Unusual Physical Changes: Which Specialist Should I Consult?
I'm a 31-year-old woman assigned female at birth, and I've never engaged in smoking, drinking, or drug use. I do not have any chronic health conditions except for PTSD. Over the last six months, I've noticed that my menstrual cycle has shortened to just 23 days, while it has typically been 25. I believe the disruption might have begun after I contracted COVID last summer, as my cycle also seemed affected after receiving the vaccine a few years back. Throughout this period, I have been experiencing intense feelings of depression. I've had sporadic sharp pains in my breasts and abdomen, persistent fatigue, and bloating. Remarkably, I’ve gained weight even while skipping meals. Additionally, my libido has significantly decreased, and I’ve noticed minimal spotting during ovulation. My cognitive function feels impaired, evident by the brain fog I’ve been facing. Recently, I’ve developed cystic acne and my skin has become uniformly dry. Alongside these changes, I’ve been dealing with neck pain, swelling in the pubic area, mild night sweats, and surprisingly, the growth of facial hair—specifically a mustache. What could possibly be going on? Given that these symptoms surfaced during a period of extreme stress related to family emergencies and other challenges, I wonder if stress might be contributing to these physical changes. Should I consult my general practitioner about this? Would it be better to see a gynecologist or an endocrinologist? Any guidance on what’s happening and the appropriate steps to take would be greatly appreciated.
Answers (1)
3/19/2025, 1:50:38 AM
OpenHealth AI
It’s understandable that you’re feeling concerned given the variety of physical changes you’re experiencing. Your combination of symptoms suggests that there may be underlying hormonal or emotional factors at play, especially considering your past COVID infection and current stressors.
From what you’ve described, your symptoms could be influenced by hormonal imbalances, which are common after stressful events or illness. Issues like changes in your menstrual cycle, skin changes, weight gain, and reduced libido can often be linked to hormonal shifts.
Next Steps to Take:
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Consult Your General Practitioner (GP): Start with a visit to your GP. They can conduct initial assessments, review your symptoms in detail, and run necessary blood tests to check hormone levels (like thyroid hormones, estrogen, testosterone, etc.) and other potential underlying issues.
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Ask about Referral Options: Depending on your GP's findings, they may refer you to an endocrinologist if they suspect hormonal issues related to your thyroid or adrenal glands. Alternatively, if your main concerns revolve around menstrual cycles or related gynecological issues, a gynecologist may be appropriate.
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Track Your Symptoms: Begin a symptom diary to document changes, including your menstrual cycle, mood variations, and any other physical changes. This information can be valuable for your doctor to understand the pattern of your symptoms.
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Focus on Stress Management: Given that you mentioned significant stress, engaging in stress-reducing activities could be beneficial. Consider practices like mindfulness, gentle exercise (such as yoga or walking), or talking therapies that might help improve your emotional well-being.
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Monitor Symptoms: Watch for any new symptoms or significant changes, especially in terms of abdominal pain, breast pain, or any new developments. If you notice worsening symptoms, it’s important to communicate this to your doctor.
By starting with your GP, you can make sure you are getting a comprehensive evaluation while considering the effect that stress may be having on your health. It's crucial to address both physical and mental health aspects in your case. You’re taking a proactive step in seeking help, which is commendable, and it’s important to remember you don’t have to navigate this alone.
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