What could be the cause of anxiety, cold extremities, and night sweats?

Hello,

Welcome to icliniq.com.

I went through your query.

I went through your reports (the attachments removed to protect patient's identity).

The hormone profile attached here is indicative of hypothalamic amenorrhea. However one thing to note is that hypothalamic amenorrhea is a diagnosis of exclusion, and other important causes of amenorrhoea must be ruled out. These include polycystic ovarian syndrome (PCOS), premature ovarian insufficiency (which may have a genetic cause, such as Turner’s syndrome), uterine abnormalities (congenital, Asherman’s syndrome), endocrine disorders (thyroid dysfunction, Cushing’s syndrome), hyperprolactinemia, and pituitary tumors. Hence, before confirming the diagnosis of hypothalamic amenorrhea, I would recommend ruling out other possibilities as well.

Your thyroid profile is normal. The attached blood sugars appear normal, too, as is your BMI (body mass index).

But since you are experiencing headaches, that could point to something in the brain as well, so I would recommend a brain MRI (magnetic resonance imaging) as well.

Additionally, to check for any anatomical issues with the ovaries and uterus, the go-to imaging modality is a pelvic ultrasound. The ovarian reserve can be estimated by checking astral follicle count and/or a blood test for anti-mullerian hormone.

I hope this answers your question.

Take care.

Thanks and regards.