Will PCOD cause an increase in weight and absence of ovulation after abortion?

Hi doctor,

I have been unable to lose weight since abortion. I had an abortion one year ago. I gained 30 to 40 lbs in a short amount of months since discovering I was pregnant last year. I had an incomplete medical abortion at nine weeks three days one year ago. Since that, I have had six months of erratic, very heavy periods, bleeding between periods, clots, etc. I took birth control tablets for four months to regulate my periods. I have been off birth control for six months now. Periods are now back to a somewhat normal state but vary in the amount of days month to month. I have had swelling in my feet and ankles every month since abortion. I had swelling in pregnancy as well before the abortion. The swelling is always a week before my period and around ovulation time, although I never had this pre-abortion. I feel like taking the abortion pills threw me into early menopause because I have always weighed 135 pounds for the last ten years and above. I now weigh 173 which came on me within months. I have had two thyroid tests and cortisol tests which are normal. I have had my female hormones estrogen and progesterone checked that was normal but low testosterone. My hormone doctor put me on bioidentical progesterone, which I do not take anymore because it causes me to swell and did not seem to help with weight gain at all.

I am just at a loss because this is almost what I weighed my last live pregnancy eight years ago. I had the same symptoms when I had a Mirena inserted two years ago that I had removed by my doctor after three months due to extensive weight gain. I went right back to 135 after Mirena was removed within a week. I gained 30 plus pounds within a month with Mirena and, upon removal, lost everything and went right back to 135. The Mirena made me swell just like I am doing now, but I am currently on no birth control or hormones because of intolerance. I am 39 years old, weighing 173 pounds. Kindly help me.

Hi doctor,

Thank you.

I have been to my regular gynecology doctor, who performed an ultrasound, and I also gave her some of the blood clots I was passing to send off to pathology. The pathology report came back normal. The ultrasound she performed was abdominal, and she said my ovaries and endometrial lining, and thickness all looked good. No cysts are present. Prior to all this, I never had irregular menstrual cycles. I have always menstruated every month, every 28 days at least. It was only after the abortion that everything got all whacked out. I did the medical abortion, but it failed. I was nine weeks and three days. I went back to the abortion clinic, and the doctor did a vaginal ultrasound which he saw some leftover products of conception, so he then gave me around 16 more pills to start that Monday at noon, taking two every four hours till complete. I never had any more bleeding till a week later, and that is when I went to my doctor to have her do another ultrasound to make sure I did not have any remaining products left inside. From then on, my periods have been so crazy. First six months, I had very, very heavy bleeding and cramping. Then after that, my periods went back to normal consistency, no clotting but shorter duration sometimes. And no, I never exercise. I have never really had to and always have been thin, just eating what I want but with portion control. I cannot even lose 1 pound now. It is making me crazy because I hardly eat anything at all. I have also purchased multiple ovulation tests, and I am pretty sure I am not ovulating, considering I am doing a test every other day for the entire month. My swelling in my ankles and feet usually happens the week before my period and again around what would be my normal ovulation time (although I am not ovulating). My thyroid tests results are as follows:

The first test performed when I realized I was pregnant last year was as follows:

1) TSH - 1.12.

2) T3 - 4.13.

3) FT4 - 1.56.

My next tests were seventeen months ago is as follows:

1) TSH - 1.30.

2) T4 - 1.14.

3) Testosterone - 7.

4) Free Testosterone - 0.7.

5) LH - 4.1.

6) FSH - 3.1.

7) Progesterone - 4.3.

8) Estradiol - 70.2.

This test was performed by a gynecologist or hormone doctor. And it was performed on day 21 of my cycle. Kindly help me.

Hi doctor,

Thank you.

So do you think it could possibly be PCOS? I am holding most of my weight in my stomach area. Also, what is causing me to have low testosterone and no ovulation? I feel like possibly my ovaries are not functioning correctly. Kindly give your opinion.

Hi doctor,

Thank you.

I will try to contact my doctor tomorrow to see if she has them and will send them to you. My last ultrasound was taken one year ago. I used to tell when I was ovulating based on timing in the cycle, cervical mucus, and a cramp either on my right or left side each month (it would alternate sides). I do not get that same pain anymore, and I have taken multiple ovulation predictor tests to only get negative results month after month. I take a test about every other day and have not ovulated. I am still getting no LH surge. I feel like my ovaries may not be working as they should be because of this and the fact that sex is more painful because of dryness that I have never had before till now.

My PMS is horrible. It is more like PMDD. I get enraged at everything it seems and cry for no reason. I have never had PMS like this before. Not to mention all the swelling in my ankles and feet. I never had swelling like this, even when I was pregnant. I am very irritable all the time, depressed because of self-esteem issues about my weight, etc. The only time I felt like this was when I had the IUD Mirena three years ago. I had to have it removed because I gained like 30 to 40 pounds in 1 month. My doctor could not believe it, but I had these exact symptoms with it. I had it removed after begging my doctor because she did not think the IUD was causing my problems, but I was convinced it was. So, upon removal, I lost every single ounce of weight, went right back down to 135 after being at 173. My doctor was speechless. I never changed one thing about my eating or exercise habits, and the weight fell off after removal. I feel exactly like this now but not on any birth control or hormones and have not been in 6 months. Not to mention I am getting terrible acne now and the same when IUD was inserted. It is like my body thinks it is pregnant or something. I am not sure, but it is making me so miserable because I cannot find the answer to it. I have been going through this for over a year now. I have tried diets, weight loss clinics with HCG shots, probiotics, vitamins, colon cleansing, etc., nothing helped. I need some answers because I am exhausted thinking about it, and it is taking a toll on my mental and physical health. Does any of this sound like diabetes possibly? I am just grasping at straws at this point because I have done everything I know to do.

Kindly give your opinion.