[28F] With missed period, nausea, and food aversion

Patient Description

A 28-year-old female presents with a missed period for 25 days, which is unusual for her. She reports experiencing a lot of watery discharge initially, followed by nausea and a strong aversion to foods she usually enjoys. Eating small snacks helps alleviate the nausea. A pregnancy test was taken and returned negative. The patient mentions being under some stress recently, leading to increased work but no other significant lifestyle changes. Additionally, she reports frequent urination during the day and 2-3 times at night, as well as constipation with dark, somewhat firm stools. There have been no recent changes in sexual activity or contraceptive use, and no recent travel. The patient has no known allergies or chronic illnesses and is currently taking a multivitamin and a B-complex supplement.

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Pregnancy: Despite a negative test, it's still possible to be pregnant, especially if the test was taken too early or not according to instructions. Symptoms like a missed period, nausea, food aversions, and frequent urination are common in early pregnancy. Consider retesting or consulting a healthcare provider for a more definitive test.
Stress and Lifestyle Changes: Stress can impact your menstrual cycle, leading to a missed period. It can also contribute to digestive issues like constipation. Your recent increase in work-related stress might be affecting your body in these ways.
Hormonal Imbalances: Conditions like polycystic ovary syndrome (PCOS) or thyroid issues can cause missed periods, changes in discharge, and digestive symptoms. These conditions often require medical evaluation and management.
Dietary Changes or Deficiencies: Sometimes, changes in diet or nutrient deficiencies can lead to digestive issues and menstrual irregularities. Ensure you're getting a balanced diet and consider discussing your vitamin intake with a healthcare provider.

What you can do

Retake a Pregnancy Test: If your period doesn't start soon, consider retaking a pregnancy test or consulting a healthcare provider for a blood test, which can be more accurate.
Manage Stress: Try stress-reducing techniques such as yoga, meditation, or deep-breathing exercises. Ensuring you have time to relax and unwind can help regulate your menstrual cycle.
Diet and Hydration: Maintain a balanced diet rich in fiber to help with constipation. Drink plenty of water throughout the day to stay hydrated.
Track Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes in your discharge or digestive habits. This information can be valuable for your healthcare provider.

What you should look out for

Persistent or Worsening Symptoms: If your symptoms persist or worsen, it's important to seek medical advice. This includes continued missed periods, severe nausea, or significant changes in bowel habits.
New Symptoms: Be alert for any new symptoms such as abdominal pain, fever, or unusual discharge, and seek medical attention if they occur.
Emotional Well-being: If stress or anxiety becomes overwhelming, consider speaking with a mental health professional for support.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and personalized advice.

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1 mo ago

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