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Irregular Menstruation and Weight Loss Difficulties
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Gynecology & Pregnancy Care
Question #23487
13 days ago
69

Irregular Menstruation and Weight Loss Difficulties - #23487

Client_b096b8

Estou com Pouca menstruação, dificuldade para emagrecer e inchaço constante, oque pode ser, é oque eu poderia tomar para regular?

How long have you been experiencing these symptoms?:

- 3-6 months

Have you noticed any specific triggers for the swelling?:

- No specific triggers

Have you tried any treatments or medications for these issues?:

- No, not yet
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
13 days ago
5

Hello dear See I think chances of hypothyroidism probably with hypertrichosis and metabolic alterations There can also be chances of pcos. Iam suggesting some tests for confirmation. Please share the result with endocrinologist or general physician medicine for better clarity For safety please donot take any medication without consulting the concerned physician Serum tsh Serum ferritin Serum rbs Lft Rft Pelvic USG if recommended by endocrinologist Esr Enc Urine analysis Serum troponin Serum prolactin Serum progesterone Hopefully you recover soon Regards

1770 answered questions
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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
13 days ago
5

PCOS commonly causes: • Irregular or absent periods • Weight gain • Increased body hair • Hormone imbalance (high androgens) • Difficulty ovulating

Other possible causes that must also be checked include: • Thyroid disorders • High prolactin levels • Ovarian dysfunction • Pituitary/hormonal problems

What you should do

You should see a gynecologist or endocrinologist.

Tests usually recommended

• Pelvic ultrasound • Hormone tests (LH, FSH, testosterone, prolactin) • Thyroid test (TSH) • Blood sugar/insulin levels • Pregnancy test (routine even if unlikely)

1437 answered questions
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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
13 days ago
5

Hello

Ficar 3 anos sem menstruar não é normal e precisa de avaliação médica.

O quadro sugere SOP (síndrome dos ovários policísticos), pois há: Amenorreia prolongada Excesso de pelos Ciclos irregulares desde o início

Outras causas também precisam ser descartadas (hormônios, tireoide, prolactina).

Procure um ginecologista.

Exames comuns:

Ultrassom pélvico Hormônios: FSH, LH, testosterona, prolactina, TSH Glicemia e insulina

Tratamento depende da causa e pode incluir regulação hormonal e acompanhamento. Não deixe de investigar.

Thank you Take care

964 answered questions
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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
13 days ago
5

Hello Os sintomas que você está descrevendo—menstruação escassa, dificuldade para emagrecer e inchaço constante—podem estar relacionados a várias condições, como a síndrome dos ovários policísticos (SOP), distúrbios hormonais ou problemas na tireoide.

Aqui estão algumas orientações: 1. Avaliação Médica: - É importante consultar um ginecologista ou endocrinologista para uma avaliação completa. Eles podem solicitar exames para verificar seus níveis hormonais e descartar outras condições. 2. Exames Recomendados: - Exames de sangue para avaliar hormônios como LH, FSH, testosterona, estradiol, TSH e T4 livre. - Ultrassonografia pélvica para verificar a saúde dos ovários. 3. Tratamentos Possíveis: - Dependendo do diagnóstico, o médico pode recomendar mudanças na dieta e no estilo de vida, além de medicamentos para regular o ciclo menstrual e ajudar na perda de peso. 4. Mudanças no Estilo de Vida: - Manter uma alimentação equilibrada e praticar exercícios regularmente pode ajudar a melhorar os sintomas.

Thank you and get well soon

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
13 days ago
5

Hello! Thank you for getting in touch. It’s very common for these symptoms to be related, and you are absolutely right to seek guidance.

Here is a summary of what might be happening and the next steps:

🔍 Possible Cause: Your three symptoms — light menstruation, difficulty losing weight, and constant bloating — often occur together and point to a hormonal imbalance. The main suspicion would be Polycystic Ovary Syndrome (PCOS), which affects the menstrual cycle and metabolism.

⚠️ Important: Do not take any medication on your own. Medications to regulate your cycle are hormonal and require a prescription after an accurate diagnosis. Taking the wrong thing could make the situation worse.

📋 Recommended Next Steps:

1. Specialist Appointment: Schedule a visit with a gynecologist or endocrinologist. They are the right professionals for this. 2. Basic Exams: The doctor will likely request a pelvic ultrasound and blood tests (such as hormone levels, TSH, blood sugar, and insulin) to confirm the diagnosis. 3. Effective Approach: Treatment usually combines lifestyle adjustments (with nutritional guidance) and, if necessary, specific medication prescribed for you. This will help regulate your cycle, weight, and reduce bloating.

Don’t worry. With the right evaluation, these symptoms can be managed very effectively.

Sincerely,

Dr. Nikhil Chauhan urologist

145 answered questions
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Pouca menstruação, dificuldade para emagrecer e inchaço constante podem estar relacionados a várias condições, sendo importante fazer uma avaliação correta. É possível que esses sintomas sejam indicativos de problemas hormonais, como síndrome do ovário policístico (SOP) ou disfunção da tireoide, como hipotiroidismo. A questão hormonal pode afetar o ciclo menstrual, o metabolismo e causar retenção de líquidos, contribuindo para a sensação de inchaço. Outras possibilidades podem incluir alterações nos níveis de estresse, alimentação inadequada ou intolerâncias alimentares que afetam o equilíbrio do corpo.

Um primeiro passo recomendável seria procurar um médico para realização de exames de sangue, incluindo hormônios tireoidianos, glicemia, perfil lipídico e hormônios sexuais, para buscar qualquer irregularidade. Uma ultrassonografia pélvica pode ser indicada se houver suspeita de SOP. Quanto a como proceder, enquanto busca atendimento médico, mantenha uma alimentação equilibrada, rica em fibras e pobre em alimentos processados e sal para ajudar na retenção de líquidos. Praticar exercícios físicos regularmente, como caminhadas, pode também beneficiar tanto o peso quanto o bem-estar geral. Não é seguro começar qualquer tratamento medicamentoso sem orientação profissional, especialmente aqueles que prometem regular o ciclo ou emagrecimento rápido, pois pode mascarar a condição subjacente. Em condições mais sérias, o tratamento pode envolver a correção da causa hormonal ou metabólica subjacente com remédio apropriados.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
7 days ago
5

Menstruação em pequena quantidade associada a dificuldade para emagrecer e inchaço pode ocorrer por causas hormonais, principalmente: • Síndrome dos Ovários Policísticos (SOP) • Alterações da tireoide • Estresse, mudanças de peso ou rotina • Resistência à insulina Para confirmar a causa, o ideal é realizar alguns exames quando possível (TSH, glicemia/insulina, hormônios femininos e ultrassom pélvico). O que pode ajudar desde já: • Manter alimentação equilibrada com redução de açúcar e alimentos ultraprocessados • Exercício físico regular (30–40 min na maioria dos dias) • Dormir bem e reduzir estresse • Evitar automedicação hormonal sem avaliação médica Se os ciclos continuarem irregulares por mais de 3 meses, procure consulta ginecológica/endócrina, pois existem tratamentos simples que ajudam a regular a menstruação e facilitar a perda de peso conforme a causa identificada.

Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
4 days ago
5

Pouca menstruação associada a dificuldade para emagrecer e inchaço constante por 3–6 meses pode estar relacionada a desequilíbrios hormonais, como Síndrome dos Ovários Policísticos, Hipotireoidismo ou alterações hormonais pós-gestação, sendo necessária investigação antes de iniciar qualquer medicação.

Não é recomendado “tomar algo para regular” sem exames, pois o tratamento depende da causa (podendo envolver controle hormonal, ajuste da tireoide, mudanças alimentares ou outras abordagens médicas).

O ideal é consultar um Ginecologista (e possivelmente um Endocrinologista) para avaliação clínica e exames hormonais como TSH, prolactina, LH/FSH, estradiol e ultrassom pélvico para diagnóstico correto.

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