Is there a possible connection between back pain, persistent headaches, and irregular menstruation?

Welcome to Icliniq.com.

I read your query and can understand your concern.

How are you feeling?

Here are some possible explanations for your current situation:

1. Pregnancy: It is essential to rule out pregnancy by taking a home urine pregnancy test with an early morning urine sample.

2. Hormonal balance: If you are between 19-21 years old, your hormonal balance between the brain and ovaries may not fully mature. This can result in irregular ovulation and missed periods.

3. PCOD (polycystic ovarian disease): Based on your medical history, you may have PCOD, which is a congenital condition inherited from your parents. One of the contributing factors to PCOD is weight gain. When you gain weight, the excess cholesterol in your body can be converted into estrogen hormone. This hormone imbalance can disrupt the average balance between FSH (follicle-stimulating hormone) from the brain and the ovarian hormone. As a result, follicle growth stops prematurely, forming multiple small follicles, which can be seen on ultrasound as polycystic ovaries. PCOD is often associated with obesity, irregular menstrual cycles, and absence of periods for several months, followed by heavy periods with clots and fleshy masses, or sporadic spotting. It can also indirectly affect thyroid function and prolactin levels.

4. Excess fat: If you develop excess fat in the midsection of your body, particularly around the waist, thighs, and breasts, with no fat accumulation beyond the elbows and knees, along with symptoms such as excessive body hair growth, hair loss, dark pigmentation on the lower half of your face, acne, oily skin on your face, and darkened skin on the back of your neck, inner thighs, and under the breasts, you may also have a family history of diabetes, especially on your father's side. These symptoms can hinder ovulation and make it difficult to conceive until they are addressed. They can also increase the likelihood of early pregnancy loss. However, there is a solution to this problem.

   Your target weight range is 130 to 141 pounds. Once you achieve a normal weight range, you will not require medication to regulate your menstrual cycles or improve fertility. Additionally, your pregnancies will be healthier. To reduce weight:

   1. Avoid fasting and eliminate junk food, fast food, and red meat from your diet. Reduce snacks between meals.

   2. Consume low-calorie foods with a focus on high-protein options.

   3. Engage in regular exercise, especially targeting the waist and hip area. This can include aerobics, yoga, brisk walking (with good arm swinging), and the aim to lose five to nine pounds per month. Avoid rushing weight loss, as it can be challenging to maintain.

      Once you have reduced your weight by at least 11 pounds, you will start noticing changes.

      Also, I suggest you get your thyroid profile and serum prolactin levels tested on an empty stomach between 6-9 am. The hormone imbalance you are experiencing could result from sudden weight gain. The symptoms you are describing are an exaggeration of the symptoms typically seen in the second half of the menstrual cycle when there is a hormone imbalance and excess progesterone.

      I suggest you take a urine pregnancy test.

      1. If it is positive, follow the appropriate steps.

      2. If it is negative, I suggest you take combined oral birth control pills (a pack of 21 active pills or 21 active and seven inactive pills). Take one tablet twice daily for ten days (discard the 21st and inactive pills). Regardless of the cause (except in pregnancy), this will induce a menstrual period within 7 to 10 days.

         I hope I have addressed your concerns.

         Feel free to reach out if you have any further questions.

         Regards.