[38F] Experiencing difficulty with weight loss and other symptoms

Patient Description

A 38-year-old female is reporting difficulty losing weight despite adhering to a healthy diet and exercise regimen for over 7 months, with only 10 kilos lost out of the 20 gained over the last 5 years. The patient is also experiencing abdominal weight that is particularly hard to lose, acne on the chin, new hair growth on the chin, fatigue, and frequent waking during sleep. These symptoms may suggest an endocrine disorder such as polycystic ovary syndrome (PCOS) or a thyroid imbalance, which can contribute to weight gain, hirsutism, acne, and sleep disturbances. Further medical evaluation including hormonal assays and possibly imaging studies would be beneficial to determine the underlying cause and appropriate management.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be considered:

  • 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. Symptoms include weight gain, difficulty losing weight, acne, and excessive hair growth.

    • Treatment for PCOS often involves lifestyle changes like a healthy diet and exercise, and sometimes medication to manage symptoms.
  • 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. Symptoms include fatigue, weight gain, and difficulty losing weight.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine, which restores adequate hormone levels, reversing the signs and symptoms of hypothyroidism.
  • Metabolic Syndrome: This is a cluster of conditions that occur together, increasing your risk of heart disease, stroke and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

    • Treatment typically involves lifestyle changes like a healthy diet and exercise, and sometimes medication to manage symptoms.

What you can do

You should consult a healthcare professional to discuss your symptoms. They may suggest blood tests to check your hormone levels, which can help to diagnose or rule out these conditions. In the meantime, you can:

  1. Continue with a healthy diet and regular exercise. This can help to manage your weight and improve your overall health.
  2. Keep a symptom diary. This can help you and your healthcare provider to understand your symptoms better.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Shortness of breath
  • Chest pain
  • Severe headache
  • Sudden confusion or difficulty speaking
  • Sudden vision changes

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

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10 mo ago

People Also Ask


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

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


How does hypothyroidism affect weight and energy levels?

Hypothyroidism can lead to weight gain and fatigue because the thyroid gland is not producing enough hormones to regulate metabolism effectively. This can slow down bodily processes, leading to increased weight and decreased energy levels.


What lifestyle changes can help manage symptoms of metabolic syndrome?

Lifestyle changes that can help manage metabolic syndrome include adopting a healthy diet rich in fruits, vegetables, whole grains, and lean proteins, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking and excessive alcohol consumption.


Why is it important to consult a healthcare professional for these symptoms?

Consulting a healthcare professional is important because they can perform necessary tests to diagnose the underlying cause of symptoms, such as hormonal imbalances or other conditions. Proper diagnosis is crucial for effective treatment and management of the symptoms.


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