What could be causing my irregular periods and hair loss?

Question

Hello doctor,

I recently underwent a few diagnostic tests because I have been experiencing irregular periods and hair loss. My complete blood count (CBC) showed a hemoglobin level of 13.5 grams per decilitre, an RBC (red blood cell) count of 4.69 million per cubic meter, and a total leucocyte count (TLC) of 11,310 million per cubic meter, which is slightly elevated.

The differential count revealed neutrophils at 60.8 percent and lymphocytes at 30 percent.

Both were within the normal range, but my absolute lymphocyte count was 3,393 cells per cubic millimeter, which is slightly higher than normal. Additionally, my platelet count was 536,000 cells per cubic meter, indicating thrombocytosis, while my mean platelet volume (MPV) was 8 femtoliters (fL), which is slightly low.

In the biochemistry report, my random blood glucose was 120 milligrams per deciliter, which falls within the normal range. My hormone profile showed that LH (luteinizing hormone) was 11.33, FSH (follicle-stimulating hormone) was 10.18 milli-international units per milliliter, and prolactin was 12.78 nanograms per milliliter, which is normal. However, my total testosterone level was 48 nanograms per milliliter, which is within the normal range but on the higher side for females.

Given these findings, I want to know what could be the possible underlying cause of my irregular menstrual cycles and hair fall based on these test results?

Kindly help.

...

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on your tests and symptoms of irregular periods and hair fall, several possible explanations can be understood by looking at both your blood results and your overall health profile.

Your CBC (complete blood count) report shows that your hemoglobin, red cells, and most white blood cell components are normal, which means you are not anemic and your body’s oxygen-carrying capacity is healthy.

However, your total white blood cell count is slightly elevated, mostly due to a mild rise in lymphocytes, which could simply reflect a recent or mild viral infection, stress, or inflammation. The platelet count is elevated (thrombocytosis), which, along with a slightly low mean platelet volume, may sometimes occur as a temporary response to inflammation, stress, or hormonal imbalance. It is usually not serious if it remains stable, but your doctor may want to repeat the test after a few weeks to ensure it normalizes.

Your hormone profile gives more insight into your menstrual irregularity and hair fall.

The LH (luteinizing hormone) and FSH (follicle-stimulating hormone) levels are close in value, which is normal for some phases of the menstrual cycle. However, your slightly high testosterone level suggests polycystic ovary syndrome (PCOS) or a related hormonal imbalance. PCOS is a common condition in young women that causes

Irregular ovulation.
Hair thinning.
Excess facial hair.
Acne.
Weight gain.

This is seen due to higher androgen (testosterone) activity and insulin resistance.

Your random blood glucose is normal, but given your weight, it would be wise to also check fasting glucose, or HbA1c (glycated hemoglobin), to evaluate insulin sensitivity, as insulin resistance is often linked to both PCOS and hair fall.

You should focus on the following things to manage PCOS;

Gradual weight management through a balanced diet.
Regular exercise.
Avoid stress.
Proper sleep cycle.

You must know that even modest weight loss can help regulate your menstrual cycles and reduce hair fall. The findings do not suggest anything dangerous, but they do point to a hormonal pattern that can be managed effectively with lifestyle adjustments and medical guidance. With consistent follow-up and care, your periods and hair growth can both improve over time.

I hope this information helps you.

Feel free to ask further queries.

Thank you.