar instances of missed periods, with up to three months without menstruation occurring twice within the year. Additionally, the patient reports recent weight gain and a depressed mood. The patient also notes excessive hair growth on her body. Menstrual flow when present is described as normal, lasting 8 days. There are no reports of severe acne or unexpected milk production from the breasts. The patient's menstrual cycle varies in duration, with the last normal period occurring approximately a month ago.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. The exact cause of PCOS is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications such as type 2 diabetes and heart disease.

    • Treatment of PCOS may involve lifestyle modifications and medications.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages. Over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease.

    • Treatment of hypothyroidism usually involves daily use of the synthetic thyroid hormone levothyroxine.

What you can do

  1. It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary.

  2. In the meantime, maintaining a healthy lifestyle can help manage your symptoms. This includes regular exercise, a balanced diet, and adequate sleep.

  3. Try to manage your stress levels as high stress can also affect your menstrual cycle. You can try relaxation techniques such as yoga, meditation, or deep breathing exercises.

What you should look out for

Reasons to see a doctor more urgently:

  • If your periods stop completely
  • If you experience severe pain during your period
  • If you notice any other new symptoms such as excessive thirst, frequent urination, or unexplained weight loss

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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1 yr ago

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

People Also Ask


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

Common symptoms of PCOS include irregular menstrual cycles, excessive hair growth, weight gain, acne, and sometimes difficulty getting pregnant. Some women may also experience thinning hair on the scalp and darkening of the skin.


How can hypothyroidism affect menstrual cycles?

Hypothyroidism can lead to irregular menstrual cycles by affecting the balance of hormones that regulate the menstrual cycle. It can cause periods to be heavier, less frequent, or even absent.


What lifestyle changes can help manage symptoms of PCOS?

Lifestyle changes that can help manage PCOS symptoms include maintaining a healthy weight through diet and exercise, reducing carbohydrate intake, and managing stress. These changes can help regulate menstrual cycles and reduce other symptoms.


When should I see a doctor about irregular menstrual cycles?

You should see a doctor if your periods stop completely, if you experience severe pain during your period, or if you notice other symptoms such as excessive thirst, frequent urination, or unexplained weight loss. It's also important to consult a doctor if you have concerns about your menstrual health or suspect conditions like PCOS or hypothyroidism.


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