[44F] Experiencing Amenorrhea with Hormonal Imbalances

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

• Polycystic Ovary Syndrome (PCOS): This condition is characterized by high levels of male hormones (androgens), irregular or missed periods (amenorrhea), and often, multiple small cysts in the ovaries. Weight gain and high testosterone levels are common in PCOS. However, you mentioned that you do not have increased body or facial hair or acne, which are also common in PCOS.

  • Treatment often involves lifestyle changes like a healthy diet and regular exercise. Medications may also be prescribed to manage symptoms or to help with fertility if desired.

• Hyperprolactinemia: This is a condition characterized by higher-than-normal levels of the hormone prolactin in the blood. Prolactin is produced by the pituitary gland and one of its main roles is to help women produce milk after childbirth. High levels in a woman who is not pregnant or nursing could lead to irregular or missed periods (amenorrhea).

  • Treatment usually involves medications to lower prolactin levels.

• Migraines: Migraines are a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head, often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. You mentioned having migraines with aura, which are migraines that are preceded or accompanied by a sensory warning sign (aura), such as flashes of light, blind spots, or tingling in your arm or leg.

  • Treatment typically involves medications to relieve symptoms and prevent future attacks.

What you can do

1. Consult a healthcare provider: It's important to discuss your symptoms with a healthcare provider who can provide a formal assessment and order relevant tests if necessary.

2. Lifestyle changes: Regular exercise and a balanced diet can help manage symptoms of PCOS and can contribute to overall health.

3. Medication: Over-the-counter pain relievers like ibuprofen can help manage migraine pain. If these are not effective, your healthcare provider may prescribe stronger medications.

What you should look out for

• If your migraines become more frequent or severe
• If you experience sudden, severe headaches
• If you experience vision changes such as vision loss or double vision
• If you notice any new symptoms, such as increased body or facial hair, acne, or changes in your weight

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare provider.