[37F] Experiencing amenorrhea, fatigue, and weight gain

Question

Why am I stuck talking to a f****** AI isn't there any of your people that aren't antisocial left especially all you f****** cat f****** b** misanthropes

Patient Description

A 37-year-old female reports missing her period for 4 days, accompanied by fatigue and a weight gain of 11 pounds over the last three months. She has also observed the onset of acne. The patient uses tobacco and has a history of tachycardia diagnosed in 2010 and GERD diagnosed in 2008, with symptoms of GERD having progressed over time. She is allergic to penicillin. Her current medications include Pepcid (20 mg once daily) and metoprolol (25 mg once daily). There is no family history of thyroid disorders or other endocrine conditions mentioned, but there is a noted family history of endometriosis.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Pregnancy: Missed periods, fatigue, and weight gain are common early signs of pregnancy. If there's a chance you could be pregnant, consider taking a home pregnancy test.

    • If the test is positive, prenatal care should begin as soon as possible. If the test is negative but your period still doesn't come, you should see a doctor.
  • 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 and 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.
  • Stress or lifestyle changes: Changes in weight, stress levels, or exercise habits can affect your menstrual cycle.

    • If this is the cause, your period should return to normal after your weight stabilizes or your stress levels decrease.

What you can do

  1. Take a home pregnancy test if there's a chance you could be pregnant.
  2. If the test is negative and your period still doesn't come, make an appointment with your doctor.
  3. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and stress management can help regulate your menstrual cycle.
  4. Keep track of your symptoms and any changes to share with your doctor.

What you should look out for

Reasons to see a doctor more urgently:

  • If you have severe pain or heavy bleeding
  • If you have signs of pregnancy (such as morning sickness or breast tenderness) but the home pregnancy test is negative
  • If your period doesn't come within a few weeks and the pregnancy test is negative

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis.

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8 mo ago


People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include missed periods, fatigue, nausea, breast tenderness, and weight gain. If you suspect pregnancy, taking a home pregnancy test can help confirm it.


What is Polycystic Ovary Syndrome (PCOS) and what are its symptoms?

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that can cause infrequent or prolonged menstrual periods, excess androgen levels, and polycystic ovaries. Symptoms may include acne, weight gain, and difficulty with fertility.


How can stress or lifestyle changes affect the menstrual cycle?

Stress or lifestyle changes, such as significant weight gain or loss, increased physical activity, or emotional stress, can disrupt the hormonal balance and affect the regularity of the menstrual cycle.


What should I do if I suspect I might be pregnant but the test is negative?

If you suspect pregnancy but the test is negative, consider retesting in a few days. If your period still doesn't come, consult a doctor to explore other possible causes and ensure proper care.

1 Comments


Brian#93

8 mo ago

Hey bro u don't gotta talk to the AI if you don't want

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