Hormonal Imbalance Concerns?
I am a 29-year-old woman with Northern European heritage. Medical History: I have been diagnosed with Major Depressive Disorder (non-psychotic type), Generalized Anxiety Disorder, ADHD, migraines, hypersomnia, GERD, IBS-D, mild asthma, iron deficiency anemia, and a benign right ovarian cyst (diagnosed in November 2025). Additionally, I have a history of gallbladder failure (with a cholecystectomy performed years ago) and benign arrhythmia. Current Medications (taken daily): I am prescribed Fluoxetine 60mg, Cetirizine 10mg, Famotidine 20mg, and Norgestrel 0.075mg. I also take viviscal (a supplement for hair growth) and Calm Aid (Silexan lavender oil) twice daily, which were recommended by my psychiatrist based on recent research and his personal evaluations. For much of my life, I've experienced such a low libido that I've questioned whether I might be asexual. However, a few months back, everything shifted. Suddenly, I found myself constantly feeling aroused, which on its own could be merely a change in personality. Yet, this was soon coupled with persistent pain in my lower left abdomen, increased facial hair, intermittent migraines and vertigo, faintness, hot flashes, and irregular bleeding, despite being on birth control that previously managed my periods. By late October or early November, the pain in my abdomen escalated to the point where I decided to visit the emergency room before heading on an international trip, worried that I might face a critical issue abroad. I suspected the presence of a cyst or fibroid might be to blame. The CT scan results were normal apart from a slight bone deformity and a benign cyst on my right ovary. It was quite a revelation. Months later, I still experience the same abdominal pain alongside all other symptoms mentioned. I am currently seeing an OB/GYN who has not reviewed my medical records or allowed me to fully discuss my history. He dismissed the possibility of PCOS since I don't exhibit the classic signs (notably, I pluck my facial hair instead of waxing) and congratulated me regarding my increased libido. When I inquired about changing my birth control, he warned that it might exacerbate my migraines. He referred me for a pelvic and transuterine ultrasound. Although the ultrasound is complete, I now wait anxiously for the results. The only detail I could make out on the screen was that my uterus and ovary appeared elongated. In the interim, these issues significantly impact my work and daily life. I am keen to hear if anyone has suggestions for alleviating the symptoms or insights into what might be causing them. P.S. I am certainly not pregnant - I believe the ultrasound technician would have informed me of such. Additionally, I have never been pregnant and am free from STIs.
Answers (1)
2/6/2026, 12:50:41 AM
OpenHealth AI
It’s understandable that you’re feeling concerned about the combination of symptoms you're experiencing, especially given the history of hormonal imbalances and the recent changes in your health. Let's break down the main points and provide you with some actionable steps.
Main Points:
- Symptom Overview: You have experienced a sudden change in libido, abdominal pain, increased facial hair, migraines, and irregular bleeding.
- Possible Causes: These symptoms could be indicative of hormonal changes or imbalances, possibly related to conditions like inflammation, hormonal fluctuations, or other gynecological issues.
- Continued Monitoring: Awaiting the results of your ultrasound is essential for understanding the situation better, but there are also immediate self-care measures you can implement.
Explanation:
Hormonal imbalances can cause various symptoms, and in your case, they may explain the increased libido, facial hair growth, abdominal pain, and irregular periods. Conditions such as Polycystic Ovary Syndrome (PCOS) can present with some of these symptoms even without classic manifestations. The fact that your OB/GYN didn’t find classic signs does not completely exclude a diagnosis. It’s also important to consider how your current medications might interact or contribute to these changes.
Next Steps:
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Symptom Management:
- Pain Relief: Consider over-the-counter pain relievers like ibuprofen or acetaminophen for abdominal pain, unless contraindicated by your current health conditions or medications.
- Heat Therapy: Applying a heating pad to your abdomen can help relieve pain.
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Diet and Lifestyle Adjustments:
- Balanced Nutrition: Ensure that you’re eating a balanced diet rich in whole foods, avoiding processed ones which can exacerbate symptoms. This can support hormonal balance.
- Stay Hydrated: Ensure adequate hydration, as dehydration can lead to headaches and increase feelings of faintness.
- Mindful Practices: Engage in stress reduction techniques, like mindfulness meditation, yoga, or light physical activity, which can help manage anxiety and may alleviate some bodily symptoms.
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Record Keeping:
- Maintain a symptom diary. Document your symptoms regularly, including any changes in your menstrual cycle, mood changes, pain levels, and other relevant details. This record can be useful when discussing your condition with healthcare providers.
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Follow-Up:
- After receiving your ultrasound results, consider requesting a comprehensive evaluation of your hormonal levels (including progesterone, estrogen, testosterone, and possibly insulin) to rule out any underlying conditions.
- If your current OB/GYN is not addressing your concerns adequately, you may want to seek a second opinion from another specialist, preferably one with experience in hormonal disorders.
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Medication Review:
- Discuss with your healthcare provider about your current medications and their effects. Given your symptoms, review medications, especially Fluoxetine and Norgestrel, to see if adjustments are necessary.
By taking these steps, you can hopefully find some relief and clarity as you await further medical insights. Remember, you are not alone in this journey, and seeking support from friends, family, or mental health professionals can also aid in managing the emotional aspects of your symptoms. Let me know if you have further questions or need additional support.
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