What should I do if I gain weight and have irregular periods?

Patient's question:

Female, 23 years old, irregular menstruation, weight gain, physical examination found TSH 4.6, antibodies 144. Hello expert, how should it be treated?

Doctor's answer:

I'm glad to help you clarify this. Your test results show a slight hypothyroidism, which is not severe. There may also be weight gain and irregular menstruation, possibly indicating polycystic ovary syndrome (PCOS)! It's recommended that you visit a hospital for a gynecological ultrasound and a test for six sex hormones. The focus should be on ruling out PCOS, as this is more likely. The hypothyroidism condition also needs to be monitored dynamically and carefully. Gynecological diseases are prone to occur, and during medication, women need to pay attention to their own care, especially in terms of hygiene. It is advised that patients pay close attention to vaginal hygiene and maintain a light diet as the foundation.

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