Hypothyroidism leading to weight gain.

Resolved question:
I had my son almost two years ago, I had one depo shot in June of 2012 and have not been on birth control since. My periods have been extremely irregular for the past two years. I started out having two a month but now I'm only having one every two months. I gained about 75 lbs during my pregnancy and I am still about 228 lbs. I am 21. I'm really worried about this and afraid it could be something serious like uterine cancer?

Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,
Thanks for writing to DoctorSpring.com with your health concern.

The most obvious reason for your irregular cycles is your substantial weight gain.
And you are obese right now, though you have not mentioned your
height, so I cannot calculate your BMI.
Other than that, stress, anxiety, late nights, drinking, smoking, binge eating, ingestion of hormonal medications , change in climate or altitude - all these can lead to irregular cycles.

Also, hypothyroidism or PCOD ( polycystic ovarian disease ) can lead to this.
Please consult a gynaecologist for complete evaluation.
This will include internal exam ( per vaginum and per speculum ) and
pelvic transvaginal ultrasound scan.
ALso, hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free Testosterone.

All the best
Please free to discuss further.

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Patient replied :

Does it sound like it could be uterine cancer?


Expert:  Dr. Aarti Vazirani replied 3 Days.

Not at all.
You are just 21, hardly the age group for uterine cancer.
There is no mention of any ominous family history.
Uterine cancer would present with torrential bleeding, pain, distension, weight loss.
Please have the workup suggested.
You would be reassured on this score.

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