[27F] Experiencing irregular menstruation, difficulty losing weight, hair loss, and mood changes

Patient Description

A 27-year-old female presents with a history of irregular menstruation, characterized by months without a period followed by prolonged menstrual episodes with large blood clots when they do occur. The patient also reports difficulty losing weight and observes hair loss, particularly around the temples, which has been ongoing for a year. Additionally, the patient notes mood changes but has not identified any specific triggers for these symptoms. There is no reported excessive hair growth in atypical areas or severe acne, and no severe pelvic pain was mentioned. The patient has not been pregnant and there is no history of similar symptoms in the past.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possibilities:

  • 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.

    • Treatment for PCOS may involve lifestyle modifications such as weight loss and exercise. Medications may also be prescribed to manage symptoms like irregular periods or hair loss.
  • 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 typically involves daily use of the synthetic thyroid hormone levothyroxine.
  • Chronic stress or a significant life change: These can cause changes in your menstrual cycle.

What you can do

It's important to consult a healthcare provider for a formal diagnosis. They may recommend blood tests or an ultrasound to confirm the diagnosis. In the meantime, maintaining a healthy lifestyle can help manage your symptoms. This includes regular exercise, a balanced diet, and stress management techniques such as meditation or yoga.

What you should look out for

It's important to seek immediate medical attention if:

  • Your menstrual bleeding is so heavy that you're soaking through one or more pads or tampons every hour for several hours
  • You're experiencing severe pain or discomfort
  • You're feeling depressed or anxious

Remember, 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 accurate information.

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1 yr 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, excess hair growth (hirsutism), acne, obesity, and sometimes infertility. Women with PCOS may also experience hair thinning on the scalp and mood changes.


How does hypothyroidism affect menstrual cycles?

Hypothyroidism can lead to irregular menstrual cycles, including heavier or lighter periods, or even missed periods. This is because thyroid hormones play a crucial role in regulating the menstrual cycle.


Can stress really cause changes in menstrual cycles?

Yes, stress can impact menstrual cycles by affecting the hormonal balance in the body. Chronic stress can lead to irregular periods, missed periods, or changes in the flow and duration of menstruation.


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 through techniques like yoga or meditation. These changes can help regulate menstrual cycles and improve overall health.


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